Regional Quality Review Registered Nurse- Thomasville Job Requisition ID: JR0000001883 Number of Openings: 1 Shift: Not Applicable (United States of America) Compensation Details: $72,000.00 Job ...
Regional Quality Review Registered Nurse- Thomasville Job Requisition ID: JR0000001883 Number of Openings: 1 Shift: Not Applicable (United States of America) Compensation Details: $72,000.00 Job ...
Case Manager RN - Utilization Review + Discharge Planning
Tallahassee, FL · On-site
$31 - $43/hr
Medical
Dental
Vision
Life
Retirement
PTO
... MDs, nurses, and social workers * Lead care planning discussions Utilization Management * Review ... OR Option 2: 3+ years RN in: * * Med/Surg * Telemetry * ICU / PCU * ED * Neuro Conditional ...
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Case Manager RN - Utilization Review + Discharge Planning
Tallahassee, FL · On-site
$31 - $43/hr
Medical
Dental
Vision
Life
Retirement
PTO
... MDs, nurses, and social workers * Lead care planning discussions Utilization Management * Review ... OR Option 2: 3+ years RN in: * * Med/Surg * Telemetry * ICU / PCU * ED * Neuro Conditional ...
RN Case Manager Care Coordinator
Medical
Dental
Vision
Life
Retirement
PTO
The RN Case Manager evaluates medical necessity, admission status, level of care, and ongoing ... The role also involves utilization review, documentation of medical necessity using approved ...
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RN Case Manager Care Coordinator
Medical
Dental
Vision
Life
Retirement
PTO
The RN Case Manager evaluates medical necessity, admission status, level of care, and ongoing ... The role also involves utilization review, documentation of medical necessity using approved ...
RN Case Manager - Care Coordinator
Tallahassee, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
The RN Case Manager evaluates medical necessity, admission status, level of care, and ongoing ... The role also involves utilization review, documentation of medical necessity using approved ...
RN Case Manager - Care Coordinator
Tallahassee, FL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
The RN Case Manager evaluates medical necessity, admission status, level of care, and ongoing ... The role also involves utilization review, documentation of medical necessity using approved ...
Registered Nurse Case Manager RN Case Manager
Tallahassee, FL · On-site
$31.94 - $43.92/hr
About the job Registered Nurse Case Manager RN Case Manager Registered Nurse Case Manager RN Case ... Certification in Case Management, Utilization Review, or Nursing preferred Schedule & Compensation ...
Registered Nurse Case Manager RN Case Manager
Tallahassee, FL · On-site
$31.94 - $43.92/hr
About the job Registered Nurse Case Manager RN Case Manager Registered Nurse Case Manager RN Case ... Certification in Case Management, Utilization Review, or Nursing preferred Schedule & Compensation ...
Registered Nurse Case Manager RN Case Manager Location: Tallahassee, FL Job Type: Full-Time | ... Certification in Case Management, Utilization Review, or Nursing preferred Schedule & Compensation ...
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Registered Nurse Case Manager RN Case Manager Location: Tallahassee, FL Job Type: Full-Time | ... Certification in Case Management, Utilization Review, or Nursing preferred Schedule & Compensation ...
JOB RESPONSIBILITIES- Registered Nurse - Case Manager RN - NCM Full-Time Registered Nurse Case ... Certification in Case Management, Nursing, or Utilization Review, preferred
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JOB RESPONSIBILITIES- Registered Nurse - Case Manager RN - NCM Full-Time Registered Nurse Case ... Certification in Case Management, Nursing, or Utilization Review, preferred
RN - Case - Perm
Retirement
RN - Case - Perm ???? Tallahassee, FL Openings: 1 Shift: Evening coverage | 12:00 PM - 8:30 PM EST ... Leads and oversees case management operations, ensuring effective utilization review ...
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RN - Case - Perm
Retirement
RN - Case - Perm ???? Tallahassee, FL Openings: 1 Shift: Evening coverage | 12:00 PM - 8:30 PM EST ... Leads and oversees case management operations, ensuring effective utilization review ...
About the job REGISTERED NURSE - CASE MANAGER JOB RESPONSIBILITIES- Registered Nurse - Case Manager ... Certification in Case Management, Nursing, or Utilization Review, preferred
About the job REGISTERED NURSE - CASE MANAGER JOB RESPONSIBILITIES- Registered Nurse - Case Manager ... Certification in Case Management, Nursing, or Utilization Review, preferred
Case Manager RN - Up to $44 per hour (based on experience)
Tallahassee, FL · On-site
$40 - $44/hr
Active RN license (FL) * Experience in case management, discharge planning, or utilization review preferred * Strong communication, organization, and problem-solving skills Be the link that keeps ...
