Manager, Utilization Review
Company: BayCare
Location: Saint Petersburg
Posted on: January 15, 2021
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Job Description:
Description:The Manager Utilization Review plans, organizes and
supervises the activities of the Utilization Team, prepares
department for internal and external audits, conducts utilization
management delegation audits and develops policies and procedures
for adherence to governmental and accredited agency standards. The
successful candidate will collaborate with other departments to
develop and implement effective programs and processes in
Utilization. Required Experience includes 3 years Case Management
or 3 years Utilization Management and 3 years Acute Care Nursing
and 2 years healthcare leadership
role.Qualifications:Certifications and LicensuresRequiredRN
(Registered Nurse)RequiredACM (Case Management)OrCCM (Case
Manager)EducationRequiredBachelor'sNursingPreferredMaster'sNursingOrMaster'sBusinessExperienceRequired3
yearsCase ManagementOr3 yearsReference summary for detailsAnd3
yearsAcute CareAnd2 yearsLeadershipSpecific SkillsRequiredCustomer
service skillsRequiredWritten and verbal communication
skillsRequiredInterpersonal skillsRequiredDelegation
skillsRequiredWork independentlyRequiredWork with a
teamRequiredCritical thinking skillsRequiredOrganizational
skillsRequiredAdministrative and clerical skillsRequiredComputer
skills appropriate to positionRequiredKnowledge of regulatory
standards appropriate to positionRequiredManagement
skillsRequiredMedical terminology use and understanding
Keywords: BayCare, St. Petersburg , Manager, Utilization Review, Executive , Saint Petersburg, Florida
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