Clinical Utilization Review Nurse Specialist

19 hours ago


Leesburg, Florida, United States UF Health Full time

About UF Health

UF Health is a leading health care provider in the region, offering advanced medical services and innovative technology to serve the community.

Overview

As a renowned healthcare system, UF Health Central Florida operates multiple hospitals, rehabilitation centers, and diagnostic laboratories. Our commitment to providing progressive and compassionate care has earned us recognition from the American College of Cardiology for our Chest Pain Center Accreditation with Primary PCI and Resuscitation.

Job Responsibilities

The Clinical Utilization Review Nurse Specialist plays a vital role in ensuring the appropriateness of hospital admissions, efficient resource utilization, and accurate medical documentation. Key responsibilities include:

  • Determining medical necessity for continued stay and facilitating timely discharge
  • Collaborating with Case Management to provide interventions and discharge planning services
  • Maintaining accurate and comprehensive medical records

Requirements

To be successful in this role, candidates should possess:

  • A minimum of 5 years of clinical experience as a registered nurse
  • Current working knowledge of utilization management, performance improvement, and reimbursement issues
  • Strong observation skills, analytical thinking, and problem-solving abilities
  • Effective communication and interpersonal skills

Compensation

The estimated salary range for this position is between $85,000 and $115,000 annually, depending on experience and qualifications.



  • Leesburg, Florida, United States UF Health Full time

    OverviewUF Health Leesburg Hospital is a leading healthcare provider in the region, offering advanced cardiac care, orthopedic surgery, and emergency services. As a Denial Recovery Coordinator, you will play a critical role in managing and coordinating utilization and external review activities related to payor issues.ResponsibilitiesUnder the general...


  • Leesburg, Florida, United States Florida Cancer Specialists Full time

    Role SummaryAs an APRN Clinic Specialist at Florida Cancer Specialists & Research Institute, you will play a vital role in the care and teaching of patients. You will assist physicians in providing high-quality patient care and contribute to the development of clinical research studies.ResponsibilitiesAssist physicians in the care and teaching of...


  • Leesburg, Florida, United States UF Health Full time

    Job Summary:UF Health Leesburg Hospital is seeking a skilled Registered Nurse to join our Cath Lab team. As a Cardiovascular Nurse Specialist, you will be responsible for providing high-quality patient care in a fast-paced environment. Key Responsibilities:• Collaborate with the healthcare team to provide comprehensive care to patients undergoing cardiac...


  • Leesburg, Florida, United States University of Florida Health Full time

    Job SummaryThe Clinical Care Coordinator at University of Florida Health is responsible for utilizing professional nursing skills to assess patient and family scenarios for clinical appropriateness for the setting and establishes plans for effective management of the continuum of care. Key Responsibilities Assessment, planning, intervention and reassessment...


  • Leesburg, Florida, United States Inova Full time

    Job Title: Critical Care SpecialistJob Summary:We are seeking a skilled Critical Care Specialist to join our team at Inova Loudoun Hospital. This is a full-time opportunity with a 3-12 hour shift schedule and weekend and call rotation.Key Responsibilities:* Provide knowledgeable and caring clinical practice and care coordination through an understanding of...

  • Nurse Specialist

    4 weeks ago


    Leesburg, Florida, United States University of Florida Health Full time

    Job SummaryAs a Cardiovascular Care Professional at the University of Florida Health, you will play a vital role in providing exceptional patient care in our Cardiovascular Intensive Care Unit. Under the direction of the director/clinical coordinator/charge nurse, you will utilize the nursing process to facilitate patient care, making nursing assessments and...

  • Nurse Specialist

    4 weeks ago


    Leesburg, Florida, United States UF Health Full time

    Overview:UF Health Leesburg Hospital has a long-standing reputation as a leading medical center, providing comprehensive healthcare services in the region.The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida, accredited by the American College of Cardiology for its expertise in treating patients with...


  • Leesburg, Florida, United States UF Health Full time

    Job Summary:UF Health is seeking a highly skilled Registered Nurse to join our team in providing exceptional patient care. As a Cardiac Care Specialist, you will be responsible for utilizing the nursing process to facilitate patient care, making assessments and diagnoses, and implementing and evaluating care plans. The ideal candidate will possess at least 1...


  • Leesburg, Florida, United States UF Health Full time

    OverviewUF Health Leesburg Hospital has been serving the healthcare needs of our community for many years, offering advanced cardiac care, including one of the largest cardiothoracic surgery programs in the state.The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating patients...


