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• Remote Lead Utilization Management Registered Nurse in Miami - Florida

  A recruitment company is seeking a Remote Lead Utilization Management Registered Nurse in Miami. Core Responsibilities of this position include: Providing point of need support and coaching to UM professionals and other clinical team members. Mentoring and training UM staff.

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  Posted 22 hours ago

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• Remote Medicaid Specialist - Multiple Locations

  Individual must be able to fulfill the following responsibilities: Oversee the success of the pending Medicaid application process for a group of assigned skilled nursing facilities. Educate Care Center staff regarding the pending Medicaid application process.

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  Posted 13 hours ago

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• Telecommute Utilization Review Nurse in Tallahassee - Florida

  A healthcare provider has an open position for a Telecommute Utilization Review Nurse in Tallahassee. Individual must be able to fulfill the following responsibilities: Provide clinical information to patient Insurance Plans to receive authorization / certification.

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  Posted 2 days ago

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• Remote HEDIS Medical Records Review Nurse - Multiple Locations

  A healthcare company is in need of a Remote HEDIS Medical Records Review Nurse. Individual must be able to fulfill the following responsibilities: Contact provider offices to establish appointment times. Complete comprehensive and thorough medical record reviews.

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  Posted 4 days ago

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• Remote Front End Review Utilization Management Nurse 2 - Multiple Locations

  Individual must be able to fulfill the following responsibilities: Utilize clinical nursing skills to support the coordination, documentation and communication of medical services. Work assignments are varied and frequently require interpretation and independent determination.

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  Posted 1 day ago

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• Remote Registered Nurse Case Manager in the Tampa Area - Florida

  Skills and Requirements Include: Physically attend meetings/trainings in Tampa Florida. Have an ASN/BSN. Willing to apply for any state licensure the organization requests. 1 year of experience in a Managed care organization (MCO) or Third party administrator (TPA)

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  Posted 11 days ago

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