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Utilization Review Specialist Senior
- Tampa, Florida, United States
- Tampa, Florida, 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 - St Josephs Hospital/Tampa, FL
Status: PRN, As Needed
Schedule: Days vary
Weekend Requirement: Strongly prefer availability for every other weekend
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 match and additional yearly contribution
Community discounts and more
Equal Opportunity Employer Veterans/Disabled Position Utilization Review Specialist Senior Location Tampa:St Josephs | Clinical | PRN Req ID 143041
Sprachkenntnisse
- English
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