…is responsible for the safe, appropriate, evidence-based, and cost-effective selection, utilization , and monitoring of medications for our patients. The clinical

…throughput while supporting a balance of optimal care and appropriate resource utilization **What qualifications you will need:** + Current Registered Nurse License

…difficult and interdepartmental scheduling with minimal delay to customer. Correct utilization of the scheduling features of Meditech system and accurately enter

…valid Florida clinical license. **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members

…* Adaptive to a high pace and changing environment. * Proficient in Utilization Review process including benefit interpretation, contract language, medical and

…the general and specialized principles, practices, techniques, and methods of Utilization review /management, discharge planning, or case management. + Working

…position is unique in that it combines clinical/quality considerations with regulatory/financial/ utilization review demands. The position creates a balance

…day-to-day management of the RN staff of their assigned area (Case Management, Utilization Review and Population Health). This will include monitoring the daily

…and patient care as indicated and required; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; and +

…through the ED - work collaboratively with the inpatient care manager and the utilization review department to support transitions from ED to inpatient - work