Utilization Management Nurse

Vaco is hiring a Clinical Review Nurse (Hiring both RN and LPN) Location: Miramar, FL RN Pay: $33- $35/hour LPN Pay: $29 - $32/hour Monday-Friday 9a-6p

As a Utilization Management Nurse, you will ensure that home health care services are administered with quality, cost efficiency, and within compliance. By continuously reviewing and auditing patient treatment files, the utilization nurse will ensure that patients won’t receive unnecessary procedures, ineffective treatment, or unnecessarily extensive home healthcare.

• Concurrent review of patient’s clinical information for efficiency
• Ongoing review of precertification requests for medical necessity
• Coordinates patient care needs with a multi-disciplinary healthcare team
• Maintain accurate records of all patient related interactions
• Ability to stay organized and interact well with others in any situation
• Provide updates to Manager of Utilization Management for review

Required Skills/Experience:

• State licensure as a LPN or RN
• Minimum 2 years of prior experience in Utilization Management
• Strong knowledge of word processing and spreadsheet computer programs
• Utilization Management or Case Management certification preferred

Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement plan. By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions.