RN Care Review Clinician (FL) — Utilization & Prior Auth
$26.41 - $51.49 per hourMolina Healthcare of Illinois
Molina Healthcare in Orlando, Florida is seeking a qualified Registered Nurse (RN) who will provide essential support in clinical member services review assessment processes. This role includes verifying medically necessary services, conducting reviews on prior authorizations, and working collaboratively with multidisciplinary teams to enhance member care. A competitive hourly pay ranging from $26.41 to $51.49 is offered based on experience and skills. #J-18808-Ljbffr Molina Healthcare
$26.41 - $43 per hour
...clinical member services review assessment processes.... ...integrated delivery of care across the continuum. Contributes... ...reviews to determine prior authorization/financial... ...model. • Adheres to utilization management (UM)... ...• Registered Nurse (RN). License must be active...SuggestedHourly payWork experience placementWork at officeRemote work$29.05 - $67.97 per hour
...Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical... ...and appropriate level of care utilizing MCG/InterQual... ...of appeals for denied prior authorizations.... ...experience. Registered Nurse (RN). License must be active...SuggestedHourly payWork experience placementWork at office- ...RN Onsite Health Coach – Mobile Health Fair Coach - Evernorth - Orlando FL Evernorth Workplace Care offers health care delivery services along with population... ...composition, etc. • Utilize biometric values and... ...smoking cessation program prior to the start of their...SuggestedFull timeWork at officeLocal areaWork from homeMonday to Friday2 days per week3 days per week
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$109.5k - $164k
...Senior Community Care Advanced Practice Clinician $ 40,000 Student Loan Repayment Or $30,000 Sign-on Bonus... ...travel across the states of AL, FL, MS, approximately 85% of the time. All... ...including: Past medical history review, medication reconciliation, vital signs...Minimum wageTemporary workWork experience placementLocal areaRelocation package- ...cardiology, and critical care to manage complex... ...Clinical Judgment Utilize policies,... ...delegate to other clinicians, as appropriate, while... ...Florida or multi‑state RN license, required National... ...must be obtained prior to employment start... ...Parkway, Orlando, FL, 32827, US (On‑site...Full timeTemporary workRelocation packageNight shift
$2,076 per week
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...Become a part of our caring community and help us put... ...The Clinical Care Nurse (RN) is a clinic-based... ...), reduce avoidable ED utilization, and drive Medicare Advantage... ...- per your prior employer's population health... ...employ more than 30,000 clinicians who are committed to putting...Full timeTemporary workApprenticeshipWork at officeMonday to FridayFlexible hours$25k
...Become a part of our caring community and help us put... ...The Clinical Care Nurse (RN) is a clinic-based... ...), reduce avoidable ED utilization, and drive Medicare Advantage... ...HealthCloud - per your prior employer's population... ...more than 30,000 clinicians who are committed to putting...Full timeTemporary workApprenticeshipWork at officeMonday to FridayFlexible hours- ...Anesthesia Rn Nemours Children's Hospital in Orlando FL is seeing a full-time Anesthesia... ...and evaluation of care; health teaching... ...Judgment Utilize policies, procedures... ...delegate to other clinicians, as appropriate, while... ...Following must be obtained prior to employment start...Full timeImmediate startMonday to Friday
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$1,450 per week
...Registered Nurse (RN) | Labor & Delivery Location: Orlando, FL Agency: OneStaff Medical Pay: $1,450 per week Shift Information: Rotating... ...Nurses help bring people into the world every day. They care for women during labor and childbirth, monitoring the...Hourly payFull timeContract workTemporary workWork experience placementImmediate startShift work$1,450 per week
...Registered Nurse (RN) | Labor & Delivery Location: Orlando, FL Agency: OneStaff Medical Pay: $1,450 per week Shift Information: Rotating... ...Nurses help bring people into the world every day. They care for women during labor and childbirth, monitoring the...Hourly payFull timeContract workTemporary workWork experience placementWork at officeImmediate startFlexible hoursShift work$1,887 per week
...Registered Nurse (RN) | Labor & Delivery Location: Orlando, FL Agency: Care Career Pay: $1,887 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 12 Weeks Start Date: ASAP About the Position Labor and Delivery...Full timeContract workImmediate startShift workNight shift$1,709 per week
...Registered Nurse (RN) | Labor & Delivery Location: Orlando, FL Agency: PRN Healthcare Pay: $1,709 per week Shift Information: Nights - 3... ...people are our most important asset. We prioritize taking care of the healthcare professionals who spend their...Full timeContract workReliefLocal areaShift workNight shift$1,667 per week
...Registered Nurse (RN) | Labor & Delivery Location: Orlando, FL Agency: Medical Solutions Pay: $1,667 per week Shift Information: Days... ...medical, dental, and vision insurance ~24/7 customer care ~ Voluntary insurance benefits ~ Equal employment...Full timeTemporary workShift work$1,667 per week
...Registered Nurse (RN) | Labor & Delivery Location: Orlando, FL Agency: Medical Solutions Pay: $1,667 per week Shift Information: Days... ...medical, dental, and vision insurance ~24/7 customer care ~ Voluntary insurance benefits ~ Equal employment...Full timeShift work$1,709 per week
...Registered Nurse (RN) | Labor & Delivery Location: Orlando, FL Agency: PRN Healthcare Pay: $1,709 per week Shift Information: Nights - 3... ...people are our most important asset. We prioritize taking care of the healthcare professionals who spend their...Daily paidFull timeContract workLocumReliefLocal areaShift workNight shift$1,555 - $1,654 per week
...Registered Nurse (RN) | Labor & Delivery Location: Orlando, FL Agency: Fusion Medical Staffing Pay: $1,555 to $1,654 per week Shift Information... ...Registered Nurse provides comprehensive patient care in the obstetric setting. This role encompasses assessing...Full timeContract workTemporary workImmediate startShift workNight shift$1,555 - $1,654 per week
...Registered Nurse (RN) | Labor & Delivery Location: Orlando, FL Agency: Fusion Medical Staffing Pay: $1,555 to $1,654 per week Shift Information... ...Registered Nurse provides comprehensive patient care in the obstetric setting. This role encompasses assessing...Full timeContract workTemporary workImmediate startShift workNight shift
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