- University of Miami (Miami, FL)
- …Review Case Manager RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct ... medical necessity and identify the need for authorization . The nurse coordinates with the healthcare...Adhere and perform timely prospective reviews for services requiring prior authorization + Follows the authorization… more
- Molina Healthcare (Jacksonville, 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
- 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
- Humana (Tallahassee, FL)
- …a team **Preferred Qualifications** + Bachelor's degree + Previous experience in prior authorization , claims, and/or utilization management in healthcare, health ... state registered nurse license + Minimum three, (3), years of Medical Surgery, Heart, Lung, maternity/obstetrics, or Critical Care Nursing experience required + … 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)
- …to unpredictable situations within the work setting. Computer skills required, prior experience with electronic medical record systems preferred. Demonstrated ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- CVS Health (Tallahassee, FL)
- …At least 1 year of Utilization Management experience in concurrent review or prior authorization . + Strong decision-making skills and clinical judgment in ... Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care… more