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. **BayCare Health System** is currently seeking a **Utilization Review Specialist Senior** to join our outstanding and compassionate team. **The Utilization Review Specialist Senior responsibilities include:** + 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 + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials. + Preferred experience includes Critical Care or Emergency Nursing RN. **Certifications and Licensures:** + Required RN (Registered Nurse) + Preferred ACM (Case Management) + Preferred CCM (Case Manager) **Education:** + Required Associates in Nursing or + Required Bachelors in Nursing + Preferred Masters in Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years in Case Management + Preferred 3 years Registered Nurse in Critical Care or Emergency Service **Facility:** BayCare Health System, Utilization and Denials Mgmt-MPH **Location:** **Morton Plant** **Status:** **Part Time, Exempt: No** **Shift Hours:** **8:00 AM - 4:30 PM** **Weekend Work:** **Every** **On Call:** **No** How often will this team member be working remotely? Never **Benefits:** + Benefits (Health, Dental, Vision) + Paid time off + Tuition reimbursement + 401k match and additional yearly contribution + Yearly performance appraisals and team award bonus + Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Specialist Senior **Location** Clearwater | Clinical | Part Time **Req ID** null