- Actalent (Sunrise, FL)
- …staff to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, ... Utilization Management Nurse !Job Description The Utilization Management Nurse ... Medical Director, physicians, and office staff, resolving prior authorization issues. + Communicate denial determinations… more
- Molina Healthcare (Tampa, FL)
- …and its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
- Mayo Clinic (Jacksonville, FL)
- …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- Mayo Clinic (Jacksonville, FL)
- …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- Mayo Clinic (Jacksonville, FL)
- …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- Actalent (Sunrise, FL)
- …patient satisfaction, safety, and appropriate length of stay. Responsibilities + Review prior authorization requests for medical necessity and ... Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse...Medical Director, physicians, and office staff to resolve authorization issues. + Communicate denial determinations to providers when… more
- CVS Health (Tallahassee, FL)
- …4 hours a day working with providers to secure additional information for prior authorization review. This candidate will utilize clinical skills to coordinate, ... EST, Monday-Friday.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS...management) experience within an **outpatient** setting, concurrent review or prior authorization . + 5 years of a… more
- WestCare Foundation (Marathon, FL)
- Registered Nurse Job Details Job Location Marathon - 3000 41st Ocean 1 - Marathon, FL Position Type Part Time Education Level 2 Year Degree Salary Range $37.45 - ... $37.45 Hourly Travel Percentage Negligible Job Category Nurse Description Position Summary: Person in this position will be responsible for providing professional… more
- Mayo Clinic (Jacksonville, FL)
- …can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for ... Competitive retirement package to secure your future. **Responsibilities** Mayo Clinic nurse scientists conduct clinically based research to improve the health and… more
- Mayo Clinic (Jacksonville, FL)
- …requirement program in place at time of hire. Computer skills required, prior experience with electronic medical record systems preferred. Demonstrated knowledge ... long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or...associate degree registered nurses with a RN start date prior to April 1, 2020 must provide documented evidence… more