Utilization Review Specialist Senior
BayCare
- Florida, New York, United States
- Florida, New York, United States
Über
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 - Morton Plant Hospital/Clearwater, FL Status: Part time, 24 hours per week Schedule: Saturday/Sunday/Monday 8:00 AM - 4:30 PM Weekend Requirement: Every 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:
Benefits (Health, Dental, Vision) Paid time off Tuition reimbursement 401k match and additional yearly contribution Yearly performance appraisals and team award bonus Community discounts and more
Equal Opportunity Employer Veterans/Disabled
Sprachkenntnisse
- English
Hinweis für Nutzer
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