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Case Manager RN - Up to $44 per hour (based on experience)
Tallahassee, FL · On-site
$40 - $44/hr
Active RN license (FL) * Experience in case management, discharge planning, or utilization review preferred * Strong communication, organization, and problem-solving skills Be the link that keeps ...
Case Manager RN
Tallahassee, FL · On-site
$31.94 - $43.92/hr
The RN Case Manager performs utilization management reviews and communicates findings to third-party payors, evaluates observation patients for status appropriateness, and escalates medical necessity ...
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Case Manager RN
Tallahassee, FL · On-site
$31.94 - $43.92/hr
The RN Case Manager performs utilization management reviews and communicates findings to third-party payors, evaluates observation patients for status appropriateness, and escalates medical necessity ...
Case Manager RN + $10K Sign-on
Tallahassee, FL · On-site
$31 - $43/hr
Medical
Dental
Vision
Life
Retirement
PTO
Case Manager RN | Tallahassee, FL Schedule: * Evening Shift: 12:00 PM - 8:30 PM EST * 1 weekend per ... Perform utilization reviews and communicate with payors Experience required: * Minimum 3 years of ...
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Case Manager RN + $10K Sign-on
Tallahassee, FL · On-site
$31 - $43/hr
Medical
Dental
Vision
Life
Retirement
PTO
Case Manager RN | Tallahassee, FL Schedule: * Evening Shift: 12:00 PM - 8:30 PM EST * 1 weekend per ... Perform utilization reviews and communicate with payors Experience required: * Minimum 3 years of ...
Case Manager RN will cross train Med Surg RN
Tallahassee, FL · On-site
$31.94 - $43.92/hr
Registered Nurse (RN) Case Manager Schedule: Evening shift: 12:00 PM - 8:30 PM EST, with one ... Conduct utilization management reviews and communicate with payors. * Serve as a liaison between ...
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Case Manager RN will cross train Med Surg RN
Tallahassee, FL · On-site
$31.94 - $43.92/hr
Registered Nurse (RN) Case Manager Schedule: Evening shift: 12:00 PM - 8:30 PM EST, with one ... Conduct utilization management reviews and communicate with payors. * Serve as a liaison between ...
Case Manager RN | Sign-on bonus + Relocation
Tallahassee, FL · On-site
$31 - $43/hr
Medical
Dental
Vision
Life
Retirement
PTO
Conduct utilization reviews and assess medical necessity * Coordinate communication between ... Current Florida RN license or Compact RN license required * Case Management or Utilization Review ...
Quick apply
Case Manager RN | Sign-on bonus + Relocation
Tallahassee, FL · On-site
$31 - $43/hr
Medical
Dental
Vision
Life
Retirement
PTO
Conduct utilization reviews and assess medical necessity * Coordinate communication between ... Current Florida RN license or Compact RN license required * Case Management or Utilization Review ...
Full Time: Case Manager RN | Sign-on bonus & Benefits
Tallahassee, FL · On-site
$31 - $43/hr
Medical
Dental
Vision
Life
Retirement
PTO
Conduct utilization reviews and assess medical necessity * Coordinate communication between ... Current Florida RN license or Compact RN license required * Case Management or Utilization Review ...
Quick apply
Full Time: Case Manager RN | Sign-on bonus & Benefits
Tallahassee, FL · On-site
$31 - $43/hr
Medical
Dental
Vision
Life
Retirement
PTO
Conduct utilization reviews and assess medical necessity * Coordinate communication between ... Current Florida RN license or Compact RN license required * Case Management or Utilization Review ...
Full Time: Case Management RN | Sign-on bonus & Benefits
Tallahassee, FL · On-site
$31 - $43/hr
Medical
Dental
Vision
Life
Retirement
PTO
Conduct utilization reviews and assess medical necessity * Coordinate communication between ... Current Florida RN license or Compact RN license required * Case Management or Utilization Review ...
Quick apply
Full Time: Case Management RN | Sign-on bonus & Benefits
Tallahassee, FL · On-site
$31 - $43/hr
Medical
Dental
Vision
Life
Retirement
PTO
Conduct utilization reviews and assess medical necessity * Coordinate communication between ... Current Florida RN license or Compact RN license required * Case Management or Utilization Review ...
