- University of Miami (Miami, FL)
- …UHealth System, Department of Utilization Management, has an exciting opportunity for an Utilization Review Case Manager to work remote. The ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… more
- University of Miami (Miami, FL)
- …: UHealth Tower The University of Miami/UHealth has an exciting opportunity for an RN Case Manager in the Case Management department at the UTower location. ... This position functions as a RN Case Manager for the Case ...Case Management. + Incorporates the fundamental principles of utilization management, monitoring resource consumption, social services intervention and… more
- HCA Healthcare (Miami, FL)
- …etc) experience + Case Management experience a plus + