Opportunity Description
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.
**The Utilization Review Specialist Senior responsibilities include:**
+ 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
+ Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.
+ Preferred experience includes Critical Care or Emergency Nursing RN.
**Pos...
**The Utilization Review Specialist Senior responsibilities include:**
+ 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
+ Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.
+ Preferred experience includes Critical Care or Emergency Nursing RN.
**Pos...
Ready to Apply?
Submit your application for Utilization Review Specialist Senior at BayCare Health System
Apply for this Position