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BayCare Health System

Utilization Review RN

BayCare Health System, Tampa, Florida, us, 33646

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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.

Responsibilities

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

Position

Utilization Review RN

Location

Tampa:St Josephs | Clinical | PRN

Req ID

118805

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