Case Manager Utilization Review

Job description

Broward Health Corporate Spectrum - Department: Case Management
Shift: Shift 1 (Days)
FTE: 1.000000 (Full-Time)
Req #34780
Summary:
Performs and monitors integrated concurrent utilization review and case referrals on patients consistent with the approved Utilization Review Plans. Works with medical and professional staff to obtain appropriate clinical documentation for review and optimal patient placement. Maintains contact with Managed Care and other third party payors to ensure appropriate case management.
Education:
Essential:
• Associate

Education specialization:
Essential:
• in a Nursing Program from an Accredited School of Nursing

Experience:
Essential:
• Two Years of acute hospital Utilization Review experience; or Foreign Medical Graduate with Utilization Review experience

Credentials:
Essential:
• Basic Life Support
• Registered Nurse-LIC

Visit us online at www.BrowardHealth.org or contact Talent Acquisition
*Bonus Exclusions may apply in accordance with policy HR-004-026
Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race color national origin gender gender identity or gender expression pregnancy sexual orientation religion age disability military status genetic information or any other characteristic protected under applicable federal or state law.
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