- Actalent (Sunrise, FL)
- …+ Prepare and present reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + ... Job Title: Utilization Review NurseJob Description The Utilization Management Nurse...care setting highly desirable. + Four years of related clinical experience in a healthcare field; or equivalent combination… more
- Actalent (Sunrise, FL)
- …team. In this role, you'll collaborate with an interdisciplinary team to review and authorize behavioral health and substance use services, ensuring appropriate care ... in crisis, including triage, discharge planning, and aftercare referrals. + Review treatment plans and collaborate with Medical Directors on medical necessity.… more
- Actalent (Sunrise, FL)
- …+ Prepare and present reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + ... Utilization Management Nurse !Job Description The Utilization Management Nurse ...to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness,… more