• UM Nurse - Compact RN

    Humana (Tallahassee, FL)
    …your skills to make an impact** **Required Qualifications** + Bachelor's degree + Licensed Registered Nurse ( RN ) in the (appropriate state) with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and… more
    Humana (11/13/24)
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  • Pre-Authorization Nurse

    Humana (Tallahassee, FL)
    …to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in either Florida or a compact state with no disciplinary action. + ... community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care...GA + 2 or more years of Utilization Management ( UM ), Pre-Auth, and/or other managed care review experience +… more
    Humana (11/16/24)
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  • Supervisor, Utilization Management

    Centene Corporation (Tallahassee, FL)
    …principles preferred. **License/Certification:** rred. + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: ... day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency… more
    Centene Corporation (11/10/24)
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