- Evolent (Tallahassee, FL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a meaningful impact ... as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …improvement through departmental committee assignments. Qualifications: + Registered Nurse or Licensed Practical Nurse . + Current and valid license to ... utilization of resources, avoidable days/denials. Works in collaboration with Appeals Management/Medical Director in the appeals process....practice as a Registered Nurse or Licensed Practical Nurse in the… more