• Pre - Authorization Nurse

    Humana (Tallahassee, FL)
    **Become a part of our caring community and help us put health first** The Pre - Authorization Nurse 2 reviews prior authorization requests for appropriate ... policies, and approves services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse 2 + Completes medical necessity and level of… more
    Humana (12/21/24)
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  • Coordinator, Intake Utilization Management

    Evolent (Tallahassee, FL)
    …this individual also works with our clinical team, which includes our Nurse , Clinical Reviewers and Field Medical Directors. Opportunities to work collaboratively ... policies to determine if submitted requests require a prior authorization review or redirect as required. + Entering data...for a bonus component that would be dependent on pre -defined performance factors. As part of our total compensation… more
    Evolent (12/04/24)
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