- Molina Healthcare (St. Petersburg, FL)
- …**Required Education** Completion of an accredited Licensed Registered Nurse ( RN ), Licensed Vocational Nurse ( LVN ), or Licensed Practical Nurse ... role must complete courses required to obtain licensure in all states. + Utilization Review Lead responsibilities also include but not limited to, collaborate… more
- Molina Healthcare (Tampa, FL)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- Elevance Health (Tampa, FL)
- … utilization review experience. + Current active, valid and unrestricted LPN/ LVN or RN license and/or certification to practice as a health professional ... do not require the training or skill of a registered nurse . **How you will make an...states. **Preferred Skills, Capabilities and Experience:** + Experience in Utilization Management and/or Long Term Care Services Strongly Preferred.… more