- HCA Healthcare (Aventura, FL)
- …worth of each individual is recognized. Submit your application for the opportunity below: Inpatient Authorization Review Services SpecialistWork from ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...benefits may vary by location._** We are seeking an Inpatient Authorization Review Services… more
- Molina Healthcare (Orlando, FL)
- …* At least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent combination ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Tampa, FL)
- …* At least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent combination ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Miami, FL)
- …least 2 years health care experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (St. Petersburg, FL)
- …in providing physician leadership and expertise in the performance of prior authorization , inpatient concurrent review , discharge planning, case management ... policies and procedures that guide and support the provision of medical staff services . Maintains a working knowledge of applicable national, state and local laws… more
- Select Medical (Miami, FL)
- …insurance verification? Read more to unlock your future career!_** Our inpatient rehabilitation hospital is committed to providing exceptional and compassionate care ... partnership between Select Medical and West Gables Health. This hospital provides inpatient physical rehabilitation for patients who are medically complex and in… more
- Centene Corporation (Tallahassee, FL)
- …before, during, and after services to ensure level of care and services are medically appropriate + Performs prior authorization reviews related to mental ... accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to...preferred. Experience working with providers and healthcare teams to review care services related to mental health… more
- Elevance Health (FL)
- … authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Refers cases requiring clinical ... is responsible for coordinating cases for precertification and prior authorization review . **How you will make an...an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility;… more
- Elevance Health (Miami, FL)
- … authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Refers cases requiring clinical ... be responsible for coordinating cases for precertification and prior authorization review . **How you will make an...an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility;… more
- MyFlorida (Tallahassee, FL)
- …in the assessment, training, implementation, and evaluation of MFC program services . Your Specific Responsibilities: Completes pre- service assessment for ... Health Working Title: REGISTERED NURSE SPECIALIST - 64000663 Pay Plan: Career Service Position Number: 64000663 Salary: $45,000 - $50,000 Posting Closing Date:… more