Lee Health
Location:
HealthPark Medical Center -9981 So HealthPark CircleFort Myers FL 33908 Department:
Utilization Management - Corporate Work Type:
Full Time Shift:
Shift 2/7:7:00:00 AM to 7:00:00 PM Minimum to Midpoint Pay Rate:
$30.27 - $40.86 / hour Summary
This is an onsite position at Healthpark Medical Center in the ER, 12hr shifts. May also be covering Peds ER as well. Join a dynamic and mission-driven team dedicated to ensuring patients receive the right care, at the right time, in the right setting. As a Utilization Management RN, you will play a key role in safeguarding regulatory compliance, verifying medical necessity, and promoting appropriate levels of care throughout the patient journey. In this role, you will collaborate closely with providers, clinical teams, and ancillary departments to facilitate accurate, real-time documentation that reflects the true scope of services and resources utilized. Your expertise helps support optimal reimbursement, quality outcomes, and system-wide integrity. You will also be responsible for meeting defined productivity and accuracy targets, applying critical thinking and clinical judgment to every review, and ensuring that utilization management processes run efficiently and effectively. Your work directly supports organizational excellence, patient-centered care, and fiscal stewardship. Requirements
Education
Required:
Graduate of an accredited school of professional nursing Preferred:
Bachelor of Science in Nursing (BSN) or a bachelor's degree in a related healthcare field Experience
Required:
Minimum 3 years of acute care hospital clinical experience OR Equivalent utilization management experience within the past 2 years, with emphasis on acute care Licensure
Required:
Active Florida RN license Certification
Preferred:
Case Management certification such as ACM, CCM, CMCN, or NACCM Skills & Competencies
Strong communication and interpersonal skills Solid analytical abilities with attention to detail in documentation, grammar, and accuracy Proficiency with basic computer systems and EMR workflows Ability to multitask and manage competing priorities in a fast-paced environment US:FL:Fort Myers
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HealthPark Medical Center -9981 So HealthPark CircleFort Myers FL 33908 Department:
Utilization Management - Corporate Work Type:
Full Time Shift:
Shift 2/7:7:00:00 AM to 7:00:00 PM Minimum to Midpoint Pay Rate:
$30.27 - $40.86 / hour Summary
This is an onsite position at Healthpark Medical Center in the ER, 12hr shifts. May also be covering Peds ER as well. Join a dynamic and mission-driven team dedicated to ensuring patients receive the right care, at the right time, in the right setting. As a Utilization Management RN, you will play a key role in safeguarding regulatory compliance, verifying medical necessity, and promoting appropriate levels of care throughout the patient journey. In this role, you will collaborate closely with providers, clinical teams, and ancillary departments to facilitate accurate, real-time documentation that reflects the true scope of services and resources utilized. Your expertise helps support optimal reimbursement, quality outcomes, and system-wide integrity. You will also be responsible for meeting defined productivity and accuracy targets, applying critical thinking and clinical judgment to every review, and ensuring that utilization management processes run efficiently and effectively. Your work directly supports organizational excellence, patient-centered care, and fiscal stewardship. Requirements
Education
Required:
Graduate of an accredited school of professional nursing Preferred:
Bachelor of Science in Nursing (BSN) or a bachelor's degree in a related healthcare field Experience
Required:
Minimum 3 years of acute care hospital clinical experience OR Equivalent utilization management experience within the past 2 years, with emphasis on acute care Licensure
Required:
Active Florida RN license Certification
Preferred:
Case Management certification such as ACM, CCM, CMCN, or NACCM Skills & Competencies
Strong communication and interpersonal skills Solid analytical abilities with attention to detail in documentation, grammar, and accuracy Proficiency with basic computer systems and EMR workflows Ability to multitask and manage competing priorities in a fast-paced environment US:FL:Fort Myers
#J-18808-Ljbffr