Top 46 Utilization management nurse Jobs in Palm Beach, Fl

Case Manager (LPN - Bilingual Spanish)
Sky Nurses —Boca Raton, FL
- $25 - $35 an hour
- Weekends as needed
- Spanish
- Nursing
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
14d
Pool Registered Nurse Case Manager, Care Coordination, Bethesda East,Per Diem
Baptist Health South Florida —Boynton Beach, FL
- $47 an hour
- Per diem
- Nursing
- RN License
- Hospital
- Wellness program
- Health insurance
Registered Nurse Case Manager, Care Coordination, Bethesda East,FT
Baptist Health South Florida —Boynton Beach, FL
- $73,860.80 - $96,019.04 a year
- Full-time
- Nursing
- RN License
- Hospital
- Wellness program
- Health insurance
RN Case Manager PRN
HCA Florida JFK North Hospital —West Palm Beach, FL
- PRN
- Mid-level
- Children
- Adolescents
- Employee stock purchase plan
- Disability insurance
Quick Apply
RN Case Manager Full Time
Jupiter Medical Center —Jupiter, FL
- Full-time
- Nursing
- RN License
- Hospital
6d
RN Case Manager - Full time
Jupiter Medical Center —Jupiter, FL
- Full-time
- Nursing
- RN License
- Hospital
2d
RN Care Coach - Central/Mountain 8:30a - 5p M-F
ILUMED LLC —Jupiter, FL
- $78,228.15 - $124,961.85 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- RN License
Quick Apply
Care Coordinator, Behavioral Health
Health Care District of Palm Beach County —Palm Beach, FL
- Full-time
- BLS Certification
- Mid-level
- Outpatient experience
Pool Utilization Review Registered Nurse, Case Management
Boca Raton Regional Hospital —Boca Raton, FL
- $47 an hour
- Nursing
- RN License
- Mid-level
- Wellness program
- Health insurance
Utilization and Quality Nurse
FoundCare, Inc. —West Palm Beach, FL
- $70,000 - $90,000 a year
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Oncology/Hematology Registered Nurse
US Veterans Health Administration —West Palm Beach, FL
- $74,318 - $137,617 a year
- 8 hour shift
- Hybrid work
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Loan repayment program
Hospital Medicine Transition Manager (Nurse Case Manager)
IPMSO —West Palm Beach, FL
- $85,000 a year
- Full-time
- Hybrid work
- Master of Social Work
- Nursing
- RN License
- Paid holidays
- Health insurance
Quick Apply
14d
REGISTERED NURSE
THE TREATMENT CENTER —Lake Worth, FL
- Full-time
- CPR Certification
- Nursing
- Heavy lifting
Quick Apply
Clinical Manager
Seaside Home Health —North Palm Beach, FL
- Full-time
- RN License
- Mid-level
- 1 year
- Flexible schedule
Community Living Center Restorative Coordinator Registered Nurse
US Veterans Health Administration —West Palm Beach, FL
- $71,514 - $132,410 a year
- Online Application
- Hybrid work
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Loan repayment program
5d
Registered Nurse Case Manager, Care Coordination
Bethesda Hospital, Inc. —Boynton Beach, FL
- $73,860.80 - $96,019.04 a year
- Nursing
- RN License
- Hospital
- Wellness program
- Health insurance
NURSING PROGRAM SPECIALIST - 64000443
The State of Florida —West Palm Beach, FL
- $2,475.20 a month
- Weekends as needed
- Background check
- Nursing
- Microsoft Excel
- Paid holidays
- Dental insurance
7d
Medical Case Manager (Registered Nurse)
AmTrust Financial Services, Inc. —Boca Raton, FL
- $80,000 - $88,000 a year
- Full-time
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Manager, Clinical Care Integration
Conviva Senior Primary Care —West Palm Beach, FL
- $94,900 - $130,500 a year
- Full-time
- Spanish
- Nursing
- LVN
- Paid parental leave
- Paid holidays
1d
Clinical Care Nurse (RN)
Conviva Senior Primary Care —Delray Beach, FL
- $71,100 - $97,800 a year
- Full-time
- Spanish
- Nursing
- RN License
- Paid parental leave
- Paid holidays

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utilization management nurse jobs near palm beach, fl

Case Manager (LPN - Bilingual Spanish)

Sky Nurses -
Boca Raton, FL

Quick Apply

Job Details

Full-time
$25 - $35 an hour
14 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Opportunities for advancement

Qualifications

Computer operation
Spanish
Electronic health records (EHR) management
English
LPN
Productivity software
Video conferences (communication methods)

Full Job Description

Overview

The Case Manager (LPN – Bilingual Spanish) is responsible for coordinating patient care from referral through case completion. This role serves as the primary point of contact for patients, families, healthcare facilities, physicians, insurance companies, assistance companies, and internal teams to ensure patients receive safe, timely, and compassionate care.

