Clearwater
1 day ago
Utilization Review Nurse - Health Plan

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:

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.  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:

2 years - Case Management2 years - Utilization ReviewManaged care strongly preferred


Facility:

BayCare Health System, Utilization Management-BHS

Location: Park Place 

Status: Full Time, Exempt: Yes

On Call: Yes - every 3rd weekend availability to log on from home

How often will this team member be working remotely? Hybrid

Equal Opportunity Employer Veterans/Disabled

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