Universal Health Care for Telephonic Concurrent Review Nurse in Saint Petersburg, FL

Telephonic Concurrent Review Nurse Job Description and Responsibilities

A Telephonic Concurrent Review Nurse plays an important role in managed healthcare by ensuring patients receive the right level of care at the right time. Instead of working directly at the bedside, these nurses coordinate patient care through phone communication with hospitals, physicians, and care managers. Their primary responsibility is to review ongoing hospital cases and confirm that medical services are appropriate, effective, and delivered in the most suitable setting.

Key Responsibilities in Managed Care

Working for organizations such as Universal Health Care Group, telephonic review nurses monitor patients admitted to acute care hospitals and skilled nursing facilities. They communicate regularly with facility case managers, discharge planners, and physicians to evaluate treatment plans and ensure patients are receiving the necessary care without unnecessary hospital stays. By reviewing patient progress and coordinating discharge plans, they help healthcare providers balance high-quality treatment with efficient resource use.

This position also focuses heavily on utilization management, a process that ensures healthcare services remain both medically necessary and cost effective. Nurses review medical records, assess treatment updates, and coordinate discharge planning for members admitted both inside and outside the network. Their work helps healthcare systems maintain quality care standards while preventing delays in treatment transitions.

Qualifications and Licensing Requirements

To qualify for this role, candidates must hold an active and unrestricted RN or LPN license in the state of Florida. Employers typically require at least one to two years of experience in managed care, where nurses gain familiarity with utilization review processes and healthcare coordination. Experience using clinical review tools such as InterQual may also strengthen a candidate’s qualifications for the position.

Strong communication skills are essential because most of the job involves professional conversations with healthcare providers and care teams. Telephonic review nurses must be able to explain complex medical information clearly while listening carefully to case updates and patient details. The ability to prioritize multiple cases, track follow-up tasks, and maintain organized documentation is equally important in this fast-paced environment.

Skills for Success in Telephonic Nursing Roles

Beyond clinical knowledge, the role requires strong interpersonal abilities. Nurses must collaborate with physicians, hospital staff, and insurance teams while maintaining a professional and supportive tone. Active listening, attention to detail, and excellent customer service skills help ensure that hospitalized members receive timely care coordination and support throughout their treatment journey.

Employers often provide competitive compensation and benefits for this specialized nursing role. At Universal Health Care Group, employees may receive health, dental, and vision insurance, along with a 401(k) retirement plan and additional perks such as gym memberships. With the growing emphasis on coordinated care and cost management in healthcare systems, telephonic concurrent review nurses continue to play a vital role in improving both patient outcomes and healthcare efficiency.

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