Utilization Reviewer-NE | Utilization Management | PRN | Variable Shift
About The Position
The role supports the hospital healthcare team in delivering high-quality, patient-centered care. It serves as a key resource for physicians by conducting admission and concurrent reviews, ensuring patients are placed in the most appropriate level of care. This includes identifying patients who do not meet criteria and taking necessary action to transition them to an alternative care level. Additionally, the position determines the correct admission status for patients who meet hospital criteria, including ambulatory surgery, observation, and inpatient care.
Requirements
- Registered Nurse (RN) with a current Florida license.
- Three (3) years of critical care nursing experience, OR five (5) years of medical-surgical nursing experience, OR three (3) years of utilization/case management or third-party payer work experience.
- Ability to quickly adjust priorities and manage multiple tasks simultaneously.
- Strong organizational skills with a keen attention to detail.
- Ability to work both independently and collaboratively with various levels of staff.
- Excellent interpersonal and communication skills.
- Strong problem-solving abilities and innovative thinking.
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What This Job Offers
Job Type
Part-time
Industry
Hospitals
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
