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Utilization Management Case Manager Rn Jobs in Florida

TotalMed RN

Travel Case Management RN

Largo, FL · On-site

As a RN Case Manager, you'll work with a highly skilled team of professionals to advocate for patients, evaluate, plan, provide resources and facilitate communication with family members. You will be ...

TotalMed RN

Travel RN Case Manager

Fort Lauderdale, FL · On-site

Case Management * Discipline: RN * Start Date: 09/29/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel We're looking for RN Case managers for an immediate ...

TotalMed RN

Travel Case Manager RN

Fort Lauderdale, FL · On-site

Case Management * Discipline: RN * Start Date: 10/06/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel We're looking for RN Case managers for an immediate ...

Baptistfirst

The Case Manager tasked with utilization management shall work in collaboration with the patient ... The RN will complete admission, continued stay, and discharge reviews in accordance with federal ...

UF Health

RN, Utilization Management

Saint Johns, FL · On-site

Registered Nurse (RN) license with 3+ years experience in utilization review or case management. Knowledge of healthcare utilization guidelines and compliance. Experience evaluating medical necessity ...

UF Health

RN, Utilization Management

Saint Johns, FL · On-site

Registered Nurse (RN) license with 3+ years experience in utilization review or case management Necessary Skills • Knowledge of healthcare utilization guidelines and compliance • Experience ...

UF Health

RN, Utilization Management

Saint Johns, FL · On-site

Registered Nurse (RN) license with 3+ years experience in utilization review or case management Necessary Skills • Knowledge of healthcare utilization guidelines and compliance • Experience ...

Baptistfirst

The Case Manager tasked with utilization management shall work in collaboration with the patient ... The RN will complete admission, continued stay, and discharge reviews in accordance with federal ...

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Showing results 21-40

All JobsUtilization Management Case Rn JobsUtilization Management Case Manager Rn JobsUtilization Management Case Manager Rn Jobs in Florida

Utilization Management Case Manager Rn information

What is the difference between Utilization Management Case Manager Rn vs Utilization Review Nurse?

AspectUtilization Management Case Manager RnUtilization Review Nurse
CredentialsRN license, certification in case management (e.g., CCM)RN license, often with certification in utilization review
Work EnvironmentInsurance companies, healthcare facilities, case management teamsHospitals, insurance companies, outpatient clinics
Primary FocusCoordinating patient care, managing cases, ensuring appropriate utilizationReviewing medical necessity, approving or denying services
Common TasksAssessing patient needs, developing care plans, liaising with providersEvaluating medical records, making utilization decisions, ensuring compliance

The main difference is that the Utilization Management Case Manager Rn focuses on coordinating patient care and managing cases, while the Utilization Review Nurse primarily reviews medical records to approve or deny services. Both roles require RN licensure and related certifications, but their daily responsibilities and work environments differ slightly.

Are utilization management case managers in demand?

Utilization management case managers are in demand due to the growing need for healthcare cost control and efficient patient care coordination. Employers in healthcare organizations, insurance companies, and managed care plans seek professionals with strong clinical knowledge, certification, and experience in utilization review processes. The role offers stable employment opportunities as healthcare systems focus on cost-effective treatment management.

What cities in Florida are hiring for Utilization Management Case Manager Rn jobs?

Cities in Florida with the most Utilization Management Case Manager Rn job openings:

Travel Case Management RN

Largo, FL • On-site

TotalMed RN
Recruiting and Staffing Services • 11 - 50 employees
Learn more about TotalMed RNexternal

Contractor

Medical, Dental, Vision, Retirement

Posted 16 days ago

Job description

TotalMed RN is seeking a travel nurse RN Float Case Management Med Surg for a travel nursing job in Largo, Florida.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

We're looking for RN Case managers for an immediate travel nurse opening in Largo, FL. The right RN should have 1-2 years recent case management experience. Read below for more requirements. As a RN Case Manager, you'll work with a highly skilled team of professionals to advocate for patients, evaluate, plan, provide resources and facilitate communication with family members. You will be responsible for comprehensive coordination of short and long-term care for patients, with the goal of decreasing hospital stay lengths and reducing readmission rates to generate cost-effective outcomes.
As a Case Management Travel Nurse, you should be prepared to perform the following tasks:

  • Evaluate and assess new patients.
  • Create and update comprehensive short and long-term patient care plans.
  • Educate families and patients about resources and health care options.
  • Collaborate with other RNs, doctors and social workers.
  • Properly document and submit medical records.
  • Communicate with Insurance companies to collaborate or appeal decisions.
  • Improve financial status by analyzing results, monitoring variances, identifying trends and recommending actions to management.
Case Management Travel Nurses should be able to stand and walk for long periods of time, carry up to 10 pounds of weight, as well as bend, lean and stoop without difficulty. RN Case Managers should be able to manage a fluctuating caseload during times of high census and work efficiently in a collaborative environment. Because of the cooperative nature of this role, RN Case Managers should possess good oral and written communication abilities to communicate effectively with patients, families and co-workers.
Requirements*: BLS, 2 Years
* Additional certifications may be required before beginning an assignment.

TotalMed RN Job ID #1490514. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Manager - Case Mgr RN - Travel Nurse

About TotalMed RN

TotalMed is a Top Ten, travel nursing and healthcare staffing agency with the mission of igniting purpose in healthcare. The organization staffs nurses, therapists, pharmacists, and other clinicians of all specialties in all 50 states. They offer local and travel jobs and match caregivers with the right organization to assist both facilities and patients. As an organization, they focus on putting highly-skilled staff into facilities to ensure adequate staffing for a better patient experience.


TotalMed specializes in recruiting and placing healthcare professionals in travel, PRN, and permanent positions across the country in Nursing and Allied Health. Throughout 2020, the organization filled roles at even the most short-staffed facilities during the most challenging time in healthcare. By matching the right travel healthcare professional with the right organization, TotalMed continues to offer a lifeline to facilities and their patients.

Benefits
  • Weekly pay
  • Guaranteed Hours
  • Continuing Education
  • 401k retirement plan
  • Sick pay
  • Wellness and fitness programs
  • Referral bonus
  • Employee assistance programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Benefits start day 1

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