Fort Myers, FL · On-site
$2.1K/wk
Authorized to work in the United States. * Graduate of an Accredited School of Nursing * 2 years of experience as a Utilization Review Registered Nurse (RN) * American Heart Association BLS * CCM ...
Fort Myers, FL · On-site
$2.1K/wk
Authorized to work in the United States. * Graduate of an Accredited School of Nursing * 2 years of experience as a Utilization Review Registered Nurse (RN) * American Heart Association BLS * CCM ...
Responsible for managing all clinical authorization processes to ensure timely, accurate, and ... of utilization review experience in behavioral health, addiction treatment, or managed care.
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Responsible for managing all clinical authorization processes to ensure timely, accurate, and ... of utilization review experience in behavioral health, addiction treatment, or managed care.
Behavioral Health Utilization Review Specialist I Aspire Health Partners, Inc. Make a Difference in ... Communicate clinical information to insurance reviewers to secure authorizations and extended ...
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Behavioral Health Utilization Review Specialist I Aspire Health Partners, Inc. Make a Difference in ... Communicate clinical information to insurance reviewers to secure authorizations and extended ...
Fort Myers, FL · On-site
$2.1K/wk
Authorized to work in the United States. * Graduate of an Accredited School of Nursing * 2 years of experience as a Utilization Review Registered Nurse (RN) * American Heart Association BLS * CCM ...
Fort Myers, FL · On-site
$2.1K/wk
Authorized to work in the United States. * Graduate of an Accredited School of Nursing * 2 years of experience as a Utilization Review Registered Nurse (RN) * American Heart Association BLS * CCM ...
Orlando, FL · On-site
Behavioral Health Utilization Review Specialist I Aspire Health Partners, Inc. Make a Difference in ... Communicate clinical information to insurance reviewers to secure authorizations and extended ...
Orlando, FL · On-site
Behavioral Health Utilization Review Specialist I Aspire Health Partners, Inc. Make a Difference in ... Communicate clinical information to insurance reviewers to secure authorizations and extended ...
The URS establishes a file on all incoming clients with insurance and maintains authorization for reimbursement from pre-certification through continuing stay reviews, through discharge of referral.
The URS establishes a file on all incoming clients with insurance and maintains authorization for reimbursement from pre-certification through continuing stay reviews, through discharge of referral.
Miami, FL · On-site
$50 - $70/hr
The Utilization Management Coordinator plays a critical role in ensuring that healthcare services are delivered efficiently and effectively by overseeing the review and authorization of medical ...
Miami, FL · On-site
$50 - $70/hr
The Utilization Management Coordinator plays a critical role in ensuring that healthcare services are delivered efficiently and effectively by overseeing the review and authorization of medical ...
Deerfield Beach, FL · On-site
$65 - $111/hr
Responsible for managing all clinical authorization processes to ensure timely, accurate, and ... of utilization review experience in behavioral health, addiction treatment, or managed care.
Deerfield Beach, FL · On-site
$65 - $111/hr
Responsible for managing all clinical authorization processes to ensure timely, accurate, and ... of utilization review experience in behavioral health, addiction treatment, or managed care.
Communicates authorization decisions clearly and monitors patient progress to support timely ... Three (3) years of utilization review, case management, or third-party payer experience.
Communicates authorization decisions clearly and monitors patient progress to support timely ... Three (3) years of utilization review, case management, or third-party payer experience.
Communicates authorization decisions clearly and monitors patient progress to support timely ... Three (3) years of utilization review, case management, or third-party payer experience.
Communicates authorization decisions clearly and monitors patient progress to support timely ... Three (3) years of utilization review, case management, or third-party payer experience.
... other review activities to ensure payment for services is authorized and an active and effective utilization management program is maintained. Work Style: Onsite Location: Gainesville, FL FTE ...
... other review activities to ensure payment for services is authorized and an active and effective utilization management program is maintained. Work Style: Onsite Location: Gainesville, FL FTE ...
... review activities to ensure payment for services is authorized and an active and effective utilization management program is maintained. ???? Work Style: Onsite ???? Location: Gainesville, FL
... review activities to ensure payment for services is authorized and an active and effective utilization management program is maintained. ???? Work Style: Onsite ???? Location: Gainesville, FL
Review admissions, continued stay, and level-of-care decisions in coordination with providers ... S. national, lawful permanent resident, or individual otherwise authorized to work in the United ...
