Feb 25, 2021

Team Lead, Utilization Review

  • BayCare Health System
  • Clearwater, FL, USA

Job Description

Team Lead, Utilization Review(Job Number: 2010131) Description   Responsible for directing and coordinating the daily operations of the UM department responsible for concurrent reviews and observation management. Ensuring that the reviews are performed utilizing the clinical decision making criteria to assure that the appropriate level of care is maintained. Drives transition of inpatients meeting discharge criteria, and management of observation patients within 48 hours. This position will report to the hospital based Manager and support the goals and policies of the department. Required experience includes 3 years of Case Management or 3 years of Utilization Management or 6 years of clinical nursing. Qualifications   Certifications and Licensures Required RN (Registered Nurse) Preferred ACM (Case Management) Preferred CCM (Case Manager) Education Required Associate's Nursing Preferred Bachelor's Nursing Experience Required 3 years Case Management Or 3 years Reference summary for details Or 6 years Nursing Specific Skills Required Customer service skills Required Written and verbal communication skills Required Interpersonal skills Required Work independently Required Work with a team Required Critical thinking skills Required Organizational skills Required Administrative and clerical skills Required Computer skills appropriate to position Required Knowledge of regulatory standards appropriate to position     Organization: 2100-MORTON PLANT HOSPITAL ASSOC Primary Location: FL-Clearwater-Morton Plant Hospital Schedule: Varies Shift: Days Shift Hours: 8:00 AM - 4:30 PM Weekend Work: Every 3rd On Call: No Employment Status: ACTIVE FULL TIME Equal Opportunity Employer Veterans/Disabled