Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care ... The Intermediate Care Utilization Review Nurse follows and manages the course of treatment for ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care ... The Intermediate Care Utilization Review Nurse follows and manages the course of treatment for ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care ... The Intermediate Care Utilization Review Nurse follows and manages the course of treatment for ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care ... The Intermediate Care Utilization Review Nurse follows and manages the course of treatment for ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care ... The Intermediate Care Utilization Review Nurse follows and manages the course of treatment for ...
Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care ... The Intermediate Care Utilization Review Nurse follows and manages the course of treatment for ...
... supervisory capacity; some experience in a Utilization Management function; or an equivalent ... combination of education and experience. Special Qualifications: Certified as a Child Protection ...
... supervisory capacity; some experience in a Utilization Management function; or an equivalent ... combination of education and experience. Special Qualifications: Certified as a Child Protection ...
Director of Utilization Management
Gainesville, FL ยท On-site
$68.39K - $71.81K/yr
... supervisory capacity; some experience in a Utilization Management function; or an equivalent ... combination of education and experience. Special Qualifications: Certified as a Child Protection ...
Director of Utilization Management
Gainesville, FL ยท On-site
$68.39K - $71.81K/yr
... supervisory capacity; some experience in a Utilization Management function; or an equivalent ... combination of education and experience. Special Qualifications: Certified as a Child Protection ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
Saint Petersburg, FL ยท On-site
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
Saint Petersburg, FL ยท On-site
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
Tampa, FL ยท On-site
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
Tampa, FL ยท On-site
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
Jacksonville, FL ยท On-site
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
Jacksonville, FL ยท On-site
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Supervisor, Healthcare Services (Utilization Management)
$66.46K - $129.59K/yr
Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health ...
Utilization Management Specialist
Tampa, FL ยท On-site
$23.80/hr
Supervisory Responsibilities This position does not have supervisory responsibilities Education and ... Florida Child Welfare Certification (Case Management or Investigations) is preferred. Other ...
Utilization Management Specialist
Tampa, FL ยท On-site
$23.80/hr
Supervisory Responsibilities This position does not have supervisory responsibilities Education and ... Florida Child Welfare Certification (Case Management or Investigations) is preferred. Other ...
Nurse Utilization Review Supervisor
Miami, FL ยท On-site +1
This position functions as the Supervisor for the Case Management Department under the direction of ... Utilization Management/Continuum of Care: Reviews hospital EMR census, completes and forwards daily ...
Nurse Utilization Review Supervisor
Miami, FL ยท On-site +1
This position functions as the Supervisor for the Case Management Department under the direction of ... Utilization Management/Continuum of Care: Reviews hospital EMR census, completes and forwards daily ...
Nurse Utilization Review Supervisor
Miami, FL ยท On-site
This position functions as the Supervisor for the Case Management Department under the direction of ... Utilization Management/Continuum of Care: Reviews hospital EMR census, completes and forwards daily ...
Nurse Utilization Review Supervisor
Miami, FL ยท On-site
This position functions as the Supervisor for the Case Management Department under the direction of ... Utilization Management/Continuum of Care: Reviews hospital EMR census, completes and forwards daily ...
Utilization Review Manager (On-site) (279)
Leesburg, FL ยท On-site
$34.05/hr
... supervisory or management experience required. Required Skills and Abilities: - Strong understanding of utilization review processes and healthcare regulations. - Excellent analytical skills to ...
Utilization Review Manager (On-site) (279)
Leesburg, FL ยท On-site
$34.05/hr
... supervisory or management experience required. Required Skills and Abilities: - Strong understanding of utilization review processes and healthcare regulations. - Excellent analytical skills to ...
Supervisor Utilization Management information
See Florida salary details
$29.1K - $37.9K
9% of jobs
$44.3K is the 25th percentile. Wages below this are outliers.
$37.9K - $46.6K
22% of jobs
$46.6K - $55.3K
11% of jobs
The median wage is $60.7K / yr.
