Utilization Reviewer-NE | Utilization Management | Part time | Day shift - Sat-Sun
About The Position
The role supports the hospital healthcare team in delivering high-quality, efficient, patient-centered care. It serves as a key resource for physicians by conducting admission and concurrent reviews. The position involves identifying patients who do not meet criteria for the current level of care, taking appropriate action to ensure they are placed in the most suitable alternative level of care, and determining the correct admission status and level of care for patients who meet the hospital's admission 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 adjust priorities quickly and effectively.
- Strong organizational skills with the ability to manage multiple tasks simultaneously.
- Ability to work independently and collaboratively with staff at all levels.
- Excellent attention to detail.
- Strong organizational, interpersonal, and communication skills.
- Innovative problem-solving abilities.
- Current Registered Nurse (RN) license in Florida.
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Industry
Hospitals
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
