Registered nurse jobs in Florida

About the role

Our expanding managed care company is seeking RNs for positions in concurrent review and prior authorizations for our Sunrise office. This is a M-F daytime (no holidays/no weekends) fulltime position. This position is specific to managed care case management and is an excellent opportunity to start a career with one of the country's leading HMO's. Prior Authorizations Nurse responsibilities include speaking with providers and handling authorizations for surgery and medical services. Concurrent Review Nurse responsibilities include reviewing inpatient admissions to determine if patients meet criteria to be in the hospital.

What you'll bring

• MUST be Florida-licensed Registered Nurse and live in Broward or Dade counties
• 5 years minimum nursing experience
• Must have 2 years minimum experience in at least one of the following: utilization review from another managed care company
• experience in a medical setting handling coordinating with insurance companies in obtaining prior authorizations
• and/or experience working as a concurrent review nurse for a hospital *Strong computer and communication skills
• InterQual experience strongly preferred
• Understanding of Medicare and Medicaid guidelines preferred