Utilization Review Team Lead

BayCare
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Job Details

  • Location: Saint Petersburg, FL, 33739
  • Date Posted: 2025-11-07
  • Employment Type: Full Time
  • Category: Other
  • Req Number: 102360
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Description

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.

 

The Team Lead Utilization Review responsibilities include:

  • 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

 

 

Certifications and Licensures:

  • Required RN (Registered Nurse)
  • Preferred ACM (Case Management)
  • Preferred CCM (Case Manager)

 

Education:

  • Required Associates in Nursing or
  • Preferred Bachelors in Nursing

 

Experience:

  • Required 3 years in Utilization Management or
  • Required 3 years in Case Management or
  • Required 6 years in Clinical Nursing

 

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