Utilization Review Jobs in Miami
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Search Results - Utilization Review Jobs in Miami
Elevance Health-Miami
The **Licensed Utilization Review I** is responsible for working with healthcare providers to help ensure appropriate and consistent administration of plan benefits through collecting clinical information to preauthorize services, assess medical...
healthecareers.com -
Miami
Grow with us!:
Utilization Review Clinician
Monte Nido
Remote
Monte Nido has been delivering treatment for eating disorders for over two decades. Our programs offer a model of treatment that blends medically sophisticated care...
montenidoaffiliates.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...
HCA Florida Mercy Hospital-Miami
experience
• Case Management experience a plus
• Certification in Case Management or Utilization Review preferred
• InterQual experience preferred
HCA Florida Mercy Hospital is a 488-bed facility. We are accredited by the Joint Commission and offer a wide...
Centene Pharmacy Services-Miami
perspective on workplace flexibility.
Position Purpose: Oversees the operation of initiatives and programs focused on improvement in pharmacy quality measures (Part D Patient Safety Measures, HEDIS, PQA, etc.), and drug utilization review. Drives...
Miami
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
icims.com -
Baptist Health South Florida-Boca Raton, 41 mi from Miami
BSN. Minimum of 3 years supervisor management experience in case management or utilization review required. Prior experience in case management or utilization management required,certification required or obtained within 1 year.
Knowledge...
myMDcareers-Fort Lauderdale, 25 mi from Miami
Seeking a Medical Director of Clinical Effectiveness (CE)
Posted Date
Posted Date 06/21/2017
Location
Description
Description Working with the hospital's CMO, Utilization Review Committee, medical staff leadership, and the Clinical...
appcast.io -
Florida
Job Description:
Spectrum Healthcare Resources has a potential opportunity for a civilian RN - Utilization Review at Elgin Air Force Base in Destin/Fort Walton Beach, Florida.
Position Highlights:
• Excellent work/life balance
• Freedom from...
icims.com -
BROWARD COUNTY CLERK OF CIRCUIT AND COUNTY COURTS-Fort Lauderdale, 25 mi from Miami
reports including but not limited to, audits, usage, and management reports; analyzes system performance and resource utilization
• Reviews and analyzes program logic, screen layouts, and reports to support process workflows for development of new...
mindmatch.ai -
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