Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

RN Utilization Review & Appeals Nurse

Molina Healthcare of Illinois

Molina Healthcare in Tampa, Florida is seeking a qualified Registered Nurse to conduct reviews of medical documentation to ensure compliance with healthcare regulations. The role demands at least 2 years of clinical nursing experience, including a year in utilization review. Responsibilities include facilitating medical reviews of claims, resolving utilization management complaints, and preparing cases for hearings. The company offers a competitive benefits and compensation package. #J-18808-Ljbffr

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the RN Utilization Review & Appeals Nurse in Tampa, FL vacancy
  •  ...Medical Management Clinician Associate - Licensed Nurse based in Tampa, FL. This full-time position is primarily...  ...medical services based on guidelines, conduct reviews, and assess clinical information. A valid LPN/LVN or RN license is essential, alongside clinical... 
    Suggested
    Remote job
    Full time

    The Elevance Health Companies, Inc.

    Tampa, FL
    1 day ago
  • $29.05 - $67.97 per hour

     ...Description Job Summary Utilizing clinical knowledge and...  ..., responsible for review of documentation to ensure...  ...concurrent review of appeals for denied prior authorizations...  ...least 2 years clinical nursing experience, including...  ...• Registered Nurse (RN). License must be... 
    Suggested
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    Tampa, FL
    4 days ago
  • $29.05 - $67.97 per hour

     ...Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical...  ...concurrent review of appeals for denied prior...  ...least 2 years clinical nursing experience, including...  ...experience. Registered Nurse (RN). License must be... 
    Suggested
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    Tampa, FL
    6 days ago
  •  ...for a full‑time Clinical Research Infusion RN for their Magnolia location. The CRU...  ...performing ongoing assessments, administering nursing care and protocol therapy, monitoring...  ...) reports, unless they have successfully appealed to have their name removed. Applicants are... 
    Suggested
    Full time

    Moffitt Cancer Center

    Tampa, FL
    1 day ago
  •  ...for a full timeClinical Research Infusion RN Ifor theirMagnolia location. The CRU at...  ...performing ongoing assessments, administering nursing care and protocol-therapy, monitoring of...  ..., unless the applicant has successfully appealed to have their name removed from the NPDB.... 
    Suggested
    Full time
    Shift work
    Day shift

    Moffitt-Cancer-Cente

    Tampa, FL
    1 day ago
  •  ...and is currently looking for Registered Nurse to join our team. Position Highlights:...  ...with 1 year of relevant experience FL RN License BLS Certification An...  ...reports, unless the applicant has successfully appealed to have their name removed from the NPDB.... 

    Moffitt Cancer Center

    Tampa, FL
    6 days ago
  •  ...basis and is currently looking for Registered Nurse to join our team. Position Highlights...  ...institution with 1 year of relevant experience. FL RN License. BLS Certification. An applicant...  ..., unless the applicant has successfully appealed to have their name removed from the NPDB.... 

    Moffitt Cancer Center

    Tampa, FL
    2 days ago
  •  ...looking for a full-time Ambulatory Clinic RN for their McKinley location. The CRU at Moffitt...  .... Position Highlights The Registered Nurse delivers individualized quality nursing care...  ..., unless the applicant has successfully appealed to have their name removed from the NPDB.... 
    Full time
    Shift work
    Day shift

    Moffitt Cancer Center Partnership

    Tampa, FL
    2 days ago
  •  ...Clinic is currently looking for a Registered Nurse to care for our patients seeking...  ...Education: Master\'s Degree Registered Nurse (RN) – current licensure as a Registered Nurse...  ...Bank (NPDB) reports, unless successfully appealed to have the name removed. An applicant is... 
    Work at office

    Moffitt Cancer Center

    Tampa, FL
    1 day ago
  • $65 per hour

     ...treatment and recovery. We are currently looking for an RN Temp Nurse to join our team. The Ideal Candidate ~ The ideal candidate...  ...Bank (NPDB) reports, unless the applicant has successfully appealed to have their name removed from the NPDB. An applicant is... 
    Hourly pay
    Contract work
    Temporary work

    Moffitt Cancer Center

    Tampa, FL
    2 days ago
  •  ...Clinical Research RN II Working at Moffitt is both a career and a mission: to contribute...  .... Job Summary The Clinical Research Nurse II (CRN II) facilitates clinical research...  ..., unless the applicant has successfully appealed to have their name removed from the NPDB.... 