RN Case Manager
Tallahassee, FL · On-site
$31.94 - $43.92/hr
Medical
Dental
Vision
Life
Retirement
PTO
RN Case Manager Location: Tallahassee, FL Shifts/Schedule: Evenings (12pm-8:30pm) | Full-Time | ... Certification in Case Management, Nursing, or Utilization Review, preferred Compensation & Benefits:
RN Case Manager
Tallahassee, FL · On-site
$31.94 - $43.92/hr
Medical
Dental
Vision
Life
Retirement
PTO
RN Case Manager Location: Tallahassee, FL Shifts/Schedule: Evenings (12pm-8:30pm) | Full-Time | ... Certification in Case Management, Nursing, or Utilization Review, preferred Compensation & Benefits:
RN Case Manager
$31.94 - $43.92/hr
Medical
Dental
Vision
Life
Retirement
PTO
Position: RN Case Manager - Tallahassee, FL Shifts/Schedule: Evenings (12pm-8:30pm) | Full-Time | ... Certification in Case Management, Nursing, or Utilization Review, preferred Compensation & Benefits:
Quick apply
RN Case Manager
$31.94 - $43.92/hr
Medical
Dental
Vision
Life
Retirement
PTO
Position: RN Case Manager - Tallahassee, FL Shifts/Schedule: Evenings (12pm-8:30pm) | Full-Time | ... Certification in Case Management, Nursing, or Utilization Review, preferred Compensation & Benefits:
Case Manager RN - 3x12s Day Shift
Tallahassee, FL · On-site
$31 - $43/hr
Conduct utilization and payer reviews * Facilitate discharge planning and post-acute services ... Active FL RN license (or compact with FL within 90 days) * ADN or Diploma in Nursing required (BSN ...
Quick apply
Case Manager RN - 3x12s Day Shift
Tallahassee, FL · On-site
$31 - $43/hr
Conduct utilization and payer reviews * Facilitate discharge planning and post-acute services ... Active FL RN license (or compact with FL within 90 days) * ADN or Diploma in Nursing required (BSN ...
Nurse Case Manager + $10K Sign-on | "High Demand"
Tallahassee, FL · On-site
$31 - $43/hr
Medical
Dental
Vision
Life
Retirement
PTO
Active Florida RN license or Compact License (FL license required within 90 days if Compact held) * APRN license accepted if current * Certification in Case Management, Nursing, or Utilization Review ...
Quick apply
Nurse Case Manager + $10K Sign-on | "High Demand"
Tallahassee, FL · On-site
$31 - $43/hr
Medical
Dental
Vision
Life
Retirement
PTO
Active Florida RN license or Compact License (FL license required within 90 days if Compact held) * APRN license accepted if current * Certification in Case Management, Nursing, or Utilization Review ...
Utilization Review Rn information
See Tallahassee, FL salary details
$20.32 - $24.43
2% of jobs
$24.43 - $28.54
9% of jobs
$31.36 is the 25th percentile. Wages below this are outliers.
$28.54 - $32.65
21% of jobs
The median wage is $35.98 / hr.
$32.65 - $36.76
23% of jobs
$36.76 - $40.87
13% of jobs
$44.07 is the 75th percentile. Wages above this are outliers.
$40.87 - $44.98
10% of jobs
$44.98 - $49.09
8% of jobs
$49.09 - $53.20
5% of jobs
$53.20 - $57.31
5% of jobs
$57.31 - $61.42
2% of jobs
$61.42 - $65.53
2% of jobs
$20
$40
$65
How much do utilization review rn jobs pay per hour?
How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?
What are the key skills and qualifications needed to thrive as a utilization review RN, and why are they important?
How to get into utilization review as a registered nurse?
What is the difference between Utilization Review Rn vs Case Manager?
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating patient care and discharge planning |
Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.
What is a utilization review RN?
What are popular job titles related to Utilization Review Rn jobs in Tallahassee, FL?
For Utilization Review Rn jobs in Tallahassee, FL, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Tallahassee, FL look for?
The top searched job categories for Utilization Review Rn jobs in Tallahassee, FL are:
What cities near Tallahassee, FL are hiring for Utilization Review Rn jobs?
Cities near Tallahassee, FL with the most Utilization Review Rn job openings:

$72K/yr
Full-time
Posted 17 days ago
Job description
Explore a World of Opportunity with the State of Georgia!
We are the force that drives Georgia!
Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of Georgia's more than 10 million citizens!
Join Team Georgia and impact lives everyday while receiving a robust benefits package designed for every stage of your career!
Job Title:
Regional Quality Review Registered Nurse- ThomasvilleJob Requisition ID:
JR0000001883Number of Openings:
1Shift:
Not Applicable (United States of America)Compensation Details:
$72,000.00Job Description:
Job Title:Regional Quality Review Registered Nurse- Thomasville
Workplace: Thomasville, Ga.
Hybrid or Remote: Remote
Travel: Averages 5-10 travel days per month
Job Summary:
Job Description, Responsibilities, Standards, and Qualifications
Monitoring the health and safety of individuals transitioning out of state hospitals to community programs. Monitoring will occur in all environments where the individual receives services.
Completing the designated audit tools and/or assessments at scheduled times. The tools/assessments are completed through observations, interviews and record reviews aimed at assessing the quality of the environment, health, medical supports and community integration of the individual.
