Utilization Manager Jobs in Miami
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Search Results - Utilization Manager Jobs in Miami
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 -
Sunshine State Health Plan-Miami
leadership of all for utilization management, cost containment, and medical quality improvement activities.
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial...
Miami
care coordination services to include assessing patients’ risk factors and the need for care coordination, clinical utilization management and preventative care services.
Essential Functions
• Takes the lead in ensuring the continuity and consistency...
orlandohealth.com -
Sunshine State Health Plan-Miami
for utilization management, cost containment, and medical quality improvement activities.
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services...
Sunshine State Health Plan-Miami
medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial...
tiptopjob.com -
Centene-Miami
for utilization management, cost containment, and medical quality improvement activities.
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services...
Sunshine State Health Plan-Miami
for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services...
tiptopjob.com -
Miami
and databases for community resources.
• Integrate CM and utilization management (UM) and integrating nursing case management with social work case management.
• Maintain liaison with appropriate community agencies and organizations.
• Accurately collect...
icims.com -
Avalon Administrative Services, LLC dba Avalon Healthcare Solutions-Miami
Non:Clinical Prior Authorization:
Reporting to the VP, Utilization Management and Quality Improvement, this role manages the day:to:day operations of Avalons Preservice Intake team to include overseeing call center operations and customer service...
tiptopjob.com -
Sunshine State Health Plan-Pompano Beach, 33 mi from Miami
leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental...
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