- 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
- Actalent (Sunrise, FL)
- …to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing ... Utilization Management Nurse !Job Description The Utilization Management Nurse ...between the Medical Director, physicians, and office staff, resolving prior authorization issues. + Communicate denial determinations… 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
- 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** Jorida Musta **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** Alexis DiRosa **Equal opportunity** As an Affirmative… 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
- Mayo Clinic (Jacksonville, FL)
- …+ Retirement: Competitive retirement package to secure your future. **Responsibilities** The registered nurse ( RN ) coordinates nursing care including ... 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** Jorida Musta **Equal opportunity** As an Affirmative… more