- Actalent (Sunrise, FL)
- …satisfaction, safety, and appropriate length of stay. Responsibilities + Review prior authorization requests for medical necessity and appropriateness using ... Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse...with the interdisciplinary team to perform reviews of service authorization requests, ensuring the utilization of appropriate services. The… more
- Molina Healthcare (FL)
- …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- HCA Healthcare (Tampa, FL)
- …to qualify patients for current or continued care needs, obtaining pre-admission authorization prior to admission.** **Requirements:** + **Must be licensed as ... **Introduction** Do you have the career opportunities as a RN Psych Intake Specialist you want in your current...a RN , LCSW, LMHC or LMFT in accordance with state… more
- Walmart (Orlando, FL)
- …qualifications for this position. If none are listed, there are no minimum qualifications._ Registered Nurse ( RN ) Licensure in state of practice 1 year's ... adherence by addressing barriers and coordinating with prescribers, pharmacists, and prior authorization teams. + Monitor patient health status, assess… more
- Centene Corporation (Tallahassee, FL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... of care and services are medically appropriate + Performs prior authorization reviews related to mental health...Care only: LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $26.50 - $47.59 per hour… more
- Allegro Management Company Llc (Parkland, FL)
- …use of purchase order system and budget control procedures (including appropriate prior authorization on capital expenditure purchases). + Supervise the Care ... Where Clinical Excellence Meets Elegant Living Are you a nurse leader with a heart for seniors and a...Bring: + A valid FL Nursing License (LPN or RN ) + Strong clinical skills & a love for… more
- Evolent (Tallahassee, FL)
- …Managers to ensure successful adoption and engagement of Evolent's solutions (ie, prior authorization , clinical pathways) to ensure timely patient access to ... and/or practice transformation + Highly preferred oncology clinical experience (ie, RN , NP) + Must demonstrate knowledge of healthcare delivery operations,… more
- AdventHealth (Orlando, FL)
- …role you'll contribute:** The Mission Control RN Tier 1 is a professional registered nurse functioning withing Mission Control in one of three primary roles. ... and/or nursing units for AdventHealth. . The Mission Control RN is a highly trained professional with independent decision-making...State of Florida or multi state license as a Registered Nurse . Graduate of school of Nursing… more
- Baylor Scott & White Health (Tallahassee, FL)
- …least (3) three years of professional experience is required. + You must hold a valid Registered Nurse License ( RN ). As a health care system committed to ... based on position type and/or level **Job Summary** As the Utilization Review RN you will review patient cases for medical necessity and establish service… more
- Mayo Clinic (Jacksonville, FL)
- …(LPN) provides nursing care to assigned patients under the direct supervision of the registered nurse ( RN ) or other assigned supervisor and accepts ... delegation from the RN /assigned supervisor in meeting the needs of the patient/family....Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability… more