Clinical Review Nurse-Prior Authorization - Florida

We are seeking a Prior Authorization Specialist to join our team at Florida Cancer Specialists & Research Institute. The successful candidate will be responsible for performing prior authorizations and appeals for oral oncology and supportive medications. · ...

We're Hiring: Utilization Nurse Reviewer. Join our amazing team as a Utilization Nurse Reviewer and help us ensure our members receive the best care possible. · ...

We are seeking an experienced Registered Nurse (RN) to join our Utilization Management team as a UM Nurse Reviewer. In this role, you will review prior authorization requests against established clinical criteria and refer cases to the UM Medical Director when necessary. · ...

Provides support for clinical member services review assessment processes. · ...

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Utilization Management Coordinator - REMOTE. In this role, you will support the clinical team by handling administrative and non-clinical tasks essential for processing Utilization ...

Registered Nurse (RN) – Remote Triage / Compact License Required  · Make a difference from home while supporting patients and providers nationwide. · We are seeking experienced Registered Nurses (RNs) to join our growing 24-hour medical call center as a Remote Triage Nurse. In th ...

The Insurance Follow Up/Verifier is responsible for all inpatient/outpatient areas, including but not limited to: scheduled surgeries, the inpatient census reports, on-line systems provided by multiple payers to verify insurance eligibility, obtain benefits, obtain required autho ...

Financial Counselor · Location: Remote. Must live in one of the following states: AL, FL, GA, IL, IN, MI, MO, NC, OH, PA, SC, TN, TX, VA · Position Type: Full-Time · JOB SUMMARY · The Financial Counselor is responsible for performing financial clearance functions including insura ...

Accucare Nursing is an EEO Employer - M/F/Disability/Protected Veteran Status · Accucare Nursing and Home Care is currently hiring nurses to join our team of dedicated and passionate healthcare professionals. We have an opening for the following position: 1:1 Nurse in Florida, NY ...

Accucare Nursing is an EEO Employer - M/F/Disability/Protected Veteran Status · Accucare Nursing and Home Care is currently hiring nurses to join our team of dedicated and passionate healthcare professionals. We have an opening for the following position: 1:1 Nurse in Florida, NY ...

You could be the one who changes everything for our 28 million members. · ...

Accucare Nursing is an EEO Employer - M/F/Disability/Protected Veteran Status · Accucare Nursing and Home Care is currently hiring nurses to join our team of dedicated and passionate healthcare professionals. We have an opening for the following position: 1:1 Nurse in Florida, NY ...

Accucare Nursing is an EEO Employer - M/F/Disability/Protected Veteran Status · Accucare Nursing and Home Care is currently hiring nurses to join our team of dedicated and passionate healthcare professionals. We have an opening for the following position: 1:1 Nurse in Florida, NY ...

· The Registered Nurse (RN) plays a critical role as a physician extender within a remote healthcare team. · ...

Join Cleveland Clinic Weston Hospital's team of caregivers that remain on the leading edge of technology and education, all while consistently providing patient-centered healthcare. · Weston Hospital's Intermediate Intensive Care Unit (IMCU) provides care to patients who require ...

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. · We all have the power to help, heal and change li ...

You could be the one who changes everything for our members as a clinical professional on our Medical Management/Health Services team. · ...

Job Summary · The Registered Nurse (RN) plays a critical role as a physician extender within a remote healthcare team. In this position, the RN supports providers by efficiently managing Electronic Health Records (EHR), responding to patient inquiries, and delivering timely clini ...

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. · We all have the power to help, heal and change li ...

Job Summary · The Registered Nurse (RN) serves as a vital physician extender within a remote, overnight healthcare team, providing clinical support to providers and patients across multiple states. This part-time overnight position (12:00 AM–8:00 AM) focuses on telephone triage, ...