Registered Nurse (RN) Utilization Review Case Management Full-Time Days MMH

ResponsibilitiesFocuses on leadership in the multidisciplinary planning and coordination of the patient's care across the healthcare continuum.

Organizes the sequence of patient care to attain maximum levels of effectiveness and efficiency to reach desire quality, clinical, and cost outcomes.

Organizes multiple strategies to ensure the case of all patients is managed with minimal overlapping roles and processes.

Participates in a team approach composed of the physician, social work, providers (direct and indirect) community resources, and payers.

Conducts medically necessary utilization, manages home / outpatient services and in collaboration with the clinical team and medical provider, provides discharge planning coordination and intervention.

Strives to promote patient wellness, improve care outcomes, efficient utilization of health services and minimize denials of payment among a patient population with complex health needs.

Communicates and updates leadership on cases that require leadership level assistant and / or approval as they occur including data collection and reporting.

Demonstrates Service Excellence at all times. Other duties as assigned.About Manatee Memorial Hospital (MMH) : Manatee Memorial Hospital in Bradenton, Florida, has served the citizens of Manatee, Sarasota and surrounding counties for 70 years.

Part of the Manatee Healthcare System, the hospital has earned The Joint Commission's Gold Seal of Approval. The 295-bed hospital with over 550 physicians, residents and allied health professionals, offers advanced healthcare services in a caring and compassionate environment.

Services include cardiac care and cardiovascular medicine, emergency care for all ages, surgery services - including robotic-assisted surgery with the da Vinci Surgical System, a weight-loss program, orthopedic services, outpatient and inpatient radiology and rehabilitation, respiratory care, sleep, oncology, wound care and women's and children's services.

Manatee Memorial Hospital offers a Level II Neonatal Intensive Care Unit for babies with special needs.MMH offers comprehensive benefits such as : * Challenging and rewarding work environment* Competitive Compensation* Excellent Medical, Dental, Vision, and Prescription Drug Plan* Generous Paid Time Off* 401(K) with company match and discounted stock planAbout Universal Health ServicesOne of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc.

UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.

3 billion in 2023. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries.

Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.

S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.comQualificationsEDUCATIONAL REQUIREMENTSDescriptionNot RequiredRequiredPreferredHigh School Diploma / GED Vocational / Technical School / Diploma Associate's degree Bachelor's Degree Master's Degree Other : REQUIRED LICENSURE / CERTIFICATION / REGISTRATIONDescriptionRequiredPreferredState of Florida Registered Nurse (RN) License Basic Life Support (BLS) Certification Case Management Certification REQUIRED EXPERIENCEDescriptionRequiredPreferredDischarge Planning and / or Utilization (InterQual) experience EEO StatementAll UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates.

UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.NoticeAt UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.

We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.

from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at : https : / / uhs.

alertline.com or 1-800-852-3449.