Utilization Manager Jobs in Miami
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Search Results - Utilization Manager Jobs in Miami
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
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...
Baptist Health South Florida-Miami
in order to meet patient needs, manage the length of stay (LOS), and promote efficient utilization of resources. Specific functions within this role include: Facilitation of the collaborative management of patient care across the continuum, intervening...
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...
Monogram Health, Inc.-Miami
and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review...
appcast.io -
Miami
Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS...
enlyte.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, or experimental...
tiptopjob.com -
Miami
balance, continuous learning, and career development.
Summary:
Gainwell Technologies is seeking an experience and innovative Clinical Education Specialist to lead training and education activities for the Payment Integrity and Utilization Management...
tiptopjob.com -
Miami
to identify the necessary TCs for specific scopes.
• Assessing resource availability and recommending appropriate assignments.
• Organizing tasks in the surveyor calendar to optimize resource utilization.
:Managing Planning and Scheduling requests from receipt...
tiptopjob.com -
Avalon Administrative Services, LLC dba Avalon Healthcare Solutions-Miami
processing and utilization management. Experience across the software development lifecycle and project management methodologies. Fluency with data extracts, API integration, and mapping common HIPAA transaction sets.
Strong client relationship management...
tiptopjob.com -
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