The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable ...
The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable ...
The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable ...
The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable ...
The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable ...
The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable ...
The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable ...
The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable ...
The purpose of the Pool RN Case Manager position is to support the physician and interdisciplinary ... non-leadership role as an RN. * However, required to complete the BSN within 3 years of hire. * 3 ...
The purpose of the Pool RN Case Manager position is to support the physician and interdisciplinary ... non-leadership role as an RN. * However, required to complete the BSN within 3 years of hire. * 3 ...
Registered Nurse Case Manager, Case Management, Per Diem, Shift Varies Baptist Health is the region ... non-leadership role as an RN. However, required to complete the BSN within 3 years of hire. 3 years ...
Registered Nurse Case Manager, Case Management, Per Diem, Shift Varies Baptist Health is the region ... non-leadership role as an RN. However, required to complete the BSN within 3 years of hire. 3 years ...
RN - Case Manager
Plantation, FL · On-site
Travel Rn Specialty Case Manager Job Type Travel Profession RN Specialty Case Manager Shift Details Shift 5X8 Days Shifts Per Week 5 Scheduled Hours 40 Start Date 02/10/2025 End Date 05/10/2025 ...
RN - Case Manager
Plantation, FL · On-site
Travel Rn Specialty Case Manager Job Type Travel Profession RN Specialty Case Manager Shift Details Shift 5X8 Days Shifts Per Week 5 Scheduled Hours 40 Start Date 02/10/2025 End Date 05/10/2025 ...
As a(an) Registered Nurse Case Manager with HCA Florida Aventura Hospital you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a Case Manager, your ...
As a(an) Registered Nurse Case Manager with HCA Florida Aventura Hospital you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a Case Manager, your ...
Case Manager RN Home Health
Miami, FL · On-site
RN Case Manager The RN Case Manager is a practice-based RN who directly supports Leon Home Health, LLC patients. In collaboration with other members of the healthcare team, the RN Case Manager is ...
Case Manager RN Home Health
Miami, FL · On-site
RN Case Manager The RN Case Manager is a practice-based RN who directly supports Leon Home Health, LLC patients. In collaboration with other members of the healthcare team, the RN Case Manager is ...
As a(an) Registered Nurse Case Manager with HCA Florida Aventura Hospital you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a Case Manager, your ...
As a(an) Registered Nurse Case Manager with HCA Florida Aventura Hospital you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a Case Manager, your ...
As a Registered Nurse Case Manager, your voice to influence patient care is valued and empowered at every turn -whether through open, collaborative relationships with your direct manager or more ...
As a Registered Nurse Case Manager, your voice to influence patient care is valued and empowered at every turn -whether through open, collaborative relationships with your direct manager or more ...
RN Field Case Manager
Miami, FL · On-site
$74K - $94K/yr
Must be an RN and prefers 1.5 years of prior Field Case Manager workers compensation experience ... non-traditional setting. * Enable our Caring counts ® mission supporting injured employees from ...
RN Field Case Manager
Miami, FL · On-site
$74K - $94K/yr
Must be an RN and prefers 1.5 years of prior Field Case Manager workers compensation experience ... non-traditional setting. * Enable our Caring counts ® mission supporting injured employees from ...
RN Field Case Manager
Miami, FL · On-site +1
$74K - $94K/yr
Must be an RN and prefers 1.5 years of prior Field Case Manager workers compensation experience ... a non-traditional setting. * Enable our Caring counts mission supporting injured employees from ...
RN Field Case Manager
Miami, FL · On-site +1
$74K - $94K/yr
Must be an RN and prefers 1.5 years of prior Field Case Manager workers compensation experience ... a non-traditional setting. * Enable our Caring counts mission supporting injured employees from ...
RN Field Case Manager
Miami, FL · On-site +1
$74K - $94K/yr
Must be an RN and prefers 1.5 years of prior Field Case Manager workers compensation experience ... a non-traditional setting. * Enable our Caring counts mission supporting injured employees from ...
RN Field Case Manager
Miami, FL · On-site +1
$74K - $94K/yr
Must be an RN and prefers 1.5 years of prior Field Case Manager workers compensation experience ... a non-traditional setting. * Enable our Caring counts mission supporting injured employees from ...
Travel RN-Case Manager in Margate, Florida
Margate, FL · On-site
$1.9K - $2.0K/wk
Position: RN-Case Manager (Travel/Contract) We're hiring experienced RN-Case Manager for a 13-week contract in Margate, Florida -- earn up to ($1965 - $2068 per week) while providing essential care ...
Quick apply
Travel RN-Case Manager in Margate, Florida
Margate, FL · On-site
$1.9K - $2.0K/wk
Position: RN-Case Manager (Travel/Contract) We're hiring experienced RN-Case Manager for a 13-week contract in Margate, Florida -- earn up to ($1965 - $2068 per week) while providing essential care ...
Travel RN-Case Manager in Davie, Florida
Davie, FL · On-site
$2.0K - $2.1K/wk
Position: RN-Case Manager (Travel/Contract) We're hiring experienced RN-Case Manager for a 13-week contract in Davie, Florida -- earn up to ($2005 - $2111 per week) while providing essential care at ...
Quick apply
Travel RN-Case Manager in Davie, Florida
Davie, FL · On-site
$2.0K - $2.1K/wk
Position: RN-Case Manager (Travel/Contract) We're hiring experienced RN-Case Manager for a 13-week contract in Davie, Florida -- earn up to ($2005 - $2111 per week) while providing essential care at ...
