- J&J Family of Companies (Jacksonville, FL)
- …duties may be assigned. + Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding ... + Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes) + Ability to establish… more
- Florida Atlantic University (Boca Raton, FL)
- …and other facilities personnel. + Execute health and safety inspections for the residence hall. + Review on-call reports and incident reports daily and provide ... consideration and need not reapply. This position may close without prior notice. APPLICATION DOCUMENTS REQUIRED: Resume OFFICIAL SEALED TRANSCRIPTS REQUIRED: Final… more
- CVS Health (Tallahassee, FL)
- …Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum 5 years of relevant experience in Nursing. + ... least 1 year of Utilization Management experience in concurrent review or prior authorization. + Strong decision-making skills and clinical judgment in independent… more
- CVS Health (Tallahassee, FL)
- …for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and eligibility status. ... the subsequent care continuum until member can return to prior level of functioning in the community + Utilizes...Compact Licensed Practical Nurse (LPN) License in state of residence + 3+ years of Licensed Practical Nurse (LPN)… more
- Northwest Florida Community Hospital (Chipley, FL)
- …promise of "Your Health Our Mission", where we get to know our patients and residence , care for them, and ease their way. Working at our organization means that ... charts per unit policy. Checks each chart for completeness prior to releasing record to health information. . Must...criminal history check and screening for illegal drug use prior to appointment for a job. Final confirmation of… more
- Actalent (Orlando, FL)
- …company's Pharmacy Services department. The primary role involves reviewing Prior Authorizations for medications, making initial approval or denial decisions, ... Skills & Qualifications + Registered pharmacy technician in the state of residence . + Nationally Certified Technician is a plus; required for some supervisory… more
- Actalent (Orlando, FL)
- …Job Description We are seeking a dedicated Pharmacy Technician to review Prior Authorizations for a Pharmacy Services department within a large healthcare insurance ... Skills + Registered Pharmacy Technician in the state of residence . + High School diploma or GED. + Current...skills, including proficiency in Microsoft Office. + Experience with prior authorization processes. + Customer service and data entry… more
- CVS Health (Tallahassee, FL)
- …for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and eligibility status. ... the subsequent care continuum until member can return to prior level of functioning in the community. - Utilizes...and unrestricted Licensed Practical Nurse (LPN) in state of residence - Must possess compact LPN licensure - 2… more
- Ascension Health (St. Johns, FL)
- …American Heart Association or American Red Cross accepted. + Registered Nurse obtained prior to hire date or job transfer date required. Must have compact RN ... or state RN license relevant to travel assignment location prior to start of assignment. Education: + Diploma from...eligible for sites over 50+ miles from their permanent residence . Partner with Recruitment to learn more. \#ATP **Why… more
- Ascension Health (Pensacola, FL)
- …Tech credentialed from the Nuclear Medicine Technology Certification Board (NMTCB) obtained prior to hire date or job transfer date. NMTCB(CT) Computed Tomography ... from the American Registry of Radiologic Technologists (ARRT) obtained prior to hire date or job transfer date. Education:...eligible for sites over 50+ miles from their permanent residence . Partner with Recruitment to learn more. \#ATP **Why… more