BayCare Health System
Utilization Review Team Lead
BayCare Health System, St. Petersburg, Florida, United States, 33739
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Utilization Review Team Lead
role at
BayCare Health System
At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community‑based hospitals, a long‑term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward‑thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
Team Lead Utilization Review Responsibilities
Directing and coordinating the daily operations of the UM department responsible for concurrent reviews and observation management.
Ensuring that the reviews are performed utilizing the clinical decision‑making criteria to assure that the appropriate level of care is maintained.
Driving transition of inpatients meeting discharge criteria, and managing observation patients within 48 hours.
This position will report to the hospital‑based Manager and support the goals and policies of the department.
Required experience includes 3 years of Case Management or 3 years of Utilization Management or 6 years of clinical nursing.
Certifications And Licensures
Required: RN (Registered Nurse)
Preferred: ACM (Case Management)
Preferred: CCM (Case Manager)
Education
Required: Associates in Nursing
Preferred: Bachelors in Nursing
Experience
Required: 3 years in Utilization Management
Required: 3 years in Case Management
Required: 6 years in Clinical Nursing
Benefits
Health, Dental, Vision insurance
Paid time off
Tuition reimbursement
401(k) match and additional yearly contribution
Yearly performance appraisals and team award bonus
Community discounts and more
Equal Opportunity Employer Veterans/Disabled
Seniority level
Associate
Employment type
Full‑time
Job function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr
Utilization Review Team Lead
role at
BayCare Health System
At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community‑based hospitals, a long‑term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward‑thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
Team Lead Utilization Review Responsibilities
Directing and coordinating the daily operations of the UM department responsible for concurrent reviews and observation management.
Ensuring that the reviews are performed utilizing the clinical decision‑making criteria to assure that the appropriate level of care is maintained.
Driving transition of inpatients meeting discharge criteria, and managing observation patients within 48 hours.
This position will report to the hospital‑based Manager and support the goals and policies of the department.
Required experience includes 3 years of Case Management or 3 years of Utilization Management or 6 years of clinical nursing.
Certifications And Licensures
Required: RN (Registered Nurse)
Preferred: ACM (Case Management)
Preferred: CCM (Case Manager)
Education
Required: Associates in Nursing
Preferred: Bachelors in Nursing
Experience
Required: 3 years in Utilization Management
Required: 3 years in Case Management
Required: 6 years in Clinical Nursing
Benefits
Health, Dental, Vision insurance
Paid time off
Tuition reimbursement
401(k) match and additional yearly contribution
Yearly performance appraisals and team award bonus
Community discounts and more
Equal Opportunity Employer Veterans/Disabled
Seniority level
Associate
Employment type
Full‑time
Job function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr