Top 18 Utilization review nurse Jobs in Naples Fl

Care Manager LPN
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- PALS Certification
- BLS Certification
- Mid-level
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RN Care Manager ER Part Time
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Part-time
- Nursing
- RN License
- BLS Certification
- Health insurance
- Dental insurance
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RN Care Manager PRN
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- 8 hour shift
- Nursing
- RN License
- PALS Certification
Quick Apply
RN Care Manager
Physicians Regional Medical Center - Pine Ridge —Naples, FL
- Full-time
- Nursing
- RN License
- PALS Certification
Quick Apply
Care Manager Registered Nurse ER
Physicians Regional Medical Center - Collier —Naples, FL
- Full-time
- Nursing
- RN License
- BLS Certification
Quick Apply
13d
Licensed Practical Nurse
Providia Home Care LLC —Naples, FL
- $40 an hour
- Full-time
- Nursing
- Mid-level
- LPN
Quick Apply
Care Manager Registered Nurse PRN
Physicians Regional Medical Center - Collier —Naples, FL
- Part-time
- Nursing
- RN License
- PALS Certification
Quick Apply
Registered Nurse
Preferred Care Home Health Services —Naples, FL
- Full-time
- Nursing
- Management
- RN License
Quick Apply
Hospice Clinical Team Manager (RN Required)
VITAS Healthcare —Naples, FL
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Team Manager Nursing Home
VITAS Healthcare —Naples, FL
- Full-time
- RN License
- Nursing home
- Bachelor's degree
- Disability insurance
- Health insurance
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2h
Remote Utilization Management Nurse (RN or LVN – CA Lic. Req.) | Preservice/Denials Dept.
Dragonfly Global —United States
- $100,000 - $105,000 a year
- Full-time
- Remote
- Spanish
- Nursing
- Microsoft Excel
- Travel reimbursement
- Health savings account
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Claims Nurse (Utilization Management / Claims Review) Must have CALIFORNIA license
Dragonfly Global —United States
- $100,000 - $105,000 a year
- Full-time
- Remote
- LVN
- RN License
- Mid-level
- Travel reimbursement
- Health savings account
Quick Apply

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RN Care Manager ER Part Time
Physicians Regional Medical Center - Pine Ridge —Naples, FL
The Care Manager – ER collaborates with the emergency department team to assess potential admissions and determine appropriate status placement using evidence-…
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Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per…
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6d
Nurse - Skilled/Purchased Care Coordinator
US Veterans Health Administration —Columbus, OH
Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the…
$70,726 - $148,921 a year
3d

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Care Manager LPN

Physicians Regional Medical Center - Collier -
Naples, FL

Quick Apply

Job Details

Full-time

Qualifications

BLS Certification
LPN

Full Job Description

Job Summary

The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves reviewing medical records for appropriateness and necessity, collaborating with interdisciplinary teams, and facilitating safe and timely transitions of care in compliance with federal, state, and accreditation standards.

Essential Functions

Conducts daily reviews of medical records to assess the appropriateness, medical necessity, and utilization of hospital services, escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee.
Identifies avoidable hospital days and communicates findings effectively to the UM committee and interdisciplinary teams.
Coordinates discharge planning activities, including arranging post-hospital placements and collaborating with patients, families, and physicians to ensure continuity of care.
Maintains professional relationships with community agencies and resources to facilitate referrals and support patient transitions.
Assists in facilitating interdisciplinary meetings, presenting relevant information, and supporting collaborative care planning.
Ensures accurate and timely documentation of utilization review, discharge planning activities, and patient interactions in accordance with organizational policies.
Identifies and appropriately reports cases to Child/Adult Protective Services as required by legal and ethical guidelines.
Participates in the development, implementation, and evaluation of utilization management and discharge planning programs to enhance care delivery and compliance.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.

Qualifications

2-4 years of clinical nursing experience required
Experience in utilization review, case management, or discharge planning preferred

Knowledge, Skills and Abilities

Strong understanding of utilization management principles, discharge planning, and transitions of care.
Knowledge of federal, state, and accreditation standards related to case management and patient care.
Excellent communication and interpersonal skills to collaborate with interdisciplinary teams and community resources.
Organizational and time management skills to prioritize tasks and meet deadlines in a dynamic environment.
Proficiency in electronic medical records (EMR) systems and documentation processes.
Ability to assess complex situations, identify solutions, and implement effective care plans.

Licenses and Certifications

LPN - Licensed Practical Nurse - State Licensure required
BCLS - Basic Life Support required

State Specific Requirements

New Mexico: Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications preferred.

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Refine Your Search

utilization review nurse jobs in naples fl

Care Manager LPN

RN Care Manager ER Part Time

RN Care Manager PRN

RN Care Manager

Care Manager Registered Nurse ER

Licensed Practical Nurse

Care Manager Registered Nurse PRN

Registered Nurse

Hospice Clinical Team Manager (RN Required)

Team Manager Nursing Home

Remote Utilization Management Nurse (RN or LVN – CA Lic. Req.) | Preservice/Denials Dept.

Claims Nurse (Utilization Management / Claims Review) Must have CALIFORNIA license

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