RN Specialist - Utilization Management - Per Diem

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Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment, and the ability to work with minimal supervision. Current sound clinical knowledge; knowledge of medical literature, research methodology, and financial/reimbursement issues. Knowledge of CMS, commercial payer requirements and hospital financial/reimbursement processes. Ability to work collaboratively and proactively with healthcare teams and other hospital-based interdisciplinary teams. Must be able to work in a stressful environment and take appropriate action.

Required Work Experience: Two (2) years of nursing experience. One (1) year of experience in utilization management or case management preferred.

Other Information: Certification in utilization management and/or case management preferred.

Memorial Healthcare System is a community of caregivers dedicated to delivering quality patient- and family-centered care. This passion for caring extends to our teammates, who support one another and create heartfelt connections that last a lifetime. We are one family at the heart of exceptional care. Join us as we elevate the well-being of everyone we touch. #teamMHSflorida
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