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Remote Utilization Management Nurse RN Florida - Remote Eligible
Improve health equity by advancing care and connecting individuals with necessary resources effectively.
Remote
Senior
2 months ago
Optum
We’re a leading health solution and care delivery organization
Job is no longer active
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✨ About The Role
- The role involves performing initial and concurrent review of inpatient cases using evidenced-based criteria
- Collaborating with facility healthcare professionals to obtain plans-of-care and Optum Enterprise Clinical Services Medical Directors on utilization management
- Identifying delays in care or services and managing them appropriately
- Participating in team meetings, education, discussions, and related activities
- Ensuring compliance with Federal, State, and accreditation organizations
âš¡ Requirements
- Current, unrestricted RN license in the state of Florida is required
- 3+ years of clinical nursing experience in various settings such as Acute Inpatient, SNF/AIR/LTAC, Emergency Department, Urgent Care, Doctor’s Office, or School Nurse
- Proficiency in computer skills including Microsoft Suite and clinical platforms is necessary
- Ability to work independently and demonstrate effective verbal and written communication skills
- Experience with utilization review and evidence-based guidelines is preferred
Remote Utilization Management Nurse RN Florida - Remote Eligible
Remote
Registered Nurse
Job is no longer active
About Optum
We’re a leading health solution and care delivery organization