Cooper City, FL · On-site
The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ...
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Cooper City, FL · On-site
The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ...
$28.85 - $31.25/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN ...
$28.85 - $31.25/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN ...
MUST be Florida-licensed Registered Nurse and live in Broward or Dade counties *5 years minimum ... Must have 2 years minimum experience in at least one of the following: utilization review from ...
MUST be Florida-licensed Registered Nurse and live in Broward or Dade counties *5 years minimum ... Must have 2 years minimum experience in at least one of the following: utilization review from ...
$30 - $32/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience ...
$30 - $32/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience ...
... utilization review, we help treatment centers optimize revenue cycle management while focusing on ... * Additional duties as assigned. MINIMUM QUALIFICATIONS * Bachelor's or Master's degree in ...
... utilization review, we help treatment centers optimize revenue cycle management while focusing on ... * Additional duties as assigned. MINIMUM QUALIFICATIONS * Bachelor's or Master's degree in ...
Fort Lauderdale, FL · Remote
$80K - $100K/yr
Minimum 2 years of Utilization Review experience * Minimum 3 years of clinical nursing experience ... Ability to work independently in a remote environment Responsibilities: * Conduct admission ...
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Fort Lauderdale, FL · Remote
$80K - $100K/yr
Minimum 2 years of Utilization Review experience * Minimum 3 years of clinical nursing experience ... Ability to work independently in a remote environment Responsibilities: * Conduct admission ...
West Palm Beach, FL · On-site
$55 - $75/hr
Praesum Healthcare, founded in 2003, provides administrative services for behavioral health ... Utilization Review Specialist Responsibilities * Initiate pre‑certification and continued stay ...
West Palm Beach, FL · On-site
$55 - $75/hr
Praesum Healthcare, founded in 2003, provides administrative services for behavioral health ... Utilization Review Specialist Responsibilities * Initiate pre‑certification and continued stay ...
Fort Lauderdale, FL · Remote
$80K - $105K/yr
Active RN license with Multi-State/Compact License required * Minimum 2 years of Utilization Review ... Ability to work independently in a remote environment Responsibilities: * Conduct admission ...
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Fort Lauderdale, FL · Remote
$80K - $105K/yr
Active RN license with Multi-State/Compact License required * Minimum 2 years of Utilization Review ... Ability to work independently in a remote environment Responsibilities: * Conduct admission ...
Participates in Utilization Review Committee or other committees as needed to present trends and issues. * Develops, tracks, and manages Dashboard Reports as needed to track and trend key performance ...
Participates in Utilization Review Committee or other committees as needed to present trends and issues. * Develops, tracks, and manages Dashboard Reports as needed to track and trend key performance ...
Deerfield Beach, FL · On-site +1
$50K - $90K/yr
Participates in Utilization Review Committee or other committees as needed to present trends and issues. * Develops, tracks, and manages Dashboard Reports as needed to track and trend key performance ...
Deerfield Beach, FL · On-site +1
$50K - $90K/yr
Participates in Utilization Review Committee or other committees as needed to present trends and issues. * Develops, tracks, and manages Dashboard Reports as needed to track and trend key performance ...
Sunrise, FL · On-site
... in utilization management committees and work on special projects related to utilization management as needed Qualifications Qualifications: -RN, BSN preferred. -2+ years of clinical nursing ...
Sunrise, FL · On-site
... in utilization management committees and work on special projects related to utilization management as needed Qualifications Qualifications: -RN, BSN preferred. -2+ years of clinical nursing ...
Bachelor's Degree from accredited college or university in Nursing, Social Work, Behavioral Health or related field required preferred. * 2-3 years of utilization review experience in behavioral ...
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Bachelor's Degree from accredited college or university in Nursing, Social Work, Behavioral Health or related field required preferred. * 2-3 years of utilization review experience in behavioral ...
Deerfield Beach, FL · On-site
$65 - $111/hr
Bachelor's Degree from accredited college or university in Nursing, Social Work, Behavioral Health or related field required preferred. * 2-3 years of utilization review experience in behavioral ...
Deerfield Beach, FL · On-site
$65 - $111/hr
Bachelor's Degree from accredited college or university in Nursing, Social Work, Behavioral Health or related field required preferred. * 2-3 years of utilization review experience in behavioral ...
West Palm Beach, FL · On-site
$175 - $200/day
Training & development Live-In Caregiver - HHA/CNA Stuart • Hobe Sound • Palm City • Jensen Beach • Martin County, FL $175-$200+ Per Day | $1,200-$1,400+ Per Week Biweekly Pay Milenis Home ...
West Palm Beach, FL · On-site
$175 - $200/day
Training & development Live-In Caregiver - HHA/CNA Stuart • Hobe Sound • Palm City • Jensen Beach • Martin County, FL $175-$200+ Per Day | $1,200-$1,400+ Per Week Biweekly Pay Milenis Home ...
West Palm Beach, FL · On-site
$175 - $200/day
Training & development Live-In Caregiver - HHA/CNA Boca Raton • Delray Beach • Highland Beach • Boynton Beach, FL $175-$200+ Per Day | $1,200-$1,400+ Per Week Biweekly Pay Milenis Home Care is ...
West Palm Beach, FL · On-site
$175 - $200/day
Training & development Live-In Caregiver - HHA/CNA Boca Raton • Delray Beach • Highland Beach • Boynton Beach, FL $175-$200+ Per Day | $1,200-$1,400+ Per Week Biweekly Pay Milenis Home Care is ...
Boca Raton, FL · On-site
$175 - $200/day
Training & development Live-In Caregiver - HHA/CNA Boca Raton * Delray Beach * Highland Beach * Boynton Beach, FL $175-$200+ Per Day | $1,200-$1,400+ Per Week Biweekly Pay Milenis Home Care is hiring ...
