Utilization Case Manager Rn (h)

University of Miami

Miami, FL, United States
On-site
Conduct initial chart reviews
Identify need for authorization
Coordinate with healthcare team
The University of Miami is seeking a Utilization Case Manager RN to oversee chart reviews for medical necessity and coordinate patient care to optimize treatment outcomes. The role requires a Bachelor's degree in Nursing and at least two years of relevant experience, alongside strong communication and organizational skills

Job Summary

  • The Utilization Case Manager RN coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding potential treatment delays and authorization denials.
  • They are accountable for a designated patient caseload and provide intervention and coordination to decrease avoidable delays.
  • The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

Matching Summary

Match Score: 85

The University of Miami is seeking a Utilization Case Manager RN to oversee chart reviews for medical necessity and coordinate patient care to optimize treatment outcomes. The role requires a Bachelor's degree in Nursing and at least two years of relevant experience, alongside strong communication and organizational skills.

Skills & Requirements

Must-have

  • Conduct initial chart reviews
  • Identify need for authorization
  • Coordinate with healthcare team
  • Communicate progress and determination

Nice-to-have

  • Subject matter expert
  • Provide support and education
  • Proactively communicate potential barriers

Key Requirements

  • Bachelor's degree in Nursing
  • Registered Nurse License
  • Basic Life Support Certification (BLS)
  • Minimum 2 years of relevant experience

Work Rights

Not specified

Tailored Resume

Cover Letter