Not specified; not specified; comprehensive benefi...
Not specified
Prospective chart review for medical necessity
Prior authorization process management
Payer policy and benefit analysis
The University of Miami is seeking a full-time Utilization Case Manager RN to manage patient caseloads and ensure timely authorizations for medical services. The role requires a strong nursing background, critical thinking skills, and effective communication to enhance patient care and minimize delays
Job Summary
The Utilization Case Manager RN is responsible for conducting initial chart reviews to determine medical necessity and identify authorization needs.
This role serves as a subject matter expert to the clinical team, providing education on payer policies and facilitating alternative treatment options.
The University of Miami Health System offers competitive salaries and a comprehensive benefits package including medical, dental, and tuition remission.
Matching Summary
Match Score: 85
The University of Miami is seeking a full-time Utilization Case Manager RN to manage patient caseloads and ensure timely authorizations for medical services. The role requires a strong nursing background, critical thinking skills, and effective communication to enhance patient care and minimize delays.
Salary
Not specified; Not specified; Comprehensive benefits package including medical, dental, tuition remission