    Moffitt Cancer Center

    Tampa, FL
    3 days ago
  •  ...looking for a Full Time DAY Shift; Clinic Float Registered Nurse! The Clinic RN unit is dedicated to providing coverage for our Outpatient Oncology...  ...Bank (NPDB) reports unless the applicant has successfully appealed to have their name removed from the NPDB. An applicant is... 
    Full time
    Day shift

    Moffitt Cancer Center

    Tampa, FL
    1 day ago
  •  ...Department RN Navigators Schedule - Shift - Hours...  ...continuum. Responsibilities Reviews External Records (pre-...  ...the effectiveness of nursing interventions/actions...  ...effective and efficient utilization of resources. Provides...  ...applicant has successfully appealed to have their name... 
    Relief
    Shift work
    Day shift

    Moffitt-Cancer-Cente

    Tampa, FL
    1 day ago
  •  ...RN Ambulatory Plastics And Reconstruction Nurse Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer....  ...NPDB) reports, unless the applicant has successfully appealed to have their name removed from the NPDB. An applicant... 
    Work at office

    Moffitt Cancer Center

    Tampa, FL
    5 days ago
  • Overview: Under the direction of the director/charge person, the RN utilizes the nursing process, facilitates patient care making nursing assessments and diagnosis, formulates care plans based on the diagnosis and implements and evaluates the plan of care specific to Cardiac... 
    Full time

    UF Health

    Tampa, FL
    16 hours ago
  •  ...RN Advisor PRN Working at Moffitt is both a career and a mission: to contribute to...  ...Highlights: The RN Advisor uses the nursing process to effectively plan and manage...  ...reports, unless the applicant has successfully appealed to have their name removed from the NPDB.... 
    Relief
    Work at office

    Moffitt Cancer Center

    Tampa, FL
    25 days ago
  •  ...RN Advisor Working at Moffitt is both a career and a mission...  ...doses and dose distributions Nursing specialists, nutritionists,...  ...accreditation, we completed a rigorous review process that ensured proper...  ...applicant has successfully appealed to have their name removed... 

    Moffitt Cancer Center

    Tampa, FL
    4 days ago
  •  ...seeking a skilled and motivated Plastic Surgery Nurse to support both surgical and non‑surgical...  ...with 1 year of relevant experience FL RN License An applicant for this position,...  ...reports, unless the applicant has successfully appealed to have their name removed from the NPDB.... 
    Work at office

    Moffitt Cancer Center

    Tampa, FL
    16 hours ago
  •  ...Registered Nurse (RN) | Long-Term Acute Care Location: Tampa, FL Agency: Access Healthcare LLC Pay: Competitive weekly pay (inquire for details) Shift Information: Nights - 3 days x 12 hours Contract Duration: 52 Weeks Start Date: ASAP... 
    Weekly pay
    Daily paid
    Permanent employment
    Full time
    Contract work
    Summer work
    Immediate start
    Shift work
    Night shift
    3 days per week

    TravelNurseSource

    Tampa, FL
    12 hours ago
  •  ...Registered Nurse (RN) | Long-Term Acute Care Location: Tampa, FL Agency: Access Healthcare LLC Pay: Competitive weekly pay (inquire for details) Shift Information: Nights - 3 days x 12 hours Contract Duration: 52 Weeks Start Date: ASAP... 
    Weekly pay
    Full time
    Contract work
    Summer work
    Immediate start
    Shift work
    Night shift
    3 days per week

    Access Healthcare LLC

    Tampa, FL
    12 hours ago
  •  ...education to improve your skills. As a Registered Nurse at Ambulatory Surgery Center Tampa, you’ll...  ...need: Associate Degree in Nursing or RN Diploma or Higher degree in Nursing...  ...PACU RN opening. Our team will promptly review your application. Highly qualified candidates... 
    Temporary work
    Flexible hours

