You might also like
in Sunrise, FL
Case Management RN
Hours | Full-time, Part-time |
---|---|
Location | Sunrise, Florida 33320 Sunrise, Florida |
About this job
Utilization Review, RN (In Field)
Position Purpose:
· Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
· Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
· Collaborate with various staff within provider networks and discharge planning team electronically, telephonically, or onsite to coordinate member care
· Conduct discharge planning
· Educate providers on utilization and medical management processes
· Provide clinical knowledge and act as a clinical resource to non-clinical team staff
· Enter and maintain pertinent clinical information in various medical management systems
Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in an acute care setting. Knowledge of healthcare and managed care preferred.
Licenses/Certifications: Current state's RN license.
About Aerotek:
Our people are everything. As a Best of Staffing® Client and Talent leader, Aerotek® Inc. has distinguished itself as a leader in recruiting and staffing services, by having a deep understanding of the intersection of talent and business. As a strategic partner to more than 17,000 clients and 300,000 contract employees every year, Aerotek's people-focused approach yields competitive advantages for its clients and rewarding careers for its contract employees. Headquartered in Hanover, Md., Aerotek operates a network of over 230 non-franchised offices with more than 6,000 internal employees dedicated to serving our customers. Aerotek is an operating company of Allegis Group, a global talent solutions provider. To learn more, visit .
Aerotek is acting as an Employment Agency in relation to this vacancy.