$55.3K - $64.1K
14% of jobs
$64.1K - $72.8K
12% of jobs
$78.2K is the 75th percentile. Wages above this are outliers.
$72.8K - $81.5K
13% of jobs
$81.5K - $90.3K
13% of jobs
$90.3K - $99K
5% of jobs
$99K - $107.7K
2% of jobs
$107.7K - $116.4K
0% of jobs
$116.4K - $125.2K
0% of jobs
$29.1K
$68K
$125.2K
How much do supervisor utilization management jobs pay per year?
What is a Supervisor Utilization Management job?
What are the key skills and qualifications needed to thrive in the Supervisor Utilization Management position, and why are they important?
What are the typical daily responsibilities of a Supervisor Utilization Management?
- Commission Cvs Health Utilization Management
- Evening Utilization Review Nurse
- Rn Clinical Supervisor
- Remote Nurse Risk Management
- Remote Utilization Management
- Weekend Appeals Nurse Remote
- Remote Orthopedic Nurse
- Remote Cvs Utilization Management Nurse
- Entry Level Utilization Management Nurse
- Weekday Cvs Utilization Management Nurse
- Remote Navihealth Utilization Review
- Supervisor Utilization Review Remote
- Utilization Review Case Manager
- Lpn Utilization Management
- Freelance International Utilization Review Nurse
- Utilization Care Manager
- Overnight Nurse
- Remote Supervisor Utilization Management
- Dental Utilization Management Manager
- Rn Chart Review

Intermediate Care Utilization Review Nurse
Florida Health Care Plans, Inc.Daytona Beach, FL โข On-site
Full-time
Posted 10 days ago
Florida Health Care Plans rating
5.5
Based on 6 frontline employees who took The Breakroom Quiz
Job description
POSITION SUMMARY:
ยUnder the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Healthcare Plans admitted to and/or discharged from a skilled nursing facility or home healthcare agency as well as sub-acute inpatient and outpatient services as delegated. The Intermediate Care Utilization Review Nurse coordinates all services needed for an organized, multidisciplinary, member focused team approach. This includes but is not limited to durable medical equipment requests, appropriate discharge from SNF or home health care and follow-up with providers to coordinate movement to the next level of care. The Intermediate Care Utilization Review Nurse follows and manages the course of treatment for patients while coordinating care with physicians, nurses, case managers, and other staff from outside as well as within the company to ensure quality care and safe outcomes. The Intermediate Care Utilization Review Nurse conducts initial and ongoing assessments and ensures continuity of care through discharge planning and utilization of resources. Care should be approached in a cost-effective manner as this position bears risk for financial impact to the organization.
ย ยQUALIFICATIONS:
ยEducation, skills and experience:
โขย ย ย Graduate of an accredited school of nursing
โขย ย ย Florida residency required upon employment. Must live within Volusia or Flagler County.ย
โขย ย ย Current active and unrestricted licensure in Florida as a Licensed Practical Nurse (LPN)
โขย ย ย Minimum of two (2) years post-licensure clinical experience as a practicing LPN. Acceptable areas include but not limited to: Home Health Care, Skilled Nursing Facility Care, or Hospice Care
โขย ย ย Previous experience with utilization management, utilization review, prior authorization, or case management strongly preferred.
โขย ย ย Knowledge of Medicare criteria, DRGโs, InterQual, and/or MCG Care Guidelines required.
โขย ย ย Knowledge of levels of hospitalization, inpatient rehabilitation, skilled nursing facility, home health care, behavioral health, community resources, and FHCP networks preferred.
โขย ย ย Excellent communication skills, including both oral and written.
โขย ย ย Strong telephone and customer service skills required. Must be able to diffuse difficult situations.
โขย ย ย Strong organizational and time management skills. Must be capable of multitasking.
โขย ย ย Proficiency with computer skills including Microsoft Word, Outlook, and Office Suite
โขย ย ย Must be able to type at a fast speed with high accuracy.
โขย ย ย Reliable transportation, home internet, and smart device for secondary identification required
About Florida Health Care Plans
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Daytona Beach, FL, US
Year founded
1974