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Tampa General Hospital

Remote Job Openings at Tampa General Hospital (6)

Case Manager, RN- Utilization Review

United States 2-5 yrs exp Healthcare

The Case Manager validates patient placement using medical necessity criteria and manages concurrent reviews to ensure appropriate level of care. They also collaborate with payers to secure authorizations and partner with providers to facilitate cost-effective patient care.

Manager, Utilization Review

United States 5-10 yrs exp Others

Manages the daily activities of utilization review nurses and case management extenders to ensure effective payer communication and timely progression of care. Leads departmental performance improvement initiatives and collaborates with hospital leadership to optimize revenue and denial management processes.

Budget & Coverage Analyst - Clinical Research

United States 2-5 yrs exp Healthcare

The analyst creates coverage analyses and internal budgets for clinical research studies while identifying funding gaps. They also conduct budget negotiations with industry sponsors and ensure compliance with relevant billing rules.