- Molina Healthcare (Orlando, FL)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... least 2 years experience, including experience in hospital acute care , inpatient review , prior authorization, managed ...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (FL)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... or emergency room. Preferred Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization...experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Molina Healthcare (Tampa, FL)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- HCA Healthcare (Kissimmee, FL)
- …you to apply for our Registered Nurse RN Wound Care PRN opening. We promptly review all applications. Highly qualified candidates will be contacted ... care like family! Jump-start your career as a(an) Registered Nurse RN Wound ...clinician education activities related to wound and skin care . Job Requirements: + Associates Degree in Nursing or… more
- HealthTrust Workforce Solutions (Jacksonville, FL)
- …Our partnering facility is seeking a qualified Registered Nurse ( RN )- Vascular Access- Full Time clinician . HealthTrust Offers: + Customizable Pay ... **Entrust Your Career to HealthTrust!** ** Registered Nurse ( RN ) -...responsible for the anticipation, planning, coordination, and provision of care for the patient while performing and monitoring the… more
- BayCare Health System (Largo, FL)
- … Supervisor **Home Health RN Requirements:** + BLS (Basic Life Support) + RN ( Registered Nurse ) License + Driver's License State of Florida (Florida ... Care is seeing a skilled **Home Health Field, RN ** to join our team who is passionate about...Required Associate's or Diploma Nursing + Required 1 year Registered Nurse + _Preferred_ Bachelor's Nursing +… more
- Centene Corporation (Tallahassee, FL)
- …Health Professional (LMHP) required or + Board Certified Behavior Analyst (BCBA) required + RN - Registered Nurse - State Licensure and/or Compact State ... required. Experience working with providers and healthcare teams to review care services related to Applied Behavior...Licensure RN - Registered Nurse - State Licensure and/or Compact State… more
- BayCare Health System (Bradenton, FL)
- …Care Supervisor **Required Certifications and Licensures:** + BLS (Basic Life Support) + RN ( Registered Nurse ) License + Driver's License State of Florida ... bonus + Community discounts and more The Home Health RN provides hands-on care in the home...+ Preferred Bachelor's Nursing **Experience:** + Required 1 year Registered Nurse or 1 year Licensed Practical… more
- Highmark Health (Tallahassee, FL)
- …of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes… more
- Datavant (Tallahassee, FL)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more