Utilization Management Case Manager

Location:Lee Health -2776 Cleveland Ave Fort Myers FL 33901

Department: Utilization Management - Corporate

Work Type: Full Time

Shift: Shift 1/8:00:00 AM to

Minimum to Midpoint Pay Rate:$30.27 - $40.86 / hour

We are looking for experienced candidates with both Utilization Management and strong Case Management backgrounds. You will be working on the Throughput Team and this position will be mainly REMOTE (after your 90 day introductory period). This is a Monday through Friday opportunity with NO weekends.

You will be performing utilization management functions to ensure regulatory compliance, medical necessity, and appropriate level of care. Facilitates timely and concurrent documentation within the medical record to accurately reflect patient care, services, and resources utilized. Consistently meets established productivity and accuracy standards across all utilization management processes.

• Graduate of an accredited school of professional nursing required

• Bachelor of Science in Nursing (BSN) or Bachelors degree in a related healthcare field preferred

• Minimum of three (3) years of acute care hospital clinical experience required

• Utilization management experience within the past two (2) years with a focus on acute care

• Case Management certification preferred (ACM, CCM, CMCN, or NACCM)

• Current, active Registered Nurse (RN) license in the State of Florida required

• Strong communication and interpersonal skills

• Basic computer proficiency

• Analytical skills with attention to grammar and spelling

• Ability to effectively multitask and manage competing responsibilities

US:FL:Fort Myers