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UTILIZATION REVIEW SPECIALIST SENIOR

Company: BayCare
Location: Clearwater
Posted on: October 9, 2019

Job Description:

Description

The 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. Critical Care or Emergency Nursing RN preferred.

Qualifications

Certifications and Licensures Required RN (Registered Nurse) Preferred Utilization Management

Education Required Associate's Nursing Or Diploma Nursing Preferred Bachelor's Nursing

Experience Required 2 years Utilization Review Or 4 years Registered Nurse Preferred Reference summary for details

Specific Skills Required Customer service skills Required Written and verbal communication skills Required Interpersonal skills Required Work with a team Required Critical thinking skills Required Knowledge of regulatory standards appropriate to position Required Work independently Required Delegation skills Required Computer skills appropriate to position Required Organizational skills

Keywords: BayCare, Clearwater , UTILIZATION REVIEW SPECIALIST SENIOR, Other , Clearwater, Florida

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