- Centene Corporation (Tallahassee, FL)
- …workplace flexibility. **Centene is Hiring - Remote Clinical Review Nurse (Prior Authorization )!** **Ready to take your nursing career beyond the bedside? Join ... for:** + **RN or LPN with a compact license** + **Experience in prior authorization (managed care or clinical setting)** **Make your nursing background count in a… more
- University of Miami (Miami, FL)
- …RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct initial chart reviews for ... medical necessity and identify the need for authorization . The nurse coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding… more
- Centene Corporation (Tallahassee, FL)
- …Saturday 8A-5PM Florida Residency Required **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate ... of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with… more
- Option Care Health (Tallahassee, FL)
- …talent in healthcare. **Job Description Summary:** Submits accurate and timely authorization requests to ensure proper reimbursement for patient services. This role ... importance and/or time spent)** + Submit accurate and timely authorization requests to insurance companies and payers + Ensure...and eligibility for services + Monitor the status of authorization requests and follow up as needed + Ensure… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote Position ... Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an industry leader in both the… more
- University of Miami (Miami, FL)
- …initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the healthcare ... for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable for a designated patient caseload and… more
- Surgery Care Affiliates (Belleair Beach, FL)
- …inspire change. If you join our team, they will. Responsibilities The Authorization Supervisor will provide direct support for the team that verifies insurance ... for office visits, procedures, and elective surgeries. Responsibilities for Authorization Supervisor + Coordinates, supervises and is accountable for providing… more
- BAE Systems (Jacksonville, FL)
- …Site. Duties and responsibilities will include: Maintains and coordinates the Work Authorization Form process; Ensures that all trades and subcontractors abide by ... CFR 1915 (OSHA), and company policies and procedures. Verifies that all Work Authorization Forms are generated in the technically proper manner and filled out… more
- BayCare Health System (Clearwater, FL)
- …two 8 hour shifts weekly) + **Days:** Monday through Friday This Central Authorization Specialist II opportunity is a PRN ( **non-benefit eligible** ) remote ... training, the team member will work PRN).** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying health insurance information… more
- Option Care Health (Tallahassee, FL)
- …Summary:** This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected speed and ... quality **Job Description:** **Job Responsibilities** + Processes benefit verification or authorization for all new referrals with speed and accuracy. + Assist… more