Evaluating person centered supports to determine whether they are consistent with best practices, which would lead toward the appropriate/desired person-centered outcomes.
Provide technical] assistance/education onsite during audit process.
Documenting all visits, assessments and follow-up actions appropriately.
Consulting and coordinating with Team Leader and members on findings.
Participating in bi-weekly quality review team meetings with Team members, Regional Office and State Office as needed.
Conducting follow-up visits for the purpose of providing recommendations, technical assistance, and consultation to remedy any identified issues or support needs not being met.
Following DBHDD corrective action protocol based on the cur assessed environment.
The Registered Nurse participates as a member of the interdisciplinary intake and evaluation teams of individuals making application to and seeking continuing developmental disability services.
Registered Nurse will provide nursing services which include reviewing and completing the level of care of individual support plans, writing assessments, updates, technical assistance, and consultation.
Assessments require conducting interviews with consumers, family members, legal guardians, care givers, and primary care physicians as needed.
Administration of health risk assessment tools and required for which training is provided.
Responsibilities include making clinical recommendations and proposed action plans to the individual support plan team that supports the personal goals of the individual and addresses their medical needs in the community setting.
Job Responsibilities & Performance Standards:
Performs comprehensive assessments of consumer's health care needs based on data collected through history, observation, or psychosocial examination, and analysis of diagnostic data.
Completes ongoing follow up of technical assistance for individuals with medical issues of who have transitioned to the community from state institutional hospitalization.
Performs Initial and Participant directed HRST assessments of individual's health care needs based on data collected through history, observation, basic physical and/or psychosocial examination, and analysis of diagnostic data. Completes Level of Care as needed based upon the collected data.
As a part of required technical assistance, observes directs individuals care activities by observing medications, observing and recording patient responses and medication side effect (s); makes rounds and recommends interventions/treatments.
Consults and coordinates with health care team members to assess, plan, implement and evaluate client care plans.
Provides customer services to various individuals that we serve, as well as family members, care givers, and support persons.
Analyzes problems by evaluating available information and resources; develops effective, viable solutions to problems.
Participates in individualized and comprehensive plans of care consistent with assessment, physicians'/clinicians' treatment plans, individuals' level of need and functional ability as needed.
Provides health education instruction to consumers on various health issues (e.g. treatments, selfcare, surgical procedures, etc.) Provide in-service training for staff.
Assess individuals, health problems and needs, develop and implement nursing care plans, and maintain medical records.
Advise clients on health maintenance and disease prevention or provide case management.
Provides clear and accurate information to consumers, families, providers regarding diagnosis, treatment plan, discharge plan, and/or preventive care according to individualized health needs.
Responds appropriately to inquiries.
Communicates with agency personnel, service providers, support coordinator and other interested parties to coordinate efforts, resolve operational problems and improve quality of consumer care.
Works cooperatively with agency personnel, services providers, support coordinators, and other individuals involved in the care and services provided to the consumer, in order to maximize the appropriateness, benefit and effectiveness of services.
Accurately identifies measures, evaluates and resolves deficiencies found in the consumer care process in a timely manner.
Other Duties As Assigned.
Preferred Qualifications:
A current, unrestricted Georgia license to practice as a Registered Professional Nurse/Licensed Practical Nurse and TWO years of professional experience in a mental health, developmental disabilities, and/or addictive diseases facility or community-based setting (for example, a DBHDD regional office, community service board, or private, public, state hospital) and one year of professional level experience in a role which included evaluating DD individuals and their services. Experience in total quality management of services provided to individuals. Master's degree in nursing. Experience working with developmentally disabled people. Familiarity with individuals with intellectual/developmental disabilities and common cooccurring health issues
For benefits information, please visit: https://careers.dbhdd.ga.gov/why-dbhdd/
Employment Requirements
To ensure the safety and wellbeing of our employees, individuals and communities we serve, certain positions within DBHDD may require evaluations, vaccinations, professional licensure and certifications. Licenses must be current and enable providers to practice within the State of Georgia.
The following are a listing of evaluations and vaccinations that may be required for employees, including those not involved with direct care:
- Drug Screening
- TB Evaluation
- Annual Influenza*
*Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.
Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process.
This position is subject to close at any time once a satisfactory applicant pool has been identified.
FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE BACKGROUND CHECK AS A CONDITION OF EMPLOYMENT.
Minimum Qualifications:
Associate degree in nursing from an accredited college or university and current Georgia license as a Registered Professional Nurse or Multistate license and more than (12) months of DBHDD Registered Nurse 1 experience.Equal Employment Opportunity Employer
The State of Georgia does not discriminate based on race, color, national origin, sex, religion, age, disability, or other protected categories in employment or the provision of services.
Qualified applicants may request reasonable accommodation when needed during the application and/or screening process by contacting the appropriate agency Human Resources department.