Utilization Manager Jobs in Florida
1 - 15 of 45
Search Results - Utilization Manager Jobs in Florida
Miami
passion and drive, and start living your purpose at Better Health Group.
Responsibilities:
Position Objective:
The Utilization Management Nurse is responsible for managing requests providing a multi-faceted approach to managing requests for medical...
icims.com -
2 similar jobs: Tampa, Jacksonville
Centers Plan for Healthy Living-Margate (FL)
of the fastest growing Managed Long-Term Care company in New York, Centers Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience.
The Utilization Management Clinical Reviewer works within...
Progeny HR Solutions LLC-Fort Pierce
of Resource Management, under and over utilization, discharge planning, Medicare and government payer regulations, quality control and process improvement activities as related to Utilization Management. Supports the facility by ensuring effective...
resume-library.com -
Leesburg (FL)
Overview:
UF Health Central Florida, is seeking a Division Director of Utilization Management. They will be responsible for hiring, training and retention of talented and committed team members. Develop and maintain a dynamic team of Utilization...
ufhealth.org -
Centers Care Solutions-Margate (FL)
Manager works within a multidisciplinary team to help identify and manage members who are in need of additional care or support in their home to improve their quality of life. Through interventions such as complex case management and utilization management...
BayCare Health System-Tampa
assigned practices or more than 20 physicians.
• The Practice Administrator II oversees the utilization management and daily business operations to include financial, operational, administrative and regulatory compliance.
• Assists Director, Operations BMG...
mindmatch.ai -
Pyramid Consulting, Inc-Lake Mary (FL)
based on company policy, member benefit grid and provider status.
Review customer coverage and benefits.
Review authorization requests and make determinations on correct authorization process (i.e. auto approve, refer to Utilization Management Nurse...
resume-library.com -
MedChi, The Maryland State Medical Society-Jacksonville
matched our fourth fellow to start in July 2024.
PHM faculty serve in many leadership roles in the hospital, residency program, utilization management, and clinical operations. Faculty are part of the VIP network and are involved in multi-site projects...
appcast.io -
Wipro Digital Operations and Platforms-Tampa
Experience:
• Similar experience within a Large Health Plan or Claims Administrator (TPA)
• Functional experience with any of the following areas: Claims Processing, Eligibility Maintenance, Utilization Management, Plan Benefits, Provider and Contract...
mindmatch.ai -
MedChi, The Maryland State Medical Society-Jacksonville
in July 2024.
PHM faculty serve in many leadership roles in the hospital, residency program, utilization management, and clinical operations. Faculty are part of the VIP network and are involved in multi-site projects.
Candidates must be board certified...
appcast.io -
Lifelancer-Tallahassee
Operations, Utilization Management, and Clinical Review functions, ensuring excellence in service delivery and outcomes.
As a Clinical Operations Manager, you will lead and inspire teams to deliver exceptional customer service and operational support...
resume-library.com -
HCA Florida North Florida Hospital-Gainesville
Acts as a liaison through effective and professional communications with physicians, patients, families, hospital staff, and outside agencies
• Performs utilization management reviews and communicates information to third party payors
• Facilitates...
4 similar jobs: Overland, Olathe, Orlando, Kissimmee
Exact Billing Solutions-Lauderdale Lakes
Brief Description
Utilization Review Manager – Exact Billing Solutions
Lauderdale Lakes, FL
About Exact Billing Solutions
Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder...
mindmatch.ai -
Orlando
analyze and interpret data to include the advanced application in spreadsheet generation and the use of graphics, database management and word processing software.
Serves as facilitator to physicians and nursing staff on utilization and discharge...
orlandohealth.com -
Nemours-Jacksonville
fourth fellow to start in July 2024.
PHM faculty serve in many leadership roles in the hospital, residency program, utilization management, and clinical operations. Faculty are part of the VIP network and are involved in multi-site projects...
appcast.io -
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