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Utilization Review Jobs in Florida

1 - 15 of 55
1 - 15 of 55
Search Results - Utilization Review Jobs in Florida
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 -
Medical Solutions-Hudson (FL)
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Hudson, Florida. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 36 hours per week Shift...
Exact Billing Solutions-Lauderdale Lakes
Brief Description Utilization Review Clinical 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...
mindmatch.ai -
Medical Solutions-Port Charlotte
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Port Charlotte, Florida. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 36 hours per week...
Nurse First-Margate (FL)
Nurse First is seeking a travel nurse RN Utilization Review for a travel nursing job in Margate, Florida. Job Description & Requirements  •  Specialty: Utilization Review  •  Discipline: RN  •  Start Date: 02/17/2025  •  Duration: 13 weeks  •  40 hours per...
Jacksonville
Overview: Full Time Position Monday - Friday 8am-5:30pm Performs utilization review functions for the department to ensure compliance with external payor requirements which may include, but may not be limited to: pre-certification requests...
ufhealth.org -
Exact Billing Solutions-Lauderdale Lakes
opportunity! Our Utilization Review Treatment Plan Quality Assurance professional is responsible for ensuring the quality, effectiveness, and compliance of treatment plans in Applied Behavior Analysis (ABA) programs. This role involves reviewing patient...
mindmatch.ai -
WHITE SANDS TREATMENT CENTERS-Plant City
standards  •  Attention to detail as it relates to data collection for the program  •  Excellent time management and organizational skills  •  Comfortable working with diverse population  •  Knowledge of Utilization Review requirements for documentation and level...
Discovery Mood & Anxiety Program-Dade City
groups one to two times, daily in RTC and 2-4 times daily in OP. Required to sit at a meal and/or snack a minimum of once per week. Facilitates multi-family groups, family program, and/or family weekend. Provides utilization reviews to insurance...
resume-library.com -
Centers Care Solutions-Margate (FL)
primary caregiver, the primary and attending physicians, and various other providers involved in the member’s care.  •  Ιnitiates utilization review for preauthorization and post service reviews  •  Utilizes knowledge of community resources and the member’s...
Progeny HR Solutions LLC-Fort Pierce
and efficient utilization review and discharge planning services to all patients, as needed. Assures compliance with requirements or standards pertaining Joint Commission, Local Fl, and CMS. Oversee and manage the Utilization Management functions and staff. You...
resume-library.com -
Guardian Healthcare-Delray Beach
of the clients  •  Assists in preparation of utilization review monthly reports  •  Provides assessments with empathy and concern for clients and arrives at accurate diagnoses by the end of the evaluation session and updates when new information and clinical status...
Dane Street, LLC-Jacksonville
strengthening your medical practice with medical necessity and utilization review/management expertise Expanded credentials as an expert in Independent Medical Exams and physician advisor services Fully prepped cases, streamlined case flow, transcription...
resume-library.com -
myMDcareers-Fort Lauderdale
Seeking a Medical Director of Clinical Effectiveness (CE) Posted Date: 06/21/2017 Location: [Insert Location Here] Description: Working with the hospital's CMO, Utilization Review Committee, medical staff leadership, and the Clinical...
appcast.io -
Elevance Health-Miami
conducting utilization review or an appeals consideration.  •  Minimum of 10 years of clinical experience or any combination of education and experience that provides an equivalent background.  •  For Health Solutions and Carelon organizations, a minimum of 5...
appcast.io -
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