Utilization Management Nurse

7 days ago


Melbourne, Florida, United States Health First Full time
About the Role

This is an exciting opportunity for a seasoned Utilization Management Nurse to join our team at Health First. As a Clinical Utilization Review Specialist, you will play a critical role in ensuring that patients receive necessary care while minimizing unnecessary expenses.

You will be responsible for conducting thorough reviews of patient admissions, collaborating with physicians to determine appropriate admission status, and documenting relevant information in electronic medical records.

Key Skills and Qualifications:

  • Excellent analytical and communication skills.
  • Ability to work independently and prioritize multiple tasks.
  • Strong knowledge of medical necessity, patient care, and resource utilization.
  • Proven track record of promoting professional practice through supportive interactions.

Benefits:

  • Competitive salary range: $85,000 - $110,000 per year.
  • Comprehensive benefits package, including health, dental, and vision insurance.
  • Retirement savings plan with employer match.
  • Tuition reimbursement program.


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