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4 days
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$26.80/hr - $36.08/hr (Estimated)
<p>Overview Since the doors opened more than 59 years ago, UF Health Leesburg Hospital has continued to build upon its reputation as a leading medical center and the most comprehensive provider of health care services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating patients with chest pain by awarding a Chest Pain Center Accreditation with Primacy PCI and Resuscitation - its highest and best level of accreditation. The hospital also offers world-class orthopedics, minimally invasive robotic surgery, life-saving emergency care, stroke treatment, labor & delivery, and so much more. Responsibilities Under the general supervision of the Utilization Management Director, provides initial review for elective, urgent and emergent admissions including admission from UF physician offices. Ensures assignment of appropriate level of care and authorization for payment for services, and maintains an active and effective utilization management program. All duties are performed in accordance with the utilization review (UR) plan, Federal and State guidelines, as well as The Joint Commission standards. Qualifications Education · Bachelor's degree preferred Licensure/Certification/Registration o Registered Nurse (RN) with current Florida license Special Skills/Qualifications/Additional Training/Experience Required o Two years of experience performing utilization review in a hospital setting, for a third party payer or other review agency or organization. o Knowledge of diagnostic related groups (DRGs), Federal and State guidelines, commercial and other payer groups and ICD- 10-CM coding preferred. o Must possess strong written and verbal communication skills. o Ability to type and use a computer required. o Must be able to read, write, speak and understand English</p>
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