Hybrid Pre-Service Medical Review RN—Utilization Expert
GuideWell
GuideWell seeks a Florida Blue Medicare clinical expert to oversee well-being, benefits administration and coordination of quality care for subscribers. You will resolve complex utilization management cases, authorize referrals, and ensure medical necessity per criteria while maintaining detailed documentation. The role emphasizes patient-centered service, collaboration with Medical Directors, and training responsibilities, with a hybrid work arrangement and competitive benefits. #J-18808-Ljbffr GuideWell
Vacancy posted 8 hours ago
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