Utilization Review Nurse - RN, LPN, or LCSW (Remote) Job at Morgan Stephens, Tampa, FL

eWJyN0tYcndjNzhmQnNMOWQ0OUI0eWE3Nnc9PQ==
  • Morgan Stephens
  • Tampa, FL

Job Description

Job Summary:


As a Utilization Management Nurse/Social Worker, you'll play a crucial role in our multidisciplinary team, ensuring that patients progress seamlessly through their care journey according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedures to meet regulatory and reimbursement requirements for various payers, both commercial and government.


100% Remote - However, Only candidates on EST (Eastern Standard Time Zone) are considered.


Key Responsibilities:

  • Conduct concurrent and continued stay Utilization Management reviews, ensuring accurate data tracking, evaluation, and reporting.
  • Lead or participate actively in process improvement initiatives, collaborating with various departments and multi-disciplinary teams.
  • Efficiently manage a diverse workload in a fast-paced, ever-evolving regulatory environment.
  • Foster positive collaboration with the Care team to facilitate timely patient progression during their stay.

Job Requirements:

  • Current Nurse license or Clinical License.
  • Associate's degree; Bachelor's degree preferred.
  • 3-5 years of acute hospital experience and 3 years of Utilization Management experience.
  • Hospital case management experience is advantageous.
  • Proficiency in federal and state regulations (DOH, Medicaid/Medicare) and familiarity with third-party payers and managed care principles.

Salary Range: $90,000

Benefits: Yes- Full benefit package available with employer contribution.


Join our dynamic team and be part of our commitment to efficient Utilization Management and patient-focused care.

Job Tags

Similar Jobs

Jobot

Legal Secretary/Paralegal Job at Jobot

 ...including organizing exhibits, witness lists, and trial binders. ~Provide administrative support to attorneys, paralegals, and other legal staff. ~Manage and organize files, both physical and electronic. ~Prepare and draft legal documents, correspondence, and other... 

SimpleBroker.ai

Business Broker Consultant (Remote - Acceptable) Job at SimpleBroker.ai

 ...Overview: SimpleBroker.ai is an innovative and fast-growing business brokerage firm that specializes in matching buyers and sellers...  ...We are currently seeking a highly motivated and driven Business Broker to join our dynamic team. Job Description: As a Business... 

Wiley

Editorial Assistant Job at Wiley

 ...management of a variety of scholarly publications, primarily academic journals. J&J's employees are experts in helping editorial offices...  ...opportunities. With over 200 years of experience in publishing, we continue to evolve knowledge seekers' steps into strides,... 

Lu Electric LLC

Electricians Helpers Job at Lu Electric LLC

Job Description Job Description Installation and repair of all electrical phases. 5 Years experience, Valid NJ drivers license, own tools. References. Year round work. Monmouth and Ocean County. New and old construction, Additions. Call Jake (***) ***-**** Company...

Prime Builders Corp

Construction office administrator Job at Prime Builders Corp

 ...updates to clients Contract administration Monitor contracts and paperwork, and ensure contract document requirements are met Cash management Process billing and payments, generate invoices and purchase orders, and oversee cash flow Document management Keep...