Clinical Utilization Specialist
7 days ago
At BayCare Health System, 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.
Key Responsibilities- Coordinates the appropriateness of healthcare utilization and ensures the completeness of admission documentation.
- Communicates and educates staff regarding healthcare utilization and paperwork issues.
- One Utilization Reviewer will be responsible for a minimum of 100 Medicare Admissions per month.
- Location: Hybrid - Orientation in BayCare Health System's Homecare Branch in Sarasota, FL (full-time for the first month) - After orientation, hybrid schedule - home office/Sarasota.
- Status: Full-time - 40 hours per week.
- Schedule: Monday - Friday 8:00 AM - 5:00 PM.
- Weekend requirement: occasional.
- On Call: No.
- Required RN License - Florida.
- Preferred Case Management Certification.
- Required associate's degree in nursing.
- Required Case Management - one year.
- Required Home Care - one year.
- Benefits (Health, Dental, Vision).
- Paid time off.
- Tuition reimbursement.
- 401k match and additional yearly contribution.
- Yearly performance appraisals and team award bonus.
- Community discounts and more.
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