  • Leesburg, Florida, United States UHS Full time

    Admissions Support SpecialistNorth Spring Behavioral Healthcare, Inc. is a multifaceted behavioral healthcare system comprised of three programs to serve children and adolescents with a broad spectrum of psychiatric service needs. Our strategic plan for the past two years has been centered on improving fidelity to our evidence-based clinical...

  • Clinical Care Nurse

    4 weeks ago


    Leesburg, Florida, United States LanceSoft Full time

    Job Title: Clinical Care NurseJob Summary: We are seeking a skilled Clinical Care Nurse to join our team at LanceSoft. As a Clinical Care Nurse, you will be responsible for administering vaccinations and injections, obtaining vital signs, and providing emergency care in collaboration with the provider on site. You will also perform patient registration,...

  • Nurse Manager

    4 weeks ago


    Leesburg, Florida, United States Florida Cancer Specialists Full time

    Job SummaryFlorida Cancer Specialists & Research Institute is seeking a skilled Nurse Manager to oversee the daily operations of our healthcare team. As a key member of our leadership team, you will be responsible for planning, directing, and evaluating the overall nursing care and functions. Your expertise will ensure the delivery of high-quality patient...


  • Leesburg, Florida, United States University of Florida Health Full time

    About the Role:As a Registered Nurse in our Cardiovascular Unit, you will be part of a team that provides advanced cardiovascular care to patients. Our hospital offers one of the largest open-heart programs in Florida, and we are accredited by the American College of Cardiology for our expertise in treating patients with chest pain.Responsibilities:Utilize...


  • Leesburg, Florida, United States Inova Health System Full time

    The Certified Registered Nurse Anesthetist PRN at Inova Health System exercises independent judgement in the assessment, diagnosis and initiation of medical processes and procedures, in accordance with the nurse practitioner licensure regulations of the Commonwealth of Virginia, and as delineated in the written Scope of Practice/Protocol for Nurse...

  • Clinical Psychologist

    4 weeks ago


    Leesburg, Florida, United States UHS Full time

    Job SummaryNorth Spring Behavioral Healthcare, Inc. is seeking a skilled Clinical Psychologist to join our residential team. As a key member of our clinical department, you will provide psychological assessments, psychotherapy services, and clinical care to residents aged 9 to 17 and their families.Key Responsibilities:• Provide psychological assessments...

  • Nurse Specialist

    4 weeks ago


    Leesburg, Florida, United States UHS Full time

    About the Role:We are seeking a skilled Registered Nurse (RN) to join our team at North Spring Behavioral Healthcare. As a Nurse Specialist, you will play a vital role in providing high-quality care to children and adolescents with psychiatric needs.Responsibilities:Provide direct patient care, including assessments, interventions, and education.Collaborate...

  • RN MDS Director

    4 weeks ago


    Leesburg, Florida, United States The Avante Group Full time

    Job Summary: The Avante Group is seeking an experienced RN MDS Director to lead our clinical team in providing high-quality care to our residents. As a key member of our leadership team, you will be responsible for conducting and coordinating the development and completion of resident assessments, Minimum Data Set (MDS) and Care Planning in accordance with...


  • Leesburg, Florida, United States UF Health-Central Florida Full time

    OverviewUF Health-Central Florida is dedicated to delivering cutting-edge patient care, clinical training, and research programs to the community. Our team of physicians and clinical staff collaborate to provide specialty services, advanced technology, and clinical studies, bringing world-class, quality health care closer to patients and their loved ones.As...

  • Clinical Technician

    4 weeks ago


    Leesburg, Florida, United States Inova Full time

    Job Title: Clinical TechnicianJob Summary:We are seeking a skilled Clinical Technician to join our team at Inova Loudoun Hospital. As a Clinical Technician, you will assist in the delivery of direct patient care under the supervision of the Registered Nurse. Your primary responsibility will be to provide basic activities of daily living nursing care, such as...

  • Nurse Practitioner

    4 weeks ago


    Leesburg, Florida, United States Milan Laser Hair Removal Full time

    Job Summary:Milan Laser Hair Removal is seeking a highly skilled Registered Nurse to join our dynamic treatment team in Leesburg, VA. As a key member of our medical-based team, you will help our clients achieve their aesthetic goals while providing exceptional patient care.About the Role:As a Registered Nurse, you will be responsible for performing laser...