Florida Licensed Utilization Case Manager RN

Job Summary

A company is looking for a Case Manager RN - Utilization Review.

Key Responsibilities

• Conduct initial chart reviews for medical necessity and authorization needs
• Coordinate with the healthcare team to optimize patient outcomes and minimize treatment delays
• Provide education and support regarding payer policies and treatment options

Required Qualifications

• Graduate from an accredited school of nursing with a Bachelor's degree (BSN)
• Valid State of Florida RN license required
• Basic Life Support Certification (BLS) from the American Heart Association required
• Minimum of 2 years of relevant experience, including at least 1 year in Hospital Case Management/nursing
• Working knowledge of patient assessment and medical terminology