Utilization Management Case Manager

Location: Cape Coral Hospital - 636 Del Prado Blvd Cape Coral FL 33990 Department: Utilization Management

• Corporate Work Type: Full Time Shift: Shift 2/8:00:00 AM to 8:00:00 PM Minimum to Midpoint Pay Rate: $30.27 - $40.86 / hour Summary Performs utilization management functions that assure regulatory compliance, medical necessity and appropriate level of care. Facilitates concurrent documentation in the medical record to accurately reflect care, services and resources utilized in the delivery of patient care. Successfully meets requirements for productivity and accuracy related to all utilization management processes.

Requirements

Graduate of an accredited school of professional nursing required. BSN or BS in a related healthcare field preferred. Experience: Minimum of 3 years’ acute care hospital clinical experience or equivalent utilization management experience within 2 years with a focus on acute care. Certification: Case Management certification, ACM, CCM, CMCN or NACCM preferred.

License: Currently licensed as an RN in the State of Florida. Other: Communication and interpersonal skills, basic computer, analytical, grammar and spelling skills. Ability to effectively multi-task responsibilities. US:FL:Cape Coral