Utilization Review Nurse Salary in Orlando, FL

Position Title: Nurse Case Manager (Remote) 2024-1342 Location: Orlando, FL, USA Job Category: Medical Case Management Job Type: Full Time Description: Nurse Case Manager (Home Based) - Specialty Unit Remote Nation WideSalary Range: $75,000.00 - $80,000 depending on experience and qualifications.Overview Are you looking to make a difference by providing high-quality case management with a personal touch that impacts the lives of members of the World Trade Center Health Program? Would you like to be part of a highly skilled team of home-based Nurse Case Manager (NCM)s providing telephonic case management, focused on supporting individuals in maximizing their health and productivity?Nurse Case Manager ResponsibilitiesAs a Nurse Case Manager, you will work independently remotely in your home office setting while being part of a supportive nationwide team. Through the application of a unique mix of experience and certification, you will support World Trade Center Health Program members, emphasize timely facilitation and coordination of diagnosis, and be involved in the acute and chronic phases of cancer treatment, and support. Your broad responsibilities will include developing a case management plan for each injured patient throughout the various stages of recovery while tracking in a proprietary case management system. You will implement integrated medical disability case management services with the goal of preventing, minimizing, or overcoming a chronic disability. Additionally, you will provide medical expertise and serve as the critical communication link between the parties involved in complex medical disability cases. You will ensure timely interventions and facilitate continuous communication while providing patient advocacy through supporting patient choices. Nurse Case Manager QualificationsBachelors in Science Nursing or Associate in Nursing (ASN) or Nursing Diploma.Unrestricted State Registered Nursing License3 years of case management experience3 years related clinical experience in discharge planning, oncology, utilization review/management to determine the necessity of medical services, behavioral health, workers' compensation, occupational health, and/or a comparable field. Preference is given to Nurses with National Certifications in case management or related field. National Certification may be obtained within 12 months of the date of hireAttention to detail, timetables, and commitment to completing tasksExperience with Microsoft Windows and computer savvyMust be well organized, efficient, and able to work independently and within a teamResponsible for having reliable High-Speed Cable or Fiber Optic Internet service and Internet Router in established home officeMust have Excellent Communication Skills via Phone, E-Mail, Text, Verbal, Documentation Skills, and provide 24 hours follow up to all communicationU.S. CitizenshipPrior to training candidates must be able to pass a preliminary credit and background checkFor a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At Sedgwick Government Solutions, caring counts. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others.Sedgwick Government Solutions provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (range). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. To be considered for this position, please submit a resume, and complete the application. The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required. Important InformationSuccessful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire. Search Firm Representatives Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions. Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact Government Solutions regarding accommodations. Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates. Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a). This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities. Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a). This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans. About Sedgwick Sedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients’ specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. www.sedgwick.com PI239313185

Nemours is seeking a Nurse Manager - Ambulatory (Orthopedics) to join our team in Orlando, Florida. The Ambulatory Clinic Nurse Manager is responsible and accountable for nursing quality, service, and financial performance for assigned divisions. This position is responsible for promoting a patient and family centered model of care. The position will also be responsible for instituting the shared governance model for Nemours Nursing and positive role modeling the Nemours Standards of Behavior and values. Promotes a patient and family-centered care model promoting the nurse patient partnership and the professional role of the nurse. Manages assigned Ambulatory Clinic staff promoting a healthy work and learning environment. Insures adequate training of new staff and ongoing training of existing staff. Maintains adequate coverage in the assigned clinical area and when necessary, provides justification for changes in staffing levels. Hires, counsels and provides disciplinary actions to Ambulatory Clinic staff as necessary. Provides feedback and coaching to staff on an ongoing basis utilizing the Nemours Standards of Behavior. Performs timely annual performance reviews for all assigned staff in accordance with Human Resources policy and procedures. Along with the Director of Nursing, monitors expense and assure compliance with the budget. Along with the Director of Nursing or Operations Manager, provides justification for necessary capital and operational expenses. Ensures effective and efficient utilization of resources in daily management decisions. Supports and operationalizes the integrated model of care. Assures nursing compliance with regulatory readiness agencies. Leads quality improvement projects designed to improve nursing clinical outcomes and patient satisfaction. Participates in nursing research activities and supports evidence based pediatric nursing. Models a caring philosophy focusing on health promotion and safety education. Champions' age -appropriate developmental considerations and holistic patient care. Directs nursing planning and policy making through constructive collaboration in key committees. Must have the ability to work well with others, have good communication skills and regular attendance is required. Champions continuous improvement activities and serves as a coach and mentor to ambulatory clinic staff. Other duties as assigned. Requirements: Bachelor's Degree required. Master's Degree in Nursing or other field preferred. Current State of Florida RN License required. Current AHA BLS Certification required. Minimum five (5) years of experience required. Minimum five (5) years of nursing experience; management experience preferred.