Utilization Review Coordinator jobs in Saint Petersburg, FL

Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

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Advisor, Supervision – Communications Review (Remote)
  • Raymond James Financial, Inc.
  • Saint Petersburg, FL FULL_TIME
  • Advisor, Supervision – Communications Review (Remote) -2401176

    Description


    Department Overview:

    Raymond James Financial is a Florida-based diversified holding company, headquartered in St. Petersburg, FL. Raymond James provides financial services to individuals, corporations and municipalities through its subsidiary companies engaged primarily in investment and financial planning, in addition to capital markets and asset management.

    The Supervision department partners closely with the business to proactively mitigate risk. Our department supports business units by managing activity/account reviews, product oversight, escalation/approvals and governance guided by specialized knowledge. Supervision is committed to supporting and protecting clients and the firm while preserving our culture, and adhering to our core values of client first, conservatism, independence and integrity.

    At Raymond James, we are putting the power of perspectives into action and building an inclusive and diverse workforce that reflects our commitment to associates, and clients of the future. Our company values associate development and growth, offering opportunities through developmental programs, mentorships, and continuing education options.


    Job Summary:

    The Communications Review Team consists of the advertising, hard copy correspondence review, social media and e-mail review teams. The advisor for this team will administer and analyze various communication reviews and content to ensure compliance with regulatory expectations and firm policies and procedures. Escalates and partners with senior advisors and management team for highly sensitive or complex issues.

    Some guidance is provided to perform varied work that is somewhat difficult in nature and that requires evaluation, originality and ingenuity to make moderately complex decisions. Resolves or recommends solutions to complex problems. Leads defined work or projects of moderate scope and complexity. Maintains extensive contact with internal customers to identify, research, and resolve problems.


    Essential Duties and Responsibilities:

    • Conducts supervision review of communications, through the use of various reports and systems.
    • Interfaces with divisional leadership to inform them of any supervisory concerns that may arise with branch office managers/FAs and works together with them to address these concerns as well as to resolve any conflicts that may arise.
    • Monitors and keeps up to date with regulations regarding communications and applies them accordingly.
    • Assists in researching Supervision issues.
    • Assists in developing training programs, including maintaining training records and coordinating training with functions.
    • Prepares and delivers written and oral presentations to business units.
    • May participate in the formation of policies related to compliance.
    • Performs other duties and responsibilities as assigned.

    Qualifications


    Knowledge, Skills, and Abilities:

    Knowledge of:

    • Investments and trading, securities industry regulations, and client suitability (all at a level consistent with the requirement of Series 24 licensing).
    • Company’s working structure, policies, mission, and strategies.
    • General office practices, procedures, and methods.

    Skill in:

    • Operating standard office equipment and using required software applications to produce correspondence, reports, electronic communication, spreadsheets, presentations, and databases.
    • Critical thinking and decision-making, involving the interpretation of regulatory rules and compliance policies.
    • Detail orientation to ensure the regulatory liability is limited, without impairing workflow.
    • Utilizing business-appropriate phone manners.

    Ability to:

    • Independently manage and complete multiple projects and tasks; work independently with minimal direct supervision.
    • Use appropriate interpersonal styles and communicate effectively and professionally, both orally and in writing, with all organizational levels including branch managers/FAs.
    • Establish and communicate clear directions and priorities.
    • Provide a high level of customer service.

    Educational/Previous Experience Recommendations:

    • Bachelor’s degree (B.A) in a related discipline and a minimum of two (2) years of experience in Supervision and/or the financial services industry.

    ~or~

    • Any equivalent combination of experience, education, and/or training approved by Human Resources.

    Licenses/Certifications:

    • Appropriate series license(s) for assigned functional area preferred or the ability to obtain within an established timeframe.
    • SIE required provided that an exemption or grandfathering cannot be applied.
    • Required to have a Series 7, 24 and 65, 63. Series 66 can be obtained instead of 63/65.
    • Additional licenses/certifications demonstrating the candidate’s knowledge/expertise in industry regulation and concepts preferred.

    Raymond James Guiding Behaviors
    At Raymond James our associates use five guiding behaviors (Develop, Collaborate, Decide, Deliver, Improve) to deliver on the firm's core values of client-first, integrity, independence and a conservative, long-term view.

    We expect our associates at all levels to:
    • Grow professionally and inspire others to do the same
    • Work with and through others to achieve desired outcomes
    • Make prompt, pragmatic choices and act with the client in mind
    • Take ownership and hold themselves and others accountable for delivering results that matter
    • Contribute to the continuous evolution of the firm
    At Raymond James – as part of our people-first culture, we honor, value, and respect the uniqueness, experiences, and backgrounds of all of our Associates. When associates bring their best authentic selves, our organization, clients, and communities thrive. The Company is an equal opportunity employer and makes all employment decisions on the basis of merit and business needs.
    Job Compliance
    Primary Location US-FL-St. Petersburg-Saint Petersburg
    Organization Supervision
    Schedule Full-time
    Shift Day Job
    Travel Yes, 5 % of the Time

