Florida Licensed Utilization Review Nurse
Job Summary
To ensure appropriate utilization of hospital resources, the part-time Florida Licensed Utilization Review Nurse will conduct admission and continued stay reviews, collaborating with interdisciplinary teams while working remotely during evening shifts.
Key responsibilities
- Perform hospital admission reviews to determine medical necessity and appropriate patient status
- Conduct continued stay reviews using approved clinical criteria and guidelines
- Communicate review findings and recommendations to physicians and case management staff
Required qualifications
- Current, unrestricted Registered Nurse (RN) license
- Minimum five (5) years of acute care nursing experience in a hospital setting
- Minimum two (2) years of recent hospital-based or health plan utilization review experience
- Graduate of an accredited school of nursing; Bachelor of Science in Nursing (BSN) preferred
- Certification as a Case Manager (CCM), Accredited Case Manager (ACM), or similar is preferred
Complete Job Description
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