Utilization Review Nurse
3 weeks ago
Why BayCare?
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.
Summary:
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Responsible for performing utilization reviews on the front-end and-or retrospectively to ensure the best and most appropriate treatment, care or services are being provided.
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Communicates and coordinates with providers and facilities to facilitate optimal care and treatment and-or to obtain needed medical records for completion of the retrospective review process.
Minimum Qualifications:
Education:
- Associates Degree - Nursing
Credentials:
- RN License
Experience:
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2 years - Case Management
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2 years - Utilization Review
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Directly working for Medicare Advantage Plan - preferred
Facility:
BayCare Health System, Utilization Management-BHS
Location: Park Place
Status: Full Time, Exempt: Yes
Weekend Work: Occasional
On Call: No
How often will this team member be working remotely? Hybrid
Equal Opportunity Employer Veterans/Disabled
Position Utilization Review Nurse - Health Plan
Location Clearwater:Park Place | Clinical | Full Time
Req ID null
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