Utilization Review Jobs in Miami
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Search Results - Utilization Review 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...
Encompass Health-Miami
of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice...
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
coverage systems (e.g., Medicare/Medicaid)
• Knowledge of current Utilization Review Accreditation Committee (URAC) standards
• Knowledge of current National Committee for Quality Assurance (NCQA) standards
• Strong clinical assessment and critical thinking...
acentra.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
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 -
Robert Half-Lauderdale Lakes, 29 mi from Miami
We are offering a contract for a Utilization Review (UR) Records Analyst (ABA) position in Lauderdale Lakes, Florida. This role is primarily within the healthcare industry and requires the successful candidate to be physically present in the office...
roberthalf.com -
Sunshine State Health Plan-Hialeah, 11 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...
Sunshine State Health Plan-Hialeah, 11 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...
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...
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