Utilization Review RN

apartment BayCare Health System location_onTampa, FL, US

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Functions as the primary liaison between the funding agents and all other related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient stays and the utilization of ancillary services
Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.
Preferred experience includes Critical Care or Emergency Nursing RN.

Position Details

Location: HYBRID/St Josephs Hospital - Tampa, FL
Status: PRN, As Needed
Schedule: Days will Vary, Orientation will be full time and onsite
Weekend Requirement: Occasional
On Call: No

Certifications And Licensures

Required RN (Registered Nurse)
Preferred ACM (Case Management)
Preferred CCM (Case Manager)

Education

Required Associates in Nursing or
Required Bachelors in Nursing
Preferred Masters in Nursing or Business

Experience

Required 2 years in Utilization Review or
Required 2 years in Case Management or
Required 3 years Registered Nurse
Preferred experience in Critical Care or Emergency Service

Benefits

Tuition reimbursement
401k
Yearly performance appraisals
Community discounts and more

Equal Opportunity Employer Veterans/Disabled

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