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Title: Utilization Review Specialist Senior
Location: FL-Tampa-St. Joseph's Hospital
Job Number: 207147The Senior Utilization Review Specialist functions as the primary liaison between the funding agents and all other related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient stays and the utilization of ancillary services. The Senior Utilization Review Specialist is responsible for the oversight of the utilization Review Specialists. Perform other duties as assigned by the supervisor.Strongly prefer 1 year inpatient/acute care Utilization Review RN experience. Critical Care or Emergency Nursing RN preferred.Qualifications:Certifications and LicensuresRequired RN (Registered Nurse)Preferred Utilization ManagementEducationRequired Associate's NursingOr Diploma NursingPreferred Bachelor's NursingExperienceRequired 2 years Utilization ReviewOr 4 years Registered NursePreferred Reference summary for detailsSpecific SkillsRequired Customer service skillsRequired Written and verbal communication skillsRequired Interpersonal skillsRequired Work with a teamRequired Critical thinking skillsRequired Knowledge of regulatory standards appropriate to positionRequired Work independentlyRequired Delegation skillsRequired Computer skills appropriate to positionRequired Organizational skillsSchedule: VariesShift: DaysShift Hours: 8:00 AM - 4:30 PMWeekend Work: OccasionalOn Call: NoEmployment Status: ACTIVE FULL TIMEEqual Opportunity Employer Veterans/Disabled
Vacancy caducado!