Utilization Management Nurse

2 weeks ago


Hollywood, Florida, United States Integrated Home Full time

About Integrated Home Care Services:

Integrated Home Care Services (IHCS) offers a comprehensive delivery system in the comfort of patients' homes, encompassing Durable Medical Equipment (DME), Respiratory Therapy, Home Health, and Home Infusion services. With a carefully selected network of Medicare and/or Medicaid Certified and Accredited providers, we are dedicated to meeting our patients' needs around the clock. Our mission is to deliver the highest quality in-home care that enhances the daily lives of our patients, prioritizing their well-being.

Why Work with Us:

With over three decades of expertise, IHCS stands as a trusted leader in Home Health, DME, and Home Infusion Services. We are looking for individuals who are passionate about leading and motivating teams to deliver exceptional care. Our commitment to excellence is reflected in our teamwork and dedication to providing outstanding service to our patients.

Employee Benefits:

We offer a competitive compensation package for full-time team members, which includes:

  • Medical, Vision, and Dental Insurance
  • Paid Holidays
  • Paid Time Off (PTO)
  • Employer-Paid Life Insurance
  • 401K Plan with Employer Contributions
  • Wellness Program with Incentives
  • Employee Recognition Programs
  • Comprehensive Training Programs
Key Responsibilities:

As a Utilization Management Nurse, your role will involve ensuring that home health care services are delivered with a focus on quality, cost-effectiveness, and compliance. You will be responsible for:
  • Conducting concurrent reviews of patient clinical information for efficiency
  • Reviewing precertification requests to assess medical necessity
  • Coordinating patient care needs with a multidisciplinary healthcare team
  • Maintaining accurate records of all patient interactions
  • Staying organized and effectively communicating in various situations
  • Providing updates to the Manager of Utilization Management for review
Qualifications:

To be considered for this position, candidates should possess:
  • State licensure as a Licensed Practical Nurse (LPN) or Registered Nurse (RN)
  • A minimum of two years of experience in Utilization Management
  • Proficiency in word processing and spreadsheet software
  • Preferred certification in Utilization Management or Case Management
Commitment to Diversity:

Integrated Home Care Services is an equal opportunity employer. We celebrate diversity and are committed to fostering an inclusive environment for all employees.

  • Hollywood, Florida, United States Integrated Home Full time

    About Integrated Home Care Services:Integrated Home Care Services (IHCS) is dedicated to providing a comprehensive delivery system within the comfort of patients' homes. Our offerings encompass Durable Medical Equipment (DME), Respiratory Care, Home Health, and Home Infusion services. We collaborate with a select network of Medicare and/or Medicaid Certified...


  • Hollywood, Florida, United States Integrated Home Full time

    Integrated Home Services (IHS) offers a comprehensive delivery system tailored for home care, encompassing Durable Medical Equipment (DME), Respiratory Services, Home Health, and Home Infusion. Our carefully selected network of Medicare and/or Medicaid Certified and Accredited providers is dedicated to meeting the needs of our patients around the clock. Our...

  • RN Specialist

    15 hours ago


    Hollywood, Florida, United States Memorial Healthcare System Full time

    Job SummaryWe are seeking a highly skilled RN Specialist to join our team at Memorial Healthcare System. As a RN Specialist, you will play a critical role in ensuring the highest quality of patient care by reviewing medical necessity and appropriateness of treatments.Key ResponsibilitiesCollaborate with the Case Management team to ensure timely and effective...

  • Nurse Manager

    7 days ago


    Hollywood, Florida, United States Clinical Management Consultants Full time

    Job Summary:Clinical Management Consultants is seeking a highly skilled and experienced Nurse Manager to lead our Labor and Delivery Unit. As a key member of our team, you will be responsible for overseeing the daily operations of the unit, ensuring the highest standards of patient care, and promoting a culture of excellence and teamwork.Key...


  • Hollywood, Florida, United States Memorial Healthcare System Full time

    Nurse Department Manager Job DescriptionAt Memorial Healthcare System, we are dedicated to delivering exceptional patient care and improving the health and well-being of our community.Job SummaryWe are seeking a highly skilled and experienced Nurse Department Manager to lead our nursing team and ensure the delivery of high-quality patient care.Key...

  • Nurse Coordinator

    7 days ago


    Hollywood, Florida, United States Clinical Management Consultants Full time

    Job Summary:Clinical Management Consultants is seeking an experienced Nurse Coordinator to provide clinical leadership to our Emergency Department team. As a key member of our healthcare organization, you will be responsible for providing staff evaluations, managing patient flow, and serving as a liaison between staff and leadership teams.Key...


  • Hollywood, Florida, United States Clinical Management Consultants Full time

    Job Summary:Clinical Management Consultants is seeking an experienced Nurse Coordinator - Emergency Department Leadership to join our team. As a key member of our healthcare organization, you will provide clinical leadership to our inpatient emergency center, ensuring the highest level of patient care and satisfaction.Key Responsibilities:Provide clinical...


