• Prior Authorization UM…

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ... and most appropriate treatment, care or services for members. UM Administration Coordinator 2 + Support the...or more years of experience with Utilization Review and/or Prior Authorization + 1 or more years… more
    Humana (07/31/25)
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  • Telephonic UM Administration…

    Humana (Tallahassee, FL)
    …part of our caring community and help us put health first** The Telephonic - UM Administration Coordinator / UM Administration Coordinator 2 provides ... most appropriate treatment, care or services for members. Telephonic UM Coordinator/ UM Administration Coordinator...+ Member service + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care… more
    Humana (07/30/25)
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  • UM Administration Coordinator 2

    CenterWell (Tallahassee, FL)
    …a part of our caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. ... support assignments. Performs computations. Typically works on semi-routine assignments. The UM Administration Coordinator 2 provides non-clinical support for… more
    CenterWell (07/26/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Tallahassee, FL)
    …4 hours a day working with providers to secure additional information for prior authorization review. This candidate will utilize clinical skills to coordinate, ... UM (utilization management) experience within an **outpatient** setting, concurrent review or prior authorization . + 5 years of a variety clinical experience… more
    CVS Health (07/30/25)
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  • Sr Analyst, Scope Management

    Evolent (Tallahassee, FL)
    …Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and Drug Administration (FDA), and various prior authorization lists, facilitating ... and informatics professionals who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned… more
    Evolent (07/18/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Tallahassee, FL)
    …Microsoft Office Applications (Outlook, Teams, Excel) **Preferred Qualifications** + Prior authorization utilization experience preferred + Outpatient Clinical ... operation and work schedule may include weekends, holidays, and evening hours._ ** UM Nurse Consultant** Fully Remote- WFH **Position Summary** + Utilizes clinical… more
    CVS Health (07/30/25)
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