Top 27 Utilization review nurse Jobs in Orlando Fl

Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Orlando South —Orlando, FL
- Part-time
- Master of Social Work
- RN License
- Inpatient
- Employee assistance program
- Opportunities for advancement
Quick Apply
13d
Utilization Review Nurse
Cobalt Benefits Group LLC —Orlando, FL
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
Utilization Review Care Manager - Must have 3 years in IQ/MCG
Orlando Health —Orlando, FL
- Full-time
- Hybrid work
- Nursing
- RN License
- Hospital
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Orlando, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Medical Case Manager I
CorVel Corporation —Orlando, FL
- $63,739 - $95,264 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
Home Health Clinical Review Specialist (Part-Time/Weekends)
Pinnacle Home Care Inc. —Orlando, FL
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Referral program
Quick Apply
Registered Nurse- Hospice (Patient Care Coordinator)
Halifax Health —Kissimmee, FL
- Full-time
- Nursing
- Clean driving record
- RN License
Registered Nurse Case Manager (1099) – Orlando, FL
The IMA Group —Orlando, FL
- No weekends
- Hybrid work
- Bilingual
- Nursing
- RN License
- Flexible schedule
Quick Apply
RN Care Manager, OHARI
Orlando Health —Ocoee, FL
- Full-time
- Nursing
- RN License
- Hospital
- Paid parental leave
- Loan repayment program
11d
Registered Nurse - Care Manager at Lake Mary Hospital
Orlando Health —Lake Mary, FL
- Full-time
- Acute care
- Nursing
- RN License
- Tuition reimbursement
- Opportunities for advancement
RN Care Coordinator - Urology, Downtown Orlando
Orlando Health —Orlando, FL
- Full-time
- Nursing
- RN License
- Hospital
- Paid parental leave
- Loan repayment program
Nurse Practitioner/Physician Assistant
Central Florida Total Health Care —Oakland, FL
- From $55 an hour
- Full-time
- Bilingual
- Nursing
- Vital signs
- Health insurance
- Paid time off
Quick Apply
Team Manager Inpatient
VITAS Healthcare —Mount Dora, FL
- Full-time
- RN License
- Bachelor's degree
- Recruiting
- Disability insurance
- Health insurance
Quick Apply
3d
APRN
Community Medical Group —Orlando, FL
- Full-time
- Spanish
- Medicine
- Writing skills
Quick Apply
Psychiatric Mental Health Nurse Practitioner
Wise Future Group Support Services, LLC —Orlando, FL
- $115,418.73 - $138,998.89 a year
- Full-time
- Bilingual
- Nursing
- Psychiatry
- Paid time off
- Parental leave
Quick Apply

Other jobs to consider

Find your next job by exploring related positions.

RN - Admissions Nights
Orlando Behavioral Health - Acadia Joint Venture —Apopka, FL
Clear and active nursing license in the state. The state-of-the-art hospital just opened and will provide inpatient and intensive outpatient treatment for…
5d
Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Orlando South —Orlando, FL
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…
Quick Apply
13d

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

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…
Quick Apply
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

Show more jobs in cities nearby

I want to receive the latest job alert for utilization review nurse in orlando fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization review nurse jobs near orlando fl

Case Manager / PRN ( RN / RT / SW / LPN )

Select Specialty Hospital - Orlando South -
Orlando, FL

Quick Apply

Job Details

Part-time | PRN
13 days ago

Benefits

Employee assistance program
Opportunities for advancement

Qualifications

Inpatient experience
Experience working with individuals with chronic illnesses
Critical & intensive care
Acute care facility experience
Managing patients as a clinical case manager

Full Job Description

Overview:

Select Specialty Hospital

Critical Illness Recovery Hospital (LTACH)

Case Manager (PRN)

Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state guidelines).

And

Previous discharge planning experience highly preferred.

SHIFT:

*Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts would be scheduled on weekdays, from appoximately 8a.m.-5p.m.*

Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and our team plays a central role in providing compassionate, excellent care every step of the way.

Responsibilities:

We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right.

The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as necessary, per state guidelines.

Develops and implements a patient specific, safe and timely discharge plan.
Performs verification of utilization criteria reviews.
Builds relationships and coordinate with payor sources to assure proper reimbursement for hospital provided services, promote costs attentive care via focus on resource management within the plan of care.
Demonstrates compliance with facility-wide Utilization Management policies and procedures.
Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.
Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance verification forms to minimize risk.
Facilitates multi-disciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.

Qualifications:

How you will be successful in this environment:

We are seeking results-driven team players. Qualified candidates must be passionate about providing superior quality in all that they do.

Minimum requirements:

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 state guidelines
Previous RN/LPN/RT/SW/CM experience in an inpatient hospital setting dealing with critical care/acute care patients. (example: ICU, step-down, med surg, vents)
Adequate experience in an acute medical case management setting and confidence to manage and direct a plan of care for chronically critically ill populations

Preferred qualifications that will make you successful:

Specific experience in Care Management and Discharge Planning is preferred.
Working knowledge of the insurance industry and government reimbursement.
Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts would be scheduled on weekdays, from appoximately 8a.m.-5p.m.

Additional Data:

Why Join Us:

Start Strong: Extensive orientation program to ensure a smooth transition into our setting.
Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities
Foster Well-being: We offer benefits which support the financial, work/life and emotional well-being of you and your family members. Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. We also offer our employee assistance program to part time employees.
Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care

Equal opportunity employer, including disabled veterans

Quick Apply

Refine Your Search

utilization review nurse jobs in orlando fl

Case Manager / PRN ( RN / RT / SW / LPN )

Utilization Review Nurse

Utilization Review Care Manager - Must have 3 years in IQ/MCG

Care Review Clinician (BH Licensed) - Remote in FL

Medical Case Manager I

Home Health Clinical Review Specialist (Part-Time/Weekends)

Registered Nurse- Hospice (Patient Care Coordinator)

Registered Nurse Case Manager (1099) – Orlando, FL

RN Care Manager, OHARI

Registered Nurse - Care Manager at Lake Mary Hospital

RN Care Coordinator - Urology, Downtown Orlando

Nurse Practitioner/Physician Assistant

Team Manager Inpatient

APRN

Psychiatric Mental Health Nurse Practitioner

Other jobs to consider

Explore jobs in cities nearby

I want to receive the latest job alert for utilization review nurse in orlando fl

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected