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Utilization Review Case Manager - RN

As one of the few remaining not-for-profit health systems in Palm Beach County, Bethesda Health is a comprehensive, community-based hospital system that has grown with our community.
Our flagship hospital, Bethesda Hospital East (formerly known as Bethesda Memorial), has been a cornerstone of South Palm Beach County since 1959.
The new Bethesda Hospital West opened its doors on January 8, 2013, ready to serve the expanding western communities of South Palm Beach County.
We invite you to join us now as we expand upon our promise to be the voice for each and every patient, providing quality health services in a caring manner.
Full-time 8A - 4:
30P, including weekends and holidays Utilization Review Case Manager - RN Bethesda Hospital East RN with current license in the State of Florida and Utilization Review or related experience.
Maintains license through the Department of Regulations, State of Florida.
Conducts utilization/quality review and proactively intervenes to ensure appropriate documentation of medical necessity, timely, cost effective provision of care and quality outcomes.
Responsible for conducting concurrent, retrospective and prospective review and for the assignment of DRG's, identifies potential problems or opportunities to improve care or resource utilization and intervenes with the appropriate parties.
As part of the Bethesda team you will enjoy outstanding benefits that include:
Medical/Dental/Vision Insurance, Flexible Spending Accounts, Basic Life Insurance, 401K & 403b, Early Learning Center - Childcare, and Much More! Thank you for your interest in employment with in Bethesda Health.
EOE Smoke/Drug Free Workplace

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