  • Hollywood, Florida, United States MedElite LLC Full time

    About MedElite LLC: MedElite LLC is dedicated to transforming the landscape of geriatric healthcare by offering cutting-edge solutions tailored for skilled nursing facilities. Our mission is to collaborate with long-term care providers and healthcare professionals to enhance the quality of care for patients. By integrating advanced technology and on-site...


  • Hollywood, Florida, United States Memorial Healthcare System Full time

    Location:Hollywood, FloridaAt Memorial Healthcare System, we are renowned for delivering patient- and family-centered care that surpasses expectations. We have established an award-winning, nationally recognized healthcare system where our focus is on providing Deeper Caring and Smarter Healthcare across our communities. Explore diverse career opportunities...

  • Nurse Manager

    6 days ago


    Hollywood, Florida, United States Kindred Healthcare Full time

    Job Summary:As a Charge Nurse / RN within our Subacute Unit at Kindred Healthcare, you will play a vital role in the recovery process for chronic, critically ill and medically complex patients.Key Responsibilities:Manage a designated group of nursing employees on a nursing unit and assure smooth operations of the unit for a designated shift.Scope of work may...


  • Hollywood, Florida, United States Memorial Healthcare System Full time

    Location:Hollywood, FloridaAt Memorial Healthcare System, we pride ourselves on delivering exceptional patient- and family-centered care that consistently surpasses expectations. We have established a nationally recognized system dedicated to providing Deeper Caring and Smarter Healthcare across our communities. Explore diverse career opportunities within...


  • Hollywood, Florida, United States Memorial Healthcare System Full time

    Location:Hollywood, FloridaAt Memorial Healthcare System, we pride ourselves on delivering exceptional patient- and family-centered care that surpasses expectations. Our award-winning,nationally-recognizedhealthcare system is dedicated to providing Deeper Caring and Smarter Healthcare across our communities. Explore diverse career opportunities within our...

  • Nurse Specialist II

    6 days ago


    Hollywood, Florida, United States Memorial Healthcare System Full time

    Job SummaryWe are seeking a highly skilled and dedicated Nurse Specialist II to join our team at Memorial Healthcare System. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and contributing to the delivery of high-quality, patient-centered services.Key ResponsibilitiesProvide direct patient care in a...


  • Hollywood, Florida, United States The Staffing Resource Group Inc Full time

    Job SummaryThe Staffing Resource Group Inc is seeking a highly skilled Clinical Research Nurse to join our team. As a Clinical Research Nurse, you will be responsible for conducting clinical research studies and ensuring the well-being and safety of study participants.Key ResponsibilitiesStudy Conduct: Conduct clinical research studies in strict compliance...


  • Hollywood, Florida, United States American Management Enterprise Corp Full time

    Job OverviewWe are looking for a proficient Facilities Maintenance Supervisor to manage the upkeep and operational efficiency of our properties. The successful candidate will have a solid background in building management and will be required to reside on-site.Key Responsibilities:- Supervise both high and low voltage electrical systems to ensure optimal...


  • Hollywood, Florida, United States 5th HQ Full time

    Job Title: BookkeeperCompany: 5th HQJob Type: Full-timeLocation: RemoteAbout Us: 5th HQ is a dynamic and growing organization seeking a highly skilled Bookkeeper to join our team.Job Description:Key Responsibilities:Financial Record Management: Maintain accurate and up-to-date financial records, ensuring all transactions are properly recorded and accounted...


  • Hollywood, Florida, United States Greenstaff Physician & Provider Solutions Full time

    Exciting Opportunity for a Neonatal Nurse Practitioner We are seeking a skilled and passionate Neonatal Nurse Practitioner to join our esteemed team at Greenstaff Physician & Provider Solutions. This role is pivotal in providing exceptional care to our most vulnerable patients.Collaborative Environment: Work alongside a team of dedicated medical...


  • Hollywood, Florida, United States 5th HQ Full time

    Company: 5th HQPosition Overview:We are in search of a meticulous and systematic Accounting Specialist to become a part of our dynamic team. The successful candidate will oversee a variety of financial and administrative responsibilities, ensuring the integrity of financial documentation and contributing to the efficient functioning of our organization. This...


  • Hollywood, Florida, United States KW Property Management & Consulting Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Front Desk Associate to join our team at KW Property Management & Consulting. As a Front Desk Associate, you will be responsible for providing exceptional customer service to our residents, ensuring a safe and secure living environment, and maintaining the overall appearance of our property.Key...


  • Hollywood, Florida, United States Memorial Healthcare System Full time

    Join Our Team as a Wound Care Nursing SpecialistAt Memorial Healthcare System, we pride ourselves on delivering exceptional, patient-centered care that consistently surpasses expectations. Our award-winning healthcare system is recognized nationally for its commitment to providing Deeper Caring and Smarter Healthcare throughout our communities.Role...