- Actalent (Sunrise, FL)
- …to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing ... Utilization Management Nurse !Job Description The Utilization Management Nurse ...between the Medical Director, physicians, and office staff, resolving prior authorization issues. + Communicate denial determinations… more
- AssistRx (Orlando, FL)
- …services preferred. + Familiarity with PSP workflows including hub services, copay programs, prior authorization , and nurse support. + Strong understanding ... pharmaceutical and biotech clients. These programs may include field-based nurse support, reimbursement assistance, specialty pharmacy coordination, patient education… more
- Molina Healthcare (Tampa, FL)
- …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional… more
- Actalent (Sunrise, FL)
- …satisfaction, safety, and appropriate length of stay. Responsibilities + Review prior authorization requests for medical necessity and appropriateness using ... Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse...with the interdisciplinary team to perform reviews of service authorization requests, ensuring the utilization of appropriate services. The… more
- WestCare Foundation (Marathon, FL)
- Registered Nurse Job Details Job Location Marathon - 3000 41st Ocean 1 - Marathon, FL Position Type Part Time Education Level 2 Year Degree Salary Range $37.45 - ... $37.45 Hourly Travel Percentage Negligible Job Category Nurse Description Position Summary: Person in this position will...medication for each client are signed and in chart prior to administering medication 100% of the time +… more
- Mayo Clinic (Jacksonville, FL)
- …Competitive retirement package to secure your future. **Responsibilities** Mayo Clinic nurse scientists conduct clinically based research to improve the health and ... at a time. To learn more visit: Overview - Mayo Clinic Research . Nurse scientists engage with Mayo Clinic physicians and scientists from a variety of disciplines… more
- Mayo Clinic (Jacksonville, FL)
- …package to secure your future. **Responsibilities** The Cardiovascular Device Nurse will provide thorough, competent interrogations and reprogramming of cardiac ... settings as well as remotely monitored patients. The Cardiovascular Device Nurse will complete initial interrogations, report generation, charges, and documentation… more
- Mayo Clinic (Jacksonville, FL)
- …Competitive retirement package to secure your future. **Responsibilities** The registered nurse (RN) is accountable for the coordination of nursing care, including ... associate degree registered nurses with a RN start date prior to April 1, 2020 must provide documented evidence...from each new employee's Form I-9 to confirm work authorization . **Recruiter** Emily Corey **Equal opportunity** As an Affirmative… more
- Mayo Clinic (Jacksonville, FL)
- …of primary focus as the role continues to progress and develop. The registered nurse (RN) within the CCBW practice is accountable for the delivery of indirect care ... highly organized, adaptable, self-directed, and strong collaboration skills. The registered nurse (RN) is accountable for the coordination of nursing care, including… more
- Mayo Clinic (Jacksonville, FL)
- …retirement package to secure your future. **Responsibilities** The licensed practical nurse (LPN) provides nursing care to assigned patients under the direct ... supervision of the registered nurse (RN) or other assigned supervisor and accepts delegation...Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability… more
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