RN Case Manager
Miami, FL · On-site
Because every story and every moment matters. RN Case Manager What You Must Have: * Graduate of an ... non-verbal * Implement the individualized POC and recommend revisions to the plan as necessary
RN Case Manager
Miami, FL · On-site
Because every story and every moment matters. RN Case Manager What You Must Have: * Graduate of an ... non-verbal * Implement the individualized POC and recommend revisions to the plan as necessary
RN Case Manager
Miami, FL · On-site
Because every story and every moment matters. RN Case Manager What You Must Have: * Graduate of an ... non-verbal * Implement the individualized POC and recommend revisions to the plan as necessary
RN Case Manager
Miami, FL · On-site
Because every story and every moment matters. RN Case Manager What You Must Have: * Graduate of an ... non-verbal * Implement the individualized POC and recommend revisions to the plan as necessary
RN Case Manager
Miami, FL · On-site
Because every story and every moment matters. RN Case Manager What You Must Have: * Graduate of an ... non-verbal * Implement the individualized POC and recommend revisions to the plan as necessary
RN Case Manager
Miami, FL · On-site
Because every story and every moment matters. RN Case Manager What You Must Have: * Graduate of an ... non-verbal * Implement the individualized POC and recommend revisions to the plan as necessary
Do you want to join an organization that invests in you as a(an) Registered Nurse Case Manager? At HCA Florida Westside Hospital, you come first. HCA Healthcare has committed up to $300 million in ...
Do you want to join an organization that invests in you as a(an) Registered Nurse Case Manager? At HCA Florida Westside Hospital, you come first. HCA Healthcare has committed up to $300 million in ...
Case Manager Non Rn information
See Miami, FL salary details
$18.39 - $23.68
3% of jobs
$23.68 - $28.97
6% of jobs
$33.76 is the 25th percentile. Wages below this are outliers.
$28.97 - $34.26
17% of jobs
$34.26 - $39.55
20% of jobs
The median wage is $40.60 / hr.
$39.55 - $44.83
16% of jobs
$44.83 - $50.12
11% of jobs
$51.25 is the 75th percentile. Wages above this are outliers.
$50.12 - $55.41
7% of jobs
$55.41 - $60.70
6% of jobs
$60.70 - $65.99
5% of jobs
$65.99 - $71.27
4% of jobs
$71.27 - $76.56
3% of jobs
$18
$45
$76
How much do case manager non rn jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Case Manager Non RN, and why are they important?
What is the difference between Case Manager Non Rn vs Social Worker?
| Aspect | Case Manager Non Rn | Social Worker |
|---|---|---|
| Required Credentials | High school diploma or bachelor’s degree; certification may be preferred | Bachelor’s or Master’s degree in social work; licensure often required |
| Work Environment | Healthcare facilities, insurance companies, community agencies | Hospitals, clinics, social service agencies |
| Industry Usage | Healthcare and insurance sectors | Social services, healthcare, mental health |
While both roles involve coordinating care and supporting clients, Case Manager Non Rn typically requires less formal education and no licensure, focusing on care coordination within healthcare or insurance settings. Social Workers usually hold advanced degrees and licensure, providing broader social support and counseling services. Both roles are essential in healthcare, but their scope and credentials differ.
How does a Case Manager Non RN typically collaborate with other healthcare professionals to ensure effective patient care coordination?
What job can I do if I don't want to be a nurse anymore?
Can you be a case manager without being an RN?
What other jobs can a case manager do?
What is a Case Manager Non RN?
What jobs pay 4000 a week without a degree?

Oncology Prior Authorization Case Manager, Non-RN - Remote
Miami, FL • On-site, Remote
Full-time
Medical, Dental
Re-posted 23 days ago
University Of Miami rating
7.7
Based on 52 frontline employees who took The Breakroom Quiz
226th of 553 rated colleges and universities
Job description
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.
The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable for a designated patient caseload and provide intervention and coordination to decrease avoidable delays, at all times they provide communication of progress and or determination to the clinical team and or the patient. He/she monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Evaluates the needs of the patient, the resources available, and recommends and facilitates for the best outcome to meet ongoing patient needs that encourages compliance with medical advice.
CORE FUNCTIONS:
- Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of care services
- Follows the authorization process using established criteria as set forth by the payer or clinical guidelines
- Accurate review of coverage benefits and payer policy limitations to determine appropriateness of requested services
- Refers to the treatment plan for clinical reviews in accordance with established criteria and guidelines
- Facilitates communication of denials and or Peer to Peer requests between payers and the healthcare team
- Identifies potential delays in treatment or inappropriate utilization by reviewing the treatment plan, serves as a resource to provide education regarding payer policies and assists with coordination of alternative treatment options
- Ensures and Maintains effective communication regarding authorization status and determination to the clinical team and on occasion the patient.
- Proactive communication with leadership regarding barriers and or potential delays in care Identifies opportunities for expedited requests and prioritizes caseload accordingly
- Maintains knowledge regarding payer reimbursement policies and clinical guidelines.
- This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS:
Education:
Bachelor's degree in relevant field; or equivalent
Experience:
Minimum of 2 years of relevant experience
Oncology - Preferred
Any relevant education, certifications and/or work experience may be considered
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full time
Employee Type:
Staff
What University Of Miami employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About University of Miami
Sourced by ZipRecruiter
The University of Miami, located in the beautiful Coral Gables, Florida, is a comprehensive, private research institution in the United States. Operating within the higher education industry, the institution offers a multitude of degree programs spanning over 180 majors and program through its 12 colleges. The University was founded in 1925 with the mission to disseminate knowledge, transform lives, and change the world - a mission it has held faithfully to this day. Notably, the University of Miami has gained global recognition for its commitment to research and innovation, with over $324 million in research and sponsored project funding awarded annually.
Industry
Colleges, universities, and professional schools
Company size
10,000+ Employees
Headquarters location
Coral Gables, FL, US
Year founded
1925