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Boca Raton, FL · On-site
$175 - $200/day
Training & development Live-In Caregiver - HHA/CNA Boca Raton * Delray Beach * Highland Beach * Boynton Beach, FL $175-$200+ Per Day | $1,200-$1,400+ Per Week Biweekly Pay Milenis Home Care is hiring ...
West Palm Beach, FL · On-site
$175 - $250/day
Training & development Live-In Caregiver - HHA/CNA West Palm Beach * Palm Beach * Palm Beach Gardens * Jupiter * Royal Palm Beach * Wellington * Loxahatchee * Lake Worth Beach * Greenacres, FL $175 ...
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West Palm Beach, FL · On-site
$175 - $250/day
Training & development Live-In Caregiver - HHA/CNA West Palm Beach * Palm Beach * Palm Beach Gardens * Jupiter * Royal Palm Beach * Wellington * Loxahatchee * Lake Worth Beach * Greenacres, FL $175 ...
West Palm Beach, FL · On-site
$175 - $200/day
Training & development Live-In Caregiver - HHA/CNA Port St. Lucie • Fort Pierce • St. Lucie County, FL $175-$200+ Per Day | $1,200-$1,400+ Per Week Biweekly Pay Milenis Home Care is hiring ...
West Palm Beach, FL · On-site
$175 - $200/day
Training & development Live-In Caregiver - HHA/CNA Port St. Lucie • Fort Pierce • St. Lucie County, FL $175-$200+ Per Day | $1,200-$1,400+ Per Week Biweekly Pay Milenis Home Care is hiring ...
West Palm Beach, FL · On-site
$175 - $250/day
Training & development Live-In Caregiver - HHA/CNA West Palm Beach • Palm Beach • Palm Beach Gardens • Jupiter • Royal Palm Beach • Wellington • Loxahatchee • Lake Worth Beach • ...
West Palm Beach, FL · On-site
$175 - $250/day
Training & development Live-In Caregiver - HHA/CNA West Palm Beach • Palm Beach • Palm Beach Gardens • Jupiter • Royal Palm Beach • Wellington • Loxahatchee • Lake Worth Beach • ...
West Palm Beach, FL · On-site
$175 - $200/day
Live-In Caregiver - HHA/CNA Vero Beach & Indian River County, FL $175-$200+ Per Day | $1,200-$1,400+ Per Week Biweekly Pay Milenis Home Care is hiring compassionate, dependable, and experienced Live ...
West Palm Beach, FL · On-site
$175 - $200/day
Live-In Caregiver - HHA/CNA Vero Beach & Indian River County, FL $175-$200+ Per Day | $1,200-$1,400+ Per Week Biweekly Pay Milenis Home Care is hiring compassionate, dependable, and experienced Live ...
$20.30 - $24.41
2% of jobs
$24.41 - $28.51
9% of jobs
$31.32 is the 25th percentile. Wages below this are outliers.
$28.51 - $32.62
21% of jobs
The median wage is $35.94 / hr.
$32.62 - $36.73
23% of jobs
$36.73 - $40.83
13% of jobs
$44.03 is the 75th percentile. Wages above this are outliers.
$40.83 - $44.94
10% of jobs
$44.94 - $49.05
8% of jobs
$49.05 - $53.15
5% of jobs
$53.15 - $57.26
5% of jobs
$57.26 - $61.36
2% of jobs
$61.36 - $65.47
2% of jobs
$20
$40
$65
The most popular types of Cigna Utilization Review Nurse jobs in Boca Raton, FL are:
For Live In Cigna Utilization Review Nurse jobs in Boca Raton, FL, the most frequently searched job titles are:
The top searched job categories for Live In Cigna Utilization Review Nurse jobs in Boca Raton, FL are:
Cities near Boca Raton, FL with the most Live In Cigna Utilization Review Nurse job openings:
Full-time
Re-posted 29 days ago
Job Summary: We are seeking a highly motivated and experienced Utilization Review Nurse to join our team. The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ensuring revenue cycle efficiency. This position offers a unique opportunity to combine clinical expertise with revenue cycle management knowledge.
Key Responsibilities:
· Clinical Assessment: Conduct comprehensive clinical assessments of medical records to ensure patients are receiving appropriate care at the correct level of service.
a) Apply medical necessity screening criteria and clinical knowledge to ensure appropriateness of admissions and length of stays
b) Conduct initial admission, continuing stay, and 23-hour observations reviews for all patients
c) Support Utilization Review Coordinator team members on cases escalated for level of care determinations
d) Screen cases for Physician Advisor review
e) Collaborate with insurance companies on concurrently denied and high risk for denial cases
Qualifications:
· Registered Nurse (RN) licensure required; must hold a USRN multi-state/compact nursing license.
· Bachelor of Science in Nursing (BSN) preferred.
· Case Management Certification (e.g., CCM) is a plus.
· Minimum of 3 years of clinical nursing experience, preferably in a hospital or acute care setting.
· Minimum 2 years of work experience in Utilization Review
· Strong understanding of revenue cycle management and healthcare reimbursement.
· Proficiency in medical coding and clinical documentation improvement.
· Excellent communication, interpersonal, and teamwork skills.
· Ability to work independently and make sound clinical and financial decisions.
· Strong analytical and problem-solving skills.
· Proficient in using healthcare information systems and technology.
· Commitment to maintaining patient confidentiality and ethical standards.
Sourced by ZipRecruiter
Health care and social assistance
51 - 200 Employees
Cooper City, FL, US
2002
