- Datavant (Tallahassee, FL)
- …of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of...as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered… more
- Actalent (Orlando, FL)
- Clinical Review Nurse - Concurrent Review ...with 2-4 years of related experience + Required Licensure: LPN / LVN or RN - Compact State License + ... with providers to approve or recommend determinations based on review findings + Educate providers on utilization ...on review findings + Educate providers on utilization processes to ensure high-quality care + Support denial… more
- Elevance Health (Miami, FL)
- … utilization review experience. + Current active, valid and unrestricted LPN / LVN or RN license and/or certification to practice as a health professional ... not require the training or skill of a registered nurse . **How You Will Make an Impact** Primary duties...Previous clinical experience at a skilled nursing facility or utilization management experience strongly preferred. Please be advised that… more
- Evolent (Tallahassee, FL)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical /Vocational Nurse with a current, ... for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification...precertification and prior approvals. Tasks are performed within the **RN/ LVN / LPN ** scope of practice, under the Medical… more