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AdventHealth

Utilization Management RN

AdventHealth, Tampa, Florida, us, 33646

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Join AdventHealth as a Registered Nurse, where you will be an integral part of our multidisciplinary care team, ensuring optimal patient outcomes.

Job Description Monitor admissions and perform initial and continued stay medical necessity reviews.

Maintain thorough knowledge of payer guidelines and regulatory requirements and manage concurrent and pre-bill denials to prevent loss of reimbursement.

Collaborate and communicate with the multidisciplinary care team regarding patient status and concurrent denials.

Build relationships to promote interdisciplinary collaboration.

Ensure requested clinical information is communicated, monitors daily discharge reports, and follows up with insurance carriers to obtain complete authorization.

Qualifications

Associate's of Nursing (Required)

Bachelor's of Nursing

Accredited Case Manager (ACM) - EV Accredited Issuing Body

Certified Case Manager (CCM) - EV Accredited Issuing Body

Registered Nurse (RN) - EV Accredited Issuing Body

Schedule Full time

Shift Day (United States of America)

Location 3100 E FLETCHER AVE TAMPA Florida 33613

Pay Range $68,132.50 - $119,520.35

Benefits

Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks 100% Paid Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Our Promise To You: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose‑minded team. All while understanding that together we are even better.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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