- Prime Therapeutics (Tallahassee, FL)
- …and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description** Under supervision, is responsible for performing ... Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt...in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. + At minimum must… more
- 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 ...standardized Review Criteria. + Coordinate with the Medical Director/Physicians for requests outside standard Review … more
- Centene Corporation (Tallahassee, FL)
- …flexibility. **Must Reside in Florida!** **Centene is Hiring!** **We're looking for a Remote Concurrent Review Nurse to support our Medicaid team.** ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Centene Corporation (Tallahassee, FL)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... Required **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance… more
- University of Miami (Medley, FL)
- …. The Telehealth Nursing Department has an exciting opportunity for a Licensed Practical Nurse (LPN). This position is not remote . The LPN: + CORE JOB ... FUNCTIONS + Collects patient assessment data and notifies appropriate nurse of actual or potential problems and needs on an ongoing basis. + Records patient… more
- AdventHealth (Altamonte Springs, FL)
- … Remote **The role youll contribute:** A Workers Comp Support Registered Nurse is responsible for providing telephonic medical case management for Workers ... written consent required, and NC: must be registered rehab nurse with NCIC) + Reports directly to the WC... treatment plan based on data collected through telephonic medical interview, assessment and review of … more
- Cardinal Health (Tallahassee, FL)
- …life-changing therapies to patients who need them-faster.** **_Job Summary_** The Nurse , Individualized Care promotes high-quality patient care and treatment through ... the products and treatments of a small number of pharmaceutical clients, the Nurse receives inbound calls from patients and schedules outbound calls for patients who… more
- Molina Healthcare (FL)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied ... _For this position we are seeking a (RN) Registered Nurse who must be licensed for the state of...specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long… more
- University of Miami (Miami, FL)
- …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Up to ... Miami Hospital + This is an onsite position. Not remote . + Provides for patients' personal hygiene by giving...and equipment. + Reports patient conditions to the assigned nurse to ensure professional assessment. + Measures and records… more
- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. **Position Summary** This is a fully remote role open to candidates with an active RN licensure in the state in which they ... time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all aspects of… more
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