Location: HealthPark Medical Center -9981 So HealthPark CircleFort Myers FL 33908
Department: Utilization Management - Corporate
Work Type: Full Time
Shift: Shift 2/7:00:00 AM to 7:00:00 PM
Minimum to Midpoint Pay Rate: $30.27 - $40.86 / hour
This is an onsite position at Healthpark Medical Center in the ER, 12hr shifts. May also be covering Peds ER as well.
Join a dynamic and mission-driven team dedicated to ensuring patients receive the right care, at the right time, in the right setting. As a Utilization Management RN, you will play a key role in safeguarding regulatory compliance, verifying medical necessity, and promoting appropriate levels of care throughout the patient journey.
In this role, you will collaborate closely with providers, clinical teams, and ancillary departments to facilitate accurate, real-time documentation that reflects the true scope of services and resources utilized. Your expertise helps support optimal reimbursement, quality outcomes, and system-wide integrity.
You will also be responsible for meeting defined productivity and accuracy targets, applying critical thinking and clinical judgment to every review, and ensuring that utilization management processes run efficiently and effectively. Your work directly supports organizational excellence, patient-centered care, and fiscal stewardship.
Required: Graduate of an accredited school of professional nursing
Preferred: Bachelor of Science in Nursing (BSN) or a bachelors degree in a related healthcare field
Required: Minimum 3 years of acute care hospital clinical experience
OR
Equivalent utilization management experience within the past 2 years, with emphasis on acute care
Required: Active Florida RN license
Preferred: Case Management certification such as ACM, CCM, CMCN, or NACCM
Strong communication and interpersonal skills
Solid analytical abilities with attention to detail in documentation, grammar, and accuracy
Proficiency with basic computer systems and EMR workflows
Ability to multitask and manage competing priorities in a fast-paced environment
US:FL:Fort Myers
...s success. Key Responsibilities: # Conduct a minimum of 100 dials per day to generate new business opportunities. # Utilize Hubspot for CRM management, reporting, and analytics. # Engage and qualify leads through compelling, written and verbal communication....
**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.****Job Description:**Job Description SummaryBILH Primary Care is where you can truly make a difference. As the Medical Assistant, you are responsible for...
...become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction... ...Job Description AECOM is seeking a well-qualified Traffic or ITS Engineer to support a hybrid role in one of many different...
...private cloud also hosts the USNORTHCOM Unclassified Common Operational Picture which utilizes Environmental Systems Research Institute (ESRI) Geospatial products. Sustainment of NORAD and USNORTHCOM systems will be conducted at the government's facilities in Colorado...
...-end delivery of work. Day to day activities include writing epics and user stories; defining testing scripts and acceptance criteria... ...stories, create process flows of current and future state, manage dependencies. Mandatory Skills: Product analysis Banking...