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RN Supervisor Utilization Management

AdventHealth • Full-time • Tampa, Florida, United States • 3w ago

All the benefits and perks you need for you and your family:

Paid Days Off from Day One
Student Loan Repayment Program
Career Development
Whole Person Wellbeing Resources
Mental Health Resources and Support

Our Promise To You

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift: Days

The community you’ll be caring for: AdventHealth Tampa

AdventHealth Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
Surgical Pioneers - the first in Tampa with the latest robotics in spine surgery
Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
Awarded the Get With The Guidelines - Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.

The Role You’ll Contribute

The Utilization Management RN Supervisor reports directly to the Divisional Utilization Management RN Manager and assists in monitoring and performing the daily operations and supervision of team members in the Utilization Management department. Utilization Management team members will have defined reporting accountabilities directly to Supervisors.

The Utilization Management RN Supervisor is responsible for the daily administrative tasks as assigned by the Utilization Management RN Manager. The Supervisor will serve as the primary point of contact for Utilization Management staff, physicians, and payors to provide mitigation for any barriers/concerns that may arise. The Utilization Management RN Supervisor will be responsible for supporting positive and safe patient outcomes, employee evaluations, and customer experience.

The Value You’ll Bring To The Team

Assists Utilization Management Manager to successfully implement practice changes.
Serves as an initial point of contact for all identified stakeholders [i.e. Utilization Management staff, Physician Advisor(s), payors, leadership].
Serves as a Utilization Management content expert regarding medical necessity criteria, patient status, level of care, regulatory compliance, etc.
Performs chart reviews to validate that policy, procedure and standards are met.
Escalates operational and/or financial concerns to the Physician Advisor(s), as appropriate.

Qualifications

The expertise and experiences you’ll need to succeed:

Associate Degree in Nursing.
RN License.
Minimum three years acute care clinical nursing experience required.
2-3 years of experience in direct Utilization Management with increasing level of responsibility
Excellent interpersonal communication and negotiation skill.
Strong analytical, data management, and computer skills.
Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

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