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Seasonal Contract Registered Nurse
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Seasonal Contract Registered Nurse
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Seasonal Contract Registered Nurse
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Seasonal Contract Registered Nurse
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Spring Hill, Florida, United States Tampa General Hospital Full timeTampa General Hospital is committed to providing patients with excellent and compassionate care. As a leading safety net hospital, we offer a range of clinical float roles, from permanent positions to seasonal 13-week assignments with higher base pay.QualificationsMust have a minimum of two years of related work experience and be deemed competent.Must have...
Registered Nurse
2 months ago
The Tampa General Hospital is seeking a dedicated Registered Nurse to join our Utilization Review team. This role is essential in ensuring that patients receive the appropriate level of care while adhering to established medical necessity criteria.
Key Responsibilities:- Conduct initial clinical assessments and ongoing evaluations to determine the necessity of hospital stays, utilizing evidence-based criteria and established protocols.
- Engage in collaborative discussions with medical staff to gather necessary documentation that supports the need for hospitalization and appropriate discharge planning.
- Escalate cases to the Utilization Review Manager or Physician Advisor when additional information is required to justify medical necessity.
- Maintain comprehensive documentation of all activities in the case management software, including clinical reviews, payer communications, and authorization details.
- In cases of concurrent denials, perform internal reviews with medical staff to assess the need for potential downgrades and facilitate Peer to Peer discussions as necessary.
- Collaborate with Emergency Room staff to ensure proper documentation and validation of admissions during assigned hours.
- Active Florida Registered Nurse License.
- A minimum of 5 years of experience in acute care settings and at least 2 years in a Case Management role.
- Preferred experience in Case Management within an acute care hospital environment.
- Knowledge of discharge planning processes.
This position is vital in supporting our commitment to providing high-quality healthcare services and ensuring that our patients receive the best possible care throughout their hospital experience.