- Molina Healthcare (South Florida, FL)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare ... members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information… more
- University of Miami (Miami, FL)
- …Manager RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct initial chart ... + Adhere and perform timely prospective reviews for services requiring prior authorization + Follows the authorization process using established criteria as… 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 ... teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of… more
- CVS Health (Tallahassee, FL)
- …day. **Position Summary** The Tech I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The Tech ... or healthcare industry. Associate's or Bachelor's Degree. Pharmacy Technician License **Education** Verifiable High School Diploma, GED, or equivalent **Anticipated… more
- University of Miami (Miami, FL)
- …Bachelor's degree in relevant field Certification and Licensing: Valid Florida RN license Experience: No prior experience required Knowledge, Skills, and ... Attitudes: * Skill in completing assignments accurately and with attention to detail. * Ability to analyze, organize and prioritize work under pressure while meeting deadlines. * Ability to process and handle confidential information with discretion. * Ability… more
- HCA Healthcare (Bradenton, FL)
- …board certified + Must hold or be able to obtain an active Florida medical license and DEA prior to start + Comfortable with building a practice ... **Incentive/Benefits Package:** + Financial assistance provided by HCA + Relocation assistance available **About Blake Medical Center:** + Blake Medical Center is a 383-bed, Joint Commission accredited, tertiary hospital providing award-winning care. + Blake… more
- HCA Healthcare (Tampa, FL)
- …in family medicine + Must hold or be able to obtain an active Florida medical license and DEA prior to start + Comfortable with seeing 18-22 patients a day ... + Possess genuine empathy for the well-being of patients + Open to New Grads interested in starting their own practice **Incentive/Benefits Package:** + Financial Assistance from the hospital + Sign on Bonus + Immediately available office space + No State… more
- MyFlorida (North Port, FL)
- …+ Registered DietitianorLicensed Dietitian/Nutritionist in the State of Florida + Driver's license and transportation Preferred - + Prior experience working with ... application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure… more
- CenterWell (Tampa, FL)
- …Qualifications** + A current unrestricted Florida RN license or Social Work degree/ license + 5 years or more prior nursing, case management, disease ... management and/or social work experience + **Must reside within the Tampa, FL area** **OR** **be willing and able to travel as frequently as needed to the market clinics based on business need** + At least 2 years of team management experience + At least 2… more
- Ascension Health (Santa Rosa Beach, FL)
- …from State Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer ... Nurse credentialed from the Florida Board of Nursing obtained prior to hire date or job transfer date. Licensed...to hire date or job transfer date. Valid state license required for associates working in Alabama clinics. Education:… more