**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. **Minimum Qualifications:** **Education:** + Associates Degree - Nursing **Credentials:** + RN License **Experience:** + 2 years - Case Management + 2 years - Utilization Review + Managed care strongly preferred **Facility:** BayCare Health System, Utilization Management-BHS **Location:** **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 **Position** Utilization Review Nurse - Health Plan **Location** Clearwater:Park Place | Clinical | Full Time **Req ID** null