Hybrid RN: Denials & Utilization Review Specialist

BayCare Health System in Tampa, FL is seeking a Denials Specialist RN - Utilization Review to review payor and hospital denials, determine medical necessity, and coordinate timely appeals. This full-time, hybrid role collaborates with Physician Advisors, Registration, Central Business Office, Central Authorization Unit and Coding to resolve billing issues. The position requires RN licensure (ASN with 4 years or BSN with 2 years), UR or care coordination experience, and preferred CCM/ACC M