Case Manager Utilization Review

Broward Health Corporate Spectrum - Department: Case Management

Shift: Shift 1 (Days)

FTE: 1.000000 (Full-Time)

Req #34780

Summary Performs and monitors integrated concurrent utilization review and case referrals on patients consistent with the approved Utilization Review Plans. Works with medical and professional staff to obtain appropriate clinical documentation for review and optimal patient placement. Maintains contact with Managed Care and other third party payors to ensure appropriate case management.

Education Essential:

• Associate

Essential Education specialization:

• in a Nursing Program from an Accredited School of Nursing

Experience Essential:

• Two Years of acute hospital Utilization Review experience; or Foreign Medical Graduate with Utilization Review experience

Credentials Essential:

• Basic Life Support
• Registered Nurse-LIC

Visit us online at www.BrowardHealth.org or contact Talent Acquisition

• Bonus Exclusions may apply in accordance with policy HR-004-026

Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race color national origin gender gender identity or gender expression pregnancy sexual orientation religion age disability military status genetic information or any other characteristic protected under applicable federal or state law. At Broward Health the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.