The ideal candidate is a licensed practical nurse (LPN) who is fluent in both English and Spanish and possesses excellent communication, organizational, and critical thinking skills. This position requires the ability to manage multiple active cases while maintaining a high level of customer service and professionalism.

Essential Duties and Responsibilities

Case Management

Coordinate patient cases from intake through completion.
Review medical records to assess patient needs and identify potential barriers to care.
Collaborate with physicians, hospitals, case managers, insurance companies, and assistance providers regarding patient care plans.
Monitor active cases and communicate changes in patient status to appropriate stakeholders.
Maintain timely follow-up with patients, families, healthcare providers, and clients.
Ensure all required documentation is complete, accurate, and submitted in a timely manner.

Patient & Family Communication

Serve as the primary point of contact for patients and their families.
Explain care plans, services, and next steps in a compassionate and professional manner.
Provide updates throughout the coordination process.
Translate medical and care-related information between English and Spanish as needed.

Clinical Coordination

Coordinate with physicians, nurses, and other healthcare professionals to facilitate continuity of care.
Review physician orders and medical documentation for completeness.
Assist in identifying patient care needs and escalating concerns to the appropriate medical professionals.
Monitor patient progress and communicate significant changes to the care team.

Documentation & Compliance

Maintain detailed and accurate case documentation.
Ensure compliance with HIPAA and all company confidentiality policies.
Complete case notes, reports, and required documentation according to company standards.
Maintain accurate electronic medical records and client documentation.

Client Relations

Communicate professionally with hospitals, insurance companies, assistance companies, physicians, and referral sources.
Respond promptly to inquiries regarding active cases.
Maintain a high level of customer service while managing sensitive and complex situations.
Build positive working relationships with clients and healthcare partners.

Required Qualifications

Current Licensed Practical Nurse (LPN) license in good standing.
Fluent in English and Spanish (written and verbal).
Minimum of two (2) years of clinical nursing experience.
Excellent verbal and written communication skills.
Strong organizational and multitasking abilities.
Ability to prioritize multiple cases in a fast-paced environment.
Proficiency with Microsoft Office and electronic medical record (EMR) systems.
Strong critical thinking and problem-solving skills.
Ability to work independently and collaboratively within a multidisciplinary team.

Preferred Qualifications

Experience in case management, care coordination, or utilization review.
Experience working with insurance companies or healthcare assistance organizations.
Knowledge of medical terminology and clinical documentation requirements.
Experience in emergency medicine, medical-surgical nursing, home health, or care management.
Bilingual customer service experience in a healthcare setting.

Knowledge, Skills & Abilities

Strong clinical assessment and documentation skills.
Excellent customer service and interpersonal communication.
Ability to remain calm and professional under pressure.
Exceptional attention to detail.
Strong organizational and time management skills.
Ability to maintain confidentiality and professionalism at all times.
Ability to adapt to changing priorities and patient needs.

Compensation

Pay:$25.00–$35.00 per hour, based on experience, qualifications, and relevant clinical background.

Benefits

Sky Nurses offers a competitive benefits package, including:

Health Insurance
401(k) Retirement Plan
Paid Time Off (PTO)
Paid Holidays
Opportunities for professional growth and advancement

Working Conditions

Fast-paced office environment.
Frequent telephone and computer use.
Ability to manage multiple priorities while maintaining accuracy.
Occasional after-hours or weekend coverage may be required based on operational needs.

Physical Requirements

Ability to sit for extended periods.
Frequent use of a computer, keyboard, and telephone.
Ability to read and interpret medical records and electronic documentation.
Ability to communicate effectively via telephone, email, and video conferencing.

Why Join Our Team? At Sky Nurses, you'll play a vital role in helping patients safely return home from around the world. You'll work alongside experienced medical professionals while coordinating life-changing medical transports that require compassion, critical thinking, and teamwork. Every case is unique, providing an exciting opportunity to make a meaningful impact on patients and their families.

Pay: $25.00 - $35.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off
Vision insurance

Experience:

LPN: 2 years (Required)

Language:

Spanish & English (Required)

Work Location: In person

Quick Apply

Refine Your Search

utilization management nurse jobs in palm beach, fl

Case Manager (LPN - Bilingual Spanish)

Pool Registered Nurse Case Manager, Care Coordination, Bethesda East,Per Diem

Registered Nurse Case Manager, Care Coordination, Bethesda East,FT

RN Case Manager PRN

RN Case Manager Full Time

RN Case Manager - Full time

RN Care Coach - Central/Mountain 8:30a - 5p M-F

Care Coordinator, Behavioral Health

Pool Utilization Review Registered Nurse, Case Management

Utilization and Quality Nurse

Oncology/Hematology Registered Nurse

Hospital Medicine Transition Manager (Nurse Case Manager)

REGISTERED NURSE

Clinical Manager

Community Living Center Restorative Coordinator Registered Nurse

Registered Nurse Case Manager, Care Coordination

NURSING PROGRAM SPECIALIST - 64000443

Medical Case Manager (Registered Nurse)

Manager, Clinical Care Integration

Clinical Care Nurse (RN)

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