Registered Nurse Utilization Review

Baptist Health South Florida is seeking an experienced Registered Nurse Utilization Review to join our team of healthcare professionals. In this role, you will be responsible for providing clinical expertise in the utilization review process, including pre-authorization of services and concurrent review for inpatient and outpatient services.The successful candidate will have a current active registered nurse license in the state of Florida, a minimum of two years of experience in utilization review and/or case management, and a strong commitment to providing quality patient care. You should be professional, organized, and customer service-oriented, with the ability to work effectively with a variety of healthcare personnel across multiple departments.If you are a qualified professional looking to join an organization dedicated to providing the highest quality of care to its patients, we invite you to apply today and become part of our team!

Responsibilities:

1. Maintain current active registered nurse license in the state of Florida.
2. Utilize clinical expertise in the utilization review process, including pre-authorization of services and concurrent review for inpatient and outpatient services.
3. Provide quality patient care.
4. Act in a professional, organized, and customer service-oriented manner.
5. Work effectively with a variety of healthcare personnel across multiple departments.
6. Ensure compliance with all state and federal regulations and policies.
7. Monitor and evaluate patient care standards and effectiveness of clinical services.
8. Document patient care services and activities in medical records.
9. Provide education and support to patients and their families.
10. Collaborate with other healthcare professionals to ensure the best possible outcome for patients.

According to JobzMall, the average salary range for a Registered Nurse Utilization Review in Miami, FL, USA is $59,000 to $91,000 per year. Salaries typically start from $54,000 and go up to $99,000.

These figures may vary depending on the employer, experience, education, qualifications, and other factors.

Baptist Health South Florida is a faith-based, not-for-profit healthcare organization and clinical care network in southern Florida. It operates seven hospitals, about fifty outpatient and urgent care centers, as well as several community health and outreach programs.