• Pre-Authorization Registered Nurse

    Humana (Tallahassee, FL)
    …professional onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN, Intern will utilize Humana's Medicaid training and ... the goal to put health first? The Prior Authorization, Registered Nurse , RN, Intern will review prior...to complete medical necessity reviews for requested services using clinical judgment and refers to internal stakeholders for review… more
    Humana (01/15/25)
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  • Utilization Management Nurse

    Humana (Tallahassee, FL)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Practical Nurse , (LPN) or Licensed Registered Nurse (RN) in the state ... Healthy Horizons in Florida is seeking a Utilization Management Nurse who utilizes clinical nursing skills to...Information** + **Workstyle:** Home. Home workstyle is defined as remote but will use Humana office space on an… more
    Humana (01/25/25)
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  • Care Manager Telephonic Nurse

    CenterWell (Tallahassee, FL)
    …degree + 3 - 5 years of clinical acute care experience + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action and compact ... help us put health first** The Care Manager, Telephonic Nurse 2, in a remote , telephonic environment,...medication education. We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science… more
    CenterWell (01/24/25)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Tallahassee, FL)
    …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
    Lincoln Financial Group (01/03/25)
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  • Utilization Management Clinical Consultant…

    CVS Health (Tallahassee, FL)
    …reside in Florida + Licensed Independent Behavioral Health clinician or an unrestricted Registered Nurse (RN) license in Florida with psychiatric specialty or ... personal, convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Clinical Consultant opportunity for candidates… more
    CVS Health (01/24/25)
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  • Behavioral Health Clinical Liaison

    Centene Corporation (Tallahassee, FL)
    …(LMFT) required or Licensed Mental Health Professional (LMHP) required or RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...Complies with all policies and standards **_This is a remote position available for candidates licensed in FL. The… more
    Centene Corporation (01/17/25)
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  • Care Manager- Remote

    Sharecare (Tallahassee, FL)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (01/17/25)
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  • Pediatric Senior Care Navigator

    Centene Corporation (Tallahassee, FL)
    …Employees supporting Florida's Children's Medical Services (CMS) must be a Florida licensed registered nurse with a minimum of two years of pediatric experience, ... a fresh perspective on workplace flexibility. **This position is remote with local travel required for member visits. Candidates...Children's Medical Services (CMS) must be a Florida licensed registered nurse with a minimum of two… more
    Centene Corporation (01/10/25)
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  • RN - Utilization Management

    Humana (Tallahassee, FL)
    …have an RN license in the State of Florida + Bachelor's degree + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action. + This ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to...is a fully remote permit 10-hour shift weekend position (Thurs-Sun) - must… more
    Humana (01/22/25)
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  • Director, Compliance Operations

    WelbeHealth (Tallahassee, FL)
    …compliance with regulatory standards **Job Requirements:** + Bachelor's degree required + Registered Nurse (RN), master's degree, or other relevant advanced ... 100% REMOTE OPPORTUNITY At WelbeHealth, each participant of our...is guided by our interdisciplinary team (IDT), composed of clinical and non- clinical members who work cohesively… more
    WelbeHealth (01/23/25)
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  • Utilization Review Clinician - ABA

    Centene Corporation (Tallahassee, FL)
    …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + Board ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (01/23/25)
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  • Medical Management Auditor - Behavioral Health

    Centene Corporation (Tallahassee, FL)
    …Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), Registered Nurse (RN), or Licensed Psychologist (Ph.D. or Psy.D.) This ... corporate, health plan, and specialty company staff related to clinical systems entry and/or processes + Develop and maintain...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (01/10/25)
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  • Supervisor, Behavioral Health Utilization…

    Centene Corporation (Tallahassee, FL)
    …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required or + ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (01/23/25)
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