Top 39 Authorization nurse Jobs in Tampa, Fl

Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida
Molina Healthcare —Tampa, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Physical Therapy License
- Health insurance
Care Coordination Specialist
BayCare —Tampa, FL
- Part-time
- Hospital
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Transplant Coordinator 1
LifeLink Foundation, Inc. —Tampa, FL
- Extended hours
- Nursing
- Clean driving record
- RN License
- Paid holidays
- Disability insurance
Quick Apply
Licensed Practical Nurse
ACTS —Tampa, FL
- $29 an hour
- Part-time
- Background check
- Nursing
- Vital signs
- Paid holidays
- Disability insurance
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare —Tampa, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
RN Care Manager, Acute Sr.
Orlando Health —Saint Petersburg, FL
- Full-time
- Remote
- Acute care
- Nursing
- RN License
- Paid parental leave
- Loan repayment program
2d
Referral Responder (Paramedic or Respiratory Therapist) Designated Work Areas: Lee County Area and/or Polk/Pasco County Area
LifeLink Foundation, Inc. —Tampa, FL
- Weekends as needed
- Nursing
- Clean driving record
- Hospital
- Paid holidays
- Disability insurance
Quick Apply
Clinical Operations Specialist (LPN), FL
K Health —Tampa, FL
- $60,000 - $70,000 a year
- Monday to Friday
- Remote
- 5 years
- LPN
- Senior level
- Paid parental leave
- Paid holidays
Quick Apply
Care Management RN
AdventHealth Tampa —Tampa, FL
- $32.76 - $57.47 an hour
- Full-time
- Background check
- Nursing
- Microsoft Outlook
- Paid parental leave
- Disability insurance
1d
RN Care Manager
AdventHealth Carrollwood —Tampa, FL
- $32.76 - $57.47 an hour
- Full-time
- Background check
- Nursing
- Microsoft Outlook
- Paid parental leave
- Disability insurance
4d
In-House Coordinator: Designated Work Area - St. Joseph Hospital
LifeLink Foundation, Inc. —Tampa, FL
- Weekends as needed
- Nursing
- Clean driving record
- Hospital
- Paid holidays
- Disability insurance
Quick Apply
Care Manager
AdventHealth Connerton —Land O' Lakes, FL
- $68,132.50 - $119,520.35 a year
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
Wound Care Clinical Nurse Manager
AdventHealth Carrollwood —Tampa, FL
- $77,758.69 - $144,624.32 a year
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
Weekend Clinical Care Manager
Lifecare Home Health Family —Tampa, FL
- Part-time
- Nursing
- LVN
- RN License
Quick Apply
10d
Registered Nurse NSOPS
University of South Florida —Tampa, FL
- Full-time
- Nursing
- Psychiatry
- RN License
- Health insurance
- Dental insurance
1d
Emergency Medicine Registered Nurse
Guidewell Emergency Doctors —Tampa, FL
- Full-time
- Spanish
- Nursing
- RN License
RN Care Manager
AdventHealth Riverview —Riverview, FL
- $32.76 - $57.47 an hour
- Full-time
- Background check
- Nursing
- Microsoft Outlook
- Paid parental leave
- Disability insurance
21h
Senior Registered Nurse
University of South Florida —Saint Petersburg, FL
- Full-time
- Background check
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
Assistant Manager, Recovery Services (Organ Procurement)
LifeLink Foundation, Inc. —Tampa, FL
- Full-time
- Nursing
- Mid-level
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
Quick Apply
Assistant Manager, Recovery Services
LifeLink Foundation, Inc. —Tampa, FL
- Full-time
- Nursing
- Mid-level
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
Quick Apply

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Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida

Molina Healthcare -
Tampa, FL

Apply Now

Job Details

Full-time
$26.41 - $51.49 an hour

Benefits

Health insurance

Qualifications

Productivity software

Full Job Description

Job Summary

Provides support for member services review assessment activities for a specific area of specialty. Responsible for ensuring that services are medically necessary, align with established clinical guidelines, insurance policies, and regulations, and that members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Must reside in Florida.

Essential Job Duties

Analyzes clinical service requests from members and providers against evidence-based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors, and presents them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes member referrals to other clinical programs as appropriate.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to applicable utilization management policies and procedures.

Required Qualifications

At least 2 years experience in a hospital acute care, inpatient review, prior authorization, nursing, and/or managed care setting, or equivalent combination of relevant education and experience.
Occupational Therapist (OT), Physical Therapist (PT), Speech-Language Pathologist (SLP). License must be active and unrestricted in state of practice.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

#PJHS3

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

authorization nurse jobs in tampa, fl

Care Review Clinician, Specialty Therapist (Occupational / Physical / Speech) - REMOTE from Florida

Care Coordination Specialist

Transplant Coordinator 1

Licensed Practical Nurse

Care Review Clinician (BH Licensed) - Remote in FL

RN Care Manager, Acute Sr.

Referral Responder (Paramedic or Respiratory Therapist) Designated Work Areas: Lee County Area and/or Polk/Pasco County Area

Clinical Operations Specialist (LPN), FL

Care Management RN

RN Care Manager

In-House Coordinator: Designated Work Area - St. Joseph Hospital

Care Manager

Wound Care Clinical Nurse Manager

Weekend Clinical Care Manager

Registered Nurse NSOPS

Emergency Medicine Registered Nurse

RN Care Manager

Senior Registered Nurse

Assistant Manager, Recovery Services (Organ Procurement)

Assistant Manager, Recovery Services

I want to receive the latest job alert for authorization nurse in tampa, fl

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