- 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 ... reviews for 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
- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the healthcare… more
- Molina Healthcare (Tampa, FL)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
- Humana (Tallahassee, FL)
- …**Use your skills to make an impact** **Required Qualifications** + Active enhanced Registered Nurse , (eNLC) license ( RN ) with no disciplinary action. ... + Ability to obtain multiple state registered nurse license + Minimum three, (3),...**Preferred Qualifications** + Bachelor's degree + Previous experience in prior authorization , claims, and/or utilization management in… more
- Molina Healthcare (Jacksonville, FL)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... a compact licensure. The ideal candidate will have experience with UM and prior authorization , within both Physical Health and Behavioral Health. Candidates with… more
- Mayo Clinic (Jacksonville, FL)
- …+ Retirement: Competitive retirement package to secure your future. **Responsibilities** The registered nurse ( RN ) is accountable for the coordination ... entry-level associate degree registered nurses with a RN start date prior to April 1,...from each new employee's Form I-9 to confirm work authorization . **Recruiter** Jemica Archer **Equal opportunity** As an Affirmative… more
- Mayo Clinic (Jacksonville, FL)
- …+ Retirement: Competitive retirement package to secure your future. **Responsibilities** The registered nurse ( RN ) is accountable for the coordination ... entry-level associate degree registered nurses with a RN start date prior to April 1,...from each new employee's Form I-9 to confirm work authorization . **Recruiter** Emily Corey **Equal opportunity** As an Affirmative… more
- Mayo Clinic (Jacksonville, FL)
- …+ Retirement: Competitive retirement package to secure your future. **Responsibilities** The registered nurse ( RN ) is accountable for the coordination ... entry-level associate degree registered nurses with a RN start date prior to April 1,...from each new employee's Form I-9 to confirm work authorization . **Recruiter** Casie Johnson **Equal opportunity** As an Affirmative… more
- Mayo Clinic (Jacksonville, FL)
- …+ Retirement: Competitive retirement package to secure your future. **Responsibilities** The registered nurse ( RN ) is accountable for the coordination ... * In the PACU (Post Anesthesia Care Unit), the nurse will provide care for post-op patients recovering from...entry-level associate degree registered nurses with a RN start date prior to April 1,… more
- Mayo Clinic (Jacksonville, FL)
- …with Jennifer Lowery by clicking the following link: https://outlook.office365.com/book/###@mayo.edu/ * The registered nurse ( RN ) is accountable for the ... entry-level associate degree registered nurses with a RN start date prior to April 1,...from each new employee's Form I-9 to confirm work authorization . **Recruiter** Jennifer Lowery **Equal opportunity** As an Affirmative… more