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.
- This role has on call responsibilities every 3rd weekend
Minimum Qualifications:
- Education: Associates Degree - Nursing
- Credentials: RN License
- Experience: 2 years of Case Management and 2 years of Utilization Review experience
- Experience: Managed care strongly preferred
Facility:
- BayCare Health System, Utilization Management-BHS
- Location: Clearwater - 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