- Actalent (Orlando, FL)
- Remote Clinical Review Nurse - Prior Authorization Location: Must be located in Central or Eastern time zones Employment Type: Full‑Time About the Role We are ... seeking an experienced Registered Nurse to join our team within a leading Managed...to gather additional information when needed. + Document all review decisions clearly, accurately, and in compliance with regulatory… more
- Molina Healthcare (Miami, FL)
- …**Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory ... and reports quality of care issues. + Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review , appropriate… more
- Evolent (Tallahassee, FL)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the… more
- Veterans Affairs, Veterans Health Administration (Lake City, FL)
- …report & record relevant patient information. Completed work should need only a general review by a registered nurse or physician (MD/DO) for appropriateness & ... Malcom Randall VAMC is recruiting for a Licensed Practical Nurse . The Licensed Practical Nurse will function...practices or procedures may be subject to closer higher-level review . GS-6: Completion of at least 1 year of… more
- HCA Healthcare (Sanford, FL)
- …growth, we encourage you to apply for our RN Cardiac Neuro East Registered Nurse opening. We review all applications. Qualified candidates will be contacted for ... career opportunities as a(an) RN Cardiac Neuro East Registered Nurse you want with your current employer? We have...to work as a(an) RN Cardiac Neuro East Registered Nurse where your passion for creating positive patient interactions… more
- HCA Healthcare (Oviedo, FL)
- …career path, we encourage you to apply for our RN Cardiac Neuro Registered Nurse opening. We review all applications. Qualified candidates will be contacted by ... **Introduction** Do you have the career opportunities as a RN Cardiac Neuro Registered Nurse you want in your current role? We invest in what matters most to… more
- HCA Healthcare (Lake Worth, FL)
- …personal growth, we encourage you to apply for our PRN Endo GI Registered Nurse opening. We review all applications. Qualified candidates will be contacted for ... PRN career opportunities as a PRN Endo GI Registered Nurse you want with your current employer? We have...want to work as a PRN Endo GI Registered Nurse where your passion for creating positive patient interactions… more
- HCA Healthcare (Largo, FL)
- …personal growth, we encourage you to apply for our PRN Home Health Registered Nurse opening. We review all applications. Qualified candidates will be contacted ... PRN career opportunities as a PRN Home Health Registered Nurse you want with your current employer? We have...want to work as a PRN Home Health Registered Nurse where your passion for creating positive patient interactions… more
- HCA Healthcare (Jacksonville, FL)
- …personal growth, we encourage you to apply for our PRN Endo GI Registered Nurse opening. We review all applications. Qualified candidates will be contacted for ... the career opportunities as a PRN Endo GI Registered Nurse you want with your current employer? We have...want to work as a PRN Endo GI Registered Nurse where your passion for creating positive patient interactions… more
- ChenMed (St. Petersburg, FL)
- …visits. Once a patient has completed their episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge ... The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients,...patient needs and services available in the community or review of their benefits. + Completes individual plan of… more