Utilization Review Nurse
COMPANY OVERVIEW:
HealthAxis is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators. We are transforming the way healthcare is administered by providing innovative technology and services that uniquely solve critical healthcare payer challenges negatively impacting member and provider experiences.
We live and work with purpose, care about others, act with integrity, communicate with transparency, and don’t take ourselves too seriously.
We're not just about business – we're about people. Our commitment to a people-first approach shapes everything we do, from collaborating as a team to serving our valued clients. We believe that creating a vibrant and human-centric environment can inspire engagement, empower our team members, and ignite a sense of purpose in all that we accomplish.
PURPOSE AND SCOPE:
The Utilization Review Nurse is responsible for the medical necessity review of outpatient services that require prior authorization, and/or management of concurrent inpatient admissions. The medical necessity review process includes assessment and interpretation of plan specific benefits, medical criteria, and clinical documentation.
PRINCIPAL RESPONSIBILITIES AND DUTIES:
Performs prospective, concurrent, and retrospective inpatient and/or outpatient utilization reviews (UR) using evidence-based guidelines, policies and nationally recognized clinical criteria, and internal policies and procedures.
Evaluates severity of illness and intensity of service of member’s needs at time of inpatient admission utilizing approved criteria.
Triage and prioritize cases and other assigned duties to meet CMS turnaround time standards.
Prepare and escalate cases to MDs for review when appropriate.
Demonstrates effective communication methods and skills, using lines of authority appropriately.
Establishes a relationship with providers to determine/provide needed services to member.
Maintains accurate record of UR activities.
Regular attendance is required as employee works as part of a team & requires interaction with medical staff and clients.
Adheres to quality standards and confidentiality policies and procedures.
Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.
Adapts to changes in policies, procedures, new techniques, and additional responsibilities.
CUSTOMER SERVICE:
Responsible for driving the HealthAxis culture through values and customer service standards.
Accountable for outstanding customer service to all external and internal contacts.
Develops and maintains positive relationships through effective and timely communication.
Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
EDUCATION, EXPERIENCE AND REQUIRED SKILLS:
Licensed RN or LPN required.
Minimum of two to three years varied clinical experience required.
Managed care experience preferred.
An equivalent combination of education, training, and experience.
Ability to read and interpret documents and calculate figures and amounts.
Excellent oral and written communication skills including good grammar, voice and diction.
Proficient in MS Office with basic computer and keyboarding skills.
Excellent customer service skills (friendly, courteous and helpful).
InterQual experience helpful.
Average salary estimate
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As a Utilization Review Nurse at HealthAxis in sunny Tampa, you'll play a crucial role in ensuring that our outpatient services really hit the mark when it comes to quality and necessity. At HealthAxis, which is at the forefront of the healthcare industry with our innovative CAPS technology and business process solutions, we believe in the power of people. This means your contributions as a Utilization Review Nurse are not just numbers on a balance sheet—they’re part of a mission to transform healthcare experiences for both patients and providers alike. You’ll be conducting reviews that involve looking at outpatient services that need prior authorization, evaluating medical documentation, and ensuring compliance with healthcare regulations. Your expertise will guide how cases are approached, assessed, and escalated to the medical team, so your clinical experience will be invaluable. You're not just a cog in the wheel; you’ll help establish strong relationships with providers, contributing to collaborative solutions that drive healthcare forward. Being a part of our vibrant team means you’ll also engage in a culture that prioritizes excellent customer service, communication, and proactive problem-solving. With a strong focus on making healthcare kinder and more efficient, your role as a Utilization Review Nurse is essential to fulfilling that vision! If you’re ready to be part of a people-first approach in healthcare, then this is the place for you!
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