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Review admissions, continued stay, and level-of-care decisions in coordination with providers ... S. national, lawful permanent resident, or individual otherwise authorized to work in the United ...
Jacksonville, FL · On-site
$150 - $200/hr
Deep expertise in prior authorization, utilization review, and medical cost containment strategies.* Strong understanding of managed care, payer operations, and healthcare regulations.* Experience ...
Jacksonville, FL · On-site
$150 - $200/hr
Deep expertise in prior authorization, utilization review, and medical cost containment strategies.* Strong understanding of managed care, payer operations, and healthcare regulations.* Experience ...
Doral, FL · On-site
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Minimum of two (2) years of experience in clinical review or utilization management Language Skills
Doral, FL · On-site
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Minimum of two (2) years of experience in clinical review or utilization management Language Skills
Doral, FL · On-site
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Minimum of two (2) years of experience in clinical review or utilization management Language Skills
Doral, FL · On-site
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Minimum of two (2) years of experience in clinical review or utilization management Language Skills
Requires clear communication of authorization decisions and ongoing monitoring to support timely ... Registered Nurse (RN) license with 3+ years experience in utilization review or case management ...
New
Requires clear communication of authorization decisions and ongoing monitoring to support timely ... Registered Nurse (RN) license with 3+ years experience in utilization review or case management ...
New
Requires clear communication of authorization decisions and ongoing monitoring to support timely ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Requires clear communication of authorization decisions and ongoing monitoring to support timely ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Requires clear communication of authorization decisions and ongoing monitoring to support timely ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Requires clear communication of authorization decisions and ongoing monitoring to support timely ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Requires clear communication of authorization decisions and ongoing monitoring to support timely ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Requires clear communication of authorization decisions and ongoing monitoring to support timely ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
| Aspect | Authorization Utilization Review | Claims Reviewer |
|---|---|---|
| Credentials | Typically requires healthcare or insurance-related certifications, such as RN, CPC, or licensed healthcare professionals | Often requires similar credentials, focusing on insurance policies and claims processing |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Insurance companies, third-party administrators, healthcare organizations |
| Industry Usage | Used to assess medical necessity before approving services | Used to evaluate claims for payment accuracy and compliance |
Authorization Utilization Review and Claims Reviewer roles both involve insurance and healthcare knowledge, but Authorization Utilization Review focuses on pre-authorization of services, while Claims Review centers on post-service claims assessment. Understanding these differences helps clarify career paths and job expectations in healthcare insurance.
For Authorization Utilization Review jobs in Florida, the most frequently searched job titles are:
The top searched job categories for Authorization Utilization Review jobs in Florida are:
Cities in Florida with the most Authorization Utilization Review job openings:
$2.1K/wk
Contractor
Medical, Dental, Vision, Retirement
Re-posted 23 days ago
Health Advocates Network - Northeast is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Myers, Florida.
Job Description & RequirementsHealth Advocates Network is urgently hiring Utilization Review Registered Nurses (RNs) in the Fort Myers, FL area. Must have 2 years Utilization Review experience.
Qualification and Requirements:
Apply for this job now or to find out more about other opportunities with Health Advocates Network, Inc. reply to this posting, contact us at or call/text . We can provide you unparalleled access to exciting career opportunities.
Benefits We Offer:
Competitive pay rates, Referral Bonus, Medical, Dental, Vision and 401k. Travel reimbursement and per diem allowances, Employee discounts, educational opportunities, and more!
Who We Are:
Health Advocates Network matches highly skilled applicants to positions at the best healthcare companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding job that is well-matched to your skills – helping you advance in your career. Our experience, combined with our client relationships, makes Health Advocates Network a great resource for your career.
Health Advocates Network, Inc. is an equal-opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies.
Refer a Registered Nurse for a $1000.00 bonus opportunity!
Health Advocates Network - Northeast Job ID #729288. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - Utilization Review
About Health Advocates Network - NortheastHealth Advocates Network was founded on the basis of a shared aspiration, to improve the way healthcare staffing is done. We are a company established and led by nurses. Our flexible approach enables us to develop solutions customized to your specific needs. From short- and long-term travel contracts to local and per diem assignments and more, we are here to get you to your next adventure! By solving challenges, providing the best placements, and advocating for you, we stand to help you thrive and pave the path forward in your career.
