• Pre - Authorization

    Humana (Fort Lauderdale, FL)
    …for an internship that supports the goal to put health first? The Prior Authorization , Registered Nurse , RN, Intern will review prior authorization ... a variety of professional onsite, field, or remote based opportunities. The Prior Authorization , Registered Nurse , RN, Intern will utilize Humana's Medicaid… more
    Humana (01/15/25)
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  • Registered Nurse Specialist - 1

    MyFlorida (Fort Myers, FL)
    REGISTERED NURSE SPECIALIST - 64030599 1 Date: Jan 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 842208 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64030599 1 Pay Plan: Career… more
    MyFlorida (01/23/25)
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  • Bilingual Call Center Registered

    AssistRx (Orlando, FL)
    Schedule: 1x 9-6pm EST 1x 10-7pm EST The purpose of the Bilingual Call Center Registered Nurse is to provide and document clinical call center services for ... self-injection technique for the product. The Bilingual Call Center Registered Nurse will follow all processes and...are conditional based on the successful completion of a pre -employment background check. In compliance with federal law, all… more
    AssistRx (01/24/25)
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  • Clinical Care Transition Specialist…

    Option Care Health (Tampa, FL)
    …scheduling, performance reviews, discipline, etc.) BASIC EDUCATION AND EXPERIENCE REQUIREMENTS Licensed Registered Nurse (RN) or licensed Pharmacist in the state ... effective treatment plan. + Responsible for collecting, reviewing and completing pre -admission information and securing related signoff. + Partners with Account… more
    Option Care Health (01/14/25)
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  • Call Center Nurse

    AssistRx (Orlando, FL)
    …they arise + Performs other related duties as assigned by management Requirements + Registered Nurse (BSN or RN); valid nursing license in FL/Compact + Computer ... 1x 11-8pm EST The purpose of the Call Center Nurse is to provide education and support to individuals...are conditional based on the successful completion of a pre -employment background check. In compliance with federal law, all… more
    AssistRx (01/26/25)
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  • Utilization Management RN Remote

    AdventHealth (Altamonte Springs, FL)
    …Remote **The role you will contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing patient ... loss of reimbursement, including the management of concurrent and pre -bill denials. 4) Ensuring all benefits, authorization .... Current and valid license to practice as a Registered Nurse (ADN or BSN) required. .… more
    AdventHealth (01/24/25)
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  • Remote Utilization Management RN

    AdventHealth (Daytona Beach, FL)
    …be **remote** **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing patient ... loss of reimbursement, including the management of concurrent and pre -bill denials. + Ensuring all benefits, authorization ...+ Current and valid license to practice as a Registered Nurse + Minimum three years acute… more
    AdventHealth (01/23/25)
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  • Lead RN Care Manager

    Cleveland Clinic (Stuart, FL)
    …align goals and visions. Minimum qualifications for the ideal future caregiver include: + Registered Nurse and BSN OR Bachelor's in Healthcare field. + Current ... achievement of optimal clinical and resource outcomes. + Facilitate pre -certification and payer authorization processes. + Facilitate...and valid license to practice as a Registered Nurse (RN) in Florida. + Case… more
    Cleveland Clinic (12/14/24)
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  • Quality Assurance Specialist

    AssistRx (Orlando, FL)
    …financial access programs preferred. + Bilingual - Spanish preferred. + Bachelor's Degree or Registered Nurse (BSN or RN) a plus. + COMPETENCIES: + Adaptability ... with AssistRx are conditional based on the successful completion of a pre -employment background check. In compliance with federal law, all persons hired will… more
    AssistRx (12/10/24)
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