Florida Licensed Utilization Management Nurse

A company is looking for a Utilization Management Nurse 2. Key Responsibilities Utilizes clinical nursing skills to coordinate, document, and communicate medical services and benefit administration determinations Interprets criteria, policies, and procedures to provide appropriate treatment and care for members Coordinates and communicates with providers and members to facilitate optimal care and treatment Required Qualifications RN Licensure with no disciplinary action Previous experience in utilization management Prior clinical experience in an acute care, skilled, or rehabilitation setting Comprehensive knowledge of Microsoft Word, Outlook, and Excel Ability to work independently under general instructions and with a team

Mar 28, 2025 - 14:01

A company is looking for a Utilization Management Nurse 2. Key Responsibilities Utilizes clinical nursing skills to coordinate, document, and communicate medical services and benefit administration determinations Interprets criteria, policies, and procedures to provide appropriate treatment and care for members Coordinates and communicates with providers and members to facilitate optimal care and treatment Required Qualifications RN Licensure with no disciplinary action Previous experience in utilization management Prior clinical experience in an acute care, skilled, or rehabilitation setting Comprehensive knowledge of Microsoft Word, Outlook, and Excel Ability to work independently under general instructions and with a team