    Ambulatory Surgery Center Tampa

    Brandon, FL
    16 hours ago
  • $2,070 per week

     ...Registered Nurse (RN) | Home Health Location: Oldsmar, FL Agency: Core Medical Group Pay: $2,070 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: 6/29/2026 About the Position TravelNurseSource is working with... 
    Weekly pay
    Daily paid
    Permanent employment
    Full time
    Contract work
    Temporary work
    Relocation
    Flexible hours
    Shift work
    Weekend work
    2 days per week

    TravelNurseSource

    Oldsmar, FL
    12 hours ago
  • $1,203 - $1,389 per week

     ...Registered Nurse (RN) | Home Health Location: Lutz, FL Agency: National Staffing Solutions Pay: $1,203 to $1,389 per week Contract Duration: 2 Weeks Start Date: ASAP About the Position Details of the RN - Home Health (HH) opening in Lutz,... 
    Full time
    Contract work
    Immediate start
    Night shift

    National Staffing Solutions

    Lutz, FL
    13 days ago
  • $2,057 per week

     ...Registered Nurse (RN) | Post-Anesthesia Care Unit (PACU) / Pre-Post Op Location: Tampa, FL Agency: THP Healthcare Staffing Pay: $2,057 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 12 Weeks Start Date: 6/15/2026... 
    Extra income
    Full time
    Contract work
    Shift work
    Day shift

    TravelNurseSource

    Tampa, FL
    12 hours ago
  • $1,749 per week

     ...Registered Nurse (RN) | Labor & Delivery Location: Tampa, FL Agency: Health Advocates Network Pay: $1,749 per week Shift Information: 3 days x 12 hours Start Date: ASAP About the Position RN – Labor and Delivery L&D Registered Nurse - Health... 
    Daily paid
    Full time
    Immediate start
    Shift work
    Night shift

    Health Advocates Network

    Tampa, FL
    13 days ago
  • $1,749 per week

     ...Registered Nurse (RN) | Labor & Delivery Location: Tampa, FL Agency: Health Advocates Network Pay: $1,749 per week Shift Information: 3 days x 12 hours Start Date: ASAP About the Position TravelNurseSource is working with Health Advocates... 
    Daily paid
    Full time
    Immediate start
    Shift work
    Night shift

    TravelNurseSource

    Tampa, FL
    13 days ago
  • $1,203 - $1,389 per week

     ...Registered Nurse (RN) | Home Health Location: Lutz, FL Agency: National Staffing Solutions Pay: $1,203 to $1,389 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 2 Weeks Start Date: ASAP About the Position TravelNurseSource... 
    Full time
    Contract work
    Immediate start
    Shift work

    TravelNurseSource

    Lutz, FL
    13 days ago
  • $2,057 per week

     ...Registered Nurse (RN) | Post-Anesthesia Care Unit (PACU) / Pre-Post Op Location: Tampa, FL Agency: THP Healthcare Staffing Pay: $2,057 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 12 Weeks Start Date: 6/15/2026... 
    Extra income
    Full time
    Contract work
    Shift work
    Day shift

    THP Healthcare Staffing

    Tampa, FL
    12 hours ago
  • $33.37 - $45.05 per hour

     ...Florida is seeking an experienced Pediatric/Neonatal Critical Care RN to join our highly specialized transport team. In this role,...  ...Deliver care aligned with ANA standards and the Florida Nurse Practice Act Support continuous improvement and deliver exceptional... 
    Full time
    Relocation package
    Flexible hours
    Shift work

    Lee Health

    Tampa, FL
    16 hours ago
  •  ...the growth and development of our future nurses! The HCA Nurse Residency Program is a...  ...evidence-based practice project. The RN Resident coordinates and delivers high quality...  ...and personal growth, we promptly review all applications. Unlock the possibilities... 
    Temporary work
    Flexible hours
    Shift work

    HCA Florida Brandon Hospital

    Brandon, FL
    16 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN Utilization Review & Appeals Nurse. Be the first to apply!