- Molina Healthcare (St. Petersburg, FL)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (St. Petersburg, FL)
- …Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Elevance Health (Tampa, FL)
- …managed care experience is strongly preferred. + Previous Medical Review and/or Prior Authorization/Pre-Certification experience is preferred. + Knowledge of ... in applicable state of Florida. + Minimum of 2 years of Long-Term Care clinical or Long-Term Care utilization review experience and/or minimum of 3 years of… more