    Salary Range: CO, CA, DC, HI, IL, NJ, NY, WA (based on Education, Work Experience, and Geographic Location) $70,000- $80,000
    Eligible for Discretionary Bonus Yes
    #LI-AF1
  • 19 Days Ago

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Advisor, Supervision – E-Comm Review (Hybrid)
  • Raymond James Financial, Inc.
  • Saint Petersburg, FL FULL_TIME
  • Advisor, Supervision – E-Comm Review (Hybrid)-2401413 Description Department Overview: Raymond James Financial is a Florida-based diversified holding company, headquartered in St. Petersburg, FL. Raym...
  • 1 Day Ago

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CME Coordinator
  • Johns Hopkins Medicine
  • Petersburg, FL FULL_TIME
  • Continuing Medical Education Johns Hopkins All Children's Hospital is a premiere clinical and academic health system, providing expert pediatric care for infants, children and teens with some of the m...
  • 15 Days Ago

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Project Coordinator
  • Floor Coverings International of St Petersburg
  • Saint Petersburg, FL FULL_TIME
  • Our unique shop-at-home model allows customers to get perfect new floors without leaving their home and our 350,000 customers give us an average of 4.8 star rating. That's a big reason why we are grow...
  • 16 Days Ago

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Procurement coordinator
  • Power Design
  • Saint Petersburg, FL FULL_TIME
  • About the Position Step into the rewarding role of a Procurement Coordinator, where your attention to detail and problem-solving skills will help us reach new heights across skylines nationwide! In th...
  • 17 Days Ago

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Move-in Coordinator
  • Lake Seminole Square
  • Seminole, FL FULL_TIME
  • Move-in Coordinator - $24 an hour, plus incentives Lake Seminole Square is recruiting for a hospitality focused Move-In Coordinator to join our team! The Move-In Coordinator works in accordance with t...
  • 18 Days Ago

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0 Utilization Review Coordinator jobs found in Saint Petersburg, FL area

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Coordinator, Front Desk
  • Cano Health
  • Tampa, FL
  • It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best p...
  • 4/25/2024 12:00:00 AM

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Operations Assistant (Tampa)
  • Premier Trailer Leasing
  • Tampa, FL
  • Description Are you looking for a forward focus environment where you are continually challenged, and the atmosphere is ...
  • 4/25/2024 12:00:00 AM

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Medical Receptionist
  • ChenMed
  • Saint Petersburg, FL
  • We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you in...
  • 4/24/2024 12:00:00 AM

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Senior Civil Engineer - Project Manager - Land Development
  • Halff
  • Tampa, FL
  • Senior Civil Engineer - Project Manager - Land Development - Tampa, FL Halff has an immediate full-time opportunity for ...
  • 4/23/2024 12:00:00 AM

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Heavy Civil Construction Assistant Project Manager
  • Watson Civil Construction, Inc.
  • Valrico, FL
  • Watson Civil Construction, Inc. is a heavy/highway contractor specializing in FDOT projects, large site infrastructure, ...
  • 4/23/2024 12:00:00 AM

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Medical Receptionist
  • PREMIER HEALTH CARE INC
  • Saint Petersburg, FL
  • Job Description Job Description We are a busy primary care physician's office actively looking for an experienced indivi...
  • 4/22/2024 12:00:00 AM

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Overhead Distribution Foreperson with CDL- ULCS Region 121
  • Ulcs Llc
  • Largo, FL
  • ** Utility Lines Construction Services, LLC - 121** ** Overhead Distribution Foreperson with CDL- ULCS Region 121** Larg...
  • 4/21/2024 12:00:00 AM

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Heavy Civil Construction Project Manager
  • Watson Civil Construction, Inc.
  • Valrico, FL
  • Watson Civil Construction, Inc. is a heavy/highway contractor specializing in FDOT projects, large site infrastructure, ...
  • 4/21/2024 12:00:00 AM

St. Petersburg is a city in Pinellas County, Florida, United States. As of the 2015 census estimate, the population was 257,083, making it the fifth-most populous city in Florida and the largest in the state that is not a county seat (the city of Clearwater is the seat of Pinellas County). St. Petersburg is the second-largest city in the Tampa Bay Area, after Tampa. Together with Clearwater, these cities comprise the Tampa–St. Petersburg–Clearwater Metropolitan Statistical Area, the second-largest in Florida with a population of around 2.8 million. St. Petersburg is located on the Pinellas pen...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$76,434 to $94,682
Saint Petersburg, Florida area prices
were up 1.1% from a year ago

Utilization Review Coordinator in Fort Lauderdale, FL
Some review coordinator positions require that professionals have training and experience within a more specific field.
January 10, 2020
Utilization Review Coordinator in Asheville, NC
Schick Shadel Hospital is seeking a part-time (20 hours per week) Utilization Review Coordinator (UR Coordinator) to help oversee and perform the process of utilization review to ensure appropriate reimbursement by third party payers.
January 04, 2020
Utilization Review Coordinator in Jacksonville, FL
Excellent benefits, pay, small on-site employee gym, wonderful co-workers and managersFull Review.
January 04, 2020