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AdventHealth Careers for VeteransUtilization Management Specialist
Tampa, FL

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

  • Benefits from Day One

  • Paid Days Off from Day One

  • 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

Location: 3100 East Fletcher Avenue Tampa, Florida 33613

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 (UM) Specialist works under the direction of the Utilization Management Manager and supports the Utilization Management team with Emergency, Observation and Inpatient visits. The UM Specialist is responsible for providing clerical assistance to the Utilization Management Nurses (UM RN) to assist with verification of benefits, authorization procurement and other assigned tasks as needed. The UM Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (i.e. Physicians, Care Managers, Social Workers, etc.) or interdependent departments (i.e. Patient Access, Billing, etc.) to ensure unnecessary delays in patient care, discharge or billing.

The value you’ll bring to the team:

  • Coordinates and supports clerical and administrative activities of the Utilization Management team

  • Collaborates and communicates with payor via phone, fax or payor portal

  • Submits clinical reviews to payors

  • Provides information to payors supporting admission /continued stay

  • Manages requests submitted from payors

  • Provides discharge dates to payors

  • Submits copies of UM activities to payors, as needed

  • Tracks and monitors requests through EMR

  • Ensures incoming requests are responded to promptly and accurately

  • Obtains and enters authorization numbers from payors

The expertise and experiences you’ll need to succeed :

  • Minimum qualifications :

  • High School diploma or GED

  • Two (2) years’ experience in Patient Access, Revenue Cycle Operations, Pre-Access, or related department.

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.

Category: Case Management

Organization: AdventHealth West Fl Division

Schedule: Full-time

Shift: 1 - Day

Req ID: 24000841

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

Job Snapshot

  • Job Schedule: Full-time

    Pay Range: $16.26 - $24.394

  • Location: Tampa, FL

  • Job ID: 24000841

  • Job Family: Case Management

  • Shift: 1 - Day

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