Utilization Management Case Manager

Location:HealthPark Medical Center -9981 So HealthPark CircleFort Myers FL 33908

Department: Utilization Management - Corporate

Work Type: Full Time

Shift: Shift 2/7:00:00 AM to 7:00:00 PM

Minimum to Midpoint Pay Rate:$30.27 - $40.86 / hour

This is an onsite position at Healthpark Medical Center in the ER, 12hr shifts. May also be covering Peds ER as well.

Join a dynamic and mission-driven team dedicated to ensuring patients receive the right care, at the right time, in the right setting. As a Utilization Management RN, you will play a key role in safeguarding regulatory compliance, verifying medical necessity, and promoting appropriate levels of care throughout the patient journey.

In this role, you will collaborate closely with providers, clinical teams, and ancillary departments to facilitate accurate, real-time documentation that reflects the true scope of services and resources utilized. Your expertise helps support optimal reimbursement, quality outcomes, and system-wide integrity.

You will also be responsible for meeting defined productivity and accuracy targets, applying critical thinking and clinical judgment to every review, and ensuring that utilization management processes run efficiently and effectively. Your work directly supports organizational excellence, patient-centered care, and fiscal stewardship.

• Required: Graduate of an accredited school of professional nursing

• Preferred: Bachelor of Science in Nursing (BSN) or a bachelors degree in a related healthcare field

• Required: Minimum 3 years of acute care hospital clinical experience
  OR
  Equivalent utilization management experience within the past 2 years, with emphasis on acute care

• Required: Active Florida RN license

• Preferred: Case Management certification such as ACM, CCM, CMCN, or NACCM

• Strong communication and interpersonal skills

• Solid analytical abilities with attention to detail in documentation, grammar, and accuracy

• Proficiency with basic computer systems and EMR workflows

• Ability to multitask and manage competing priorities in a fast-paced environment

US:FL:Fort Myers