- Centene Corporation (Tallahassee, FL)
- …a fresh perspective on workplace flexibility. **Centene is Hiring - Remote Clinical Review Nurse (Prior Authorization)!** **Ready to take your nursing career ... leader in managed care** **What we're looking for:** + ** RN or LPN with a compact license** + **Experience...with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure ... staff to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing… more
- Community Health Systems (Naples, FL)
- …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical condition… more
- AdventHealth (Ocala, FL)
- …Practice Evaluation is responsible for facilitating the medical staff Peer Review , Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice ... This includes the analysis of events that require peer review and the examination of medical records as identified...excel formulas including vila cups BLS, preferred. Current Florida RN License This facility is an equal opportunity employer… more
- Ascension Health (Pensacola, FL)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Florida Board of Nursing ... obtained prior to hire dateor job transfer date required. Licensed as a Registered Nurse in Florida required. Credentialed from State Board ofNursing or current… more
- HCA Healthcare (Bradenton, FL)
- …next step in your career path, we encourage you to apply for our RN Registered Nurse ER opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a RN Registered Nurse ER you...medications and treatment instructions. + You will maintain and review patients' records including posting tests and examination results.… more
- HCA Healthcare (Jacksonville, FL)
- …step in your career path, we encourage you to apply for our Registered Nurse RN opening. We review all applications. Qualified candidates will be ... **Description** **Introduction** Do you have the career opportunities as an Acute Care ** Registered Nurse ( RN )** you want in your current role? We invest in… more
- ChenMed (Largo, FL)
- …great people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse ( RN ) who works with our highest complexity patients, their ... has completed their episode of care management the register nurse ( RN ) will review patient...a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in… more
- HCA Healthcare (Bradenton, FL)
- …step in your career path, we encourage you to apply for our RN Registered Nurse CVOR opening. We review all applications. Qualified candidates will be ... **Description** **Introduction** Do you have the career opportunities as a RN Registered Nurse CVOR you want in your current role? We invest in what matters… more
- HCA Healthcare (St. Petersburg, FL)
- …is your next step in your career path, we encourage you to apply for our Registered Nurse ER opening. We review all applications. Qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse ER you want in your...medications and treatment instructions. + You will maintain and review patients' records including posting tests and examination results.… more