Clinical Utilization Review Nurse Specialist
19 hours ago
About UF Health
UF Health is a leading health care provider in the region, offering advanced medical services and innovative technology to serve the community.
Overview
As a renowned healthcare system, UF Health Central Florida operates multiple hospitals, rehabilitation centers, and diagnostic laboratories. Our commitment to providing progressive and compassionate care has earned us recognition from the American College of Cardiology for our Chest Pain Center Accreditation with Primary PCI and Resuscitation.
Job Responsibilities
The Clinical Utilization Review Nurse Specialist plays a vital role in ensuring the appropriateness of hospital admissions, efficient resource utilization, and accurate medical documentation. Key responsibilities include:
- Determining medical necessity for continued stay and facilitating timely discharge
- Collaborating with Case Management to provide interventions and discharge planning services
- Maintaining accurate and comprehensive medical records
Requirements
To be successful in this role, candidates should possess:
- A minimum of 5 years of clinical experience as a registered nurse
- Current working knowledge of utilization management, performance improvement, and reimbursement issues
- Strong observation skills, analytical thinking, and problem-solving abilities
- Effective communication and interpersonal skills
Compensation
The estimated salary range for this position is between $85,000 and $115,000 annually, depending on experience and qualifications.
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