Utilization Management RN EX
AdventHealth
About this role
This role involves monitoring admissions, conducting initial and continued stay medical necessity reviews, and collaborating with healthcare teams to ensure proper documentation and authorization from insurance carriers. It requires knowledge of payer guidelines, regulatory requirements, and hospital reimbursement models.
Skills
Qualifications
About AdventHealth
adventhealth.comThe AdventHealth network of health care extends beyond your nearest hospital. From primary care to specialty medical services, we're here to help you feel whole.
Recent company news
AdventHealthAdventHealth is First in Nation to Receive Innovative Surgical Robot
6 days ago
AdventHealthAdventHealth Corporate Care Helps Build a Healthier Workforce
Jan 15, 2026
AdventHealthDelivering on the mission: AdventHealth Supply Chain and Business Services' impact is part of every patient story
Dec 8, 2025
AdventHealthAdventHealth Fish Memorial named among nation’s top hospitals for quality
Jan 22, 2026
AdventHealthAdventHealth Castle Rock leads Rocky Mountain Region with launch of hellocare Smart Room Technology
Sep 17, 2025
About AdventHealth
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
Unlock Company Insights
View leadership team, funding history,
and employee contacts for AdventHealth.
Salary
$66k – $120k
per year
More jobs at AdventHealth
Similar Jobs
Utilization Review & Reimbursement Specialist
Mary Free Bed Rehabilitation Hospital
Utilization Review/ Concurrent Review
nrmchealth
RN Utilization Management Reviewer
Sagility
Utilization Specialist - Acute
Summit BHC
RN Case Manager/Utilization Review - Case Management - Full Time 8 Hour Rotating Shifts (Non-Exempt) (Union)
University of Southern California
Utilization Review Specialist PRN
American Camp Association