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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 weeks ago
Optum

Optum

Weโ€™re a leading health solution and care delivery organization

Job is no longer active
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โœจ 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
- 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, Doctorโ€™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
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Remote Utilization Management Nurse RN Florida - Remote Eligible
Remote
Registered Nurse
Job is no longer active
About Optum
Weโ€™re a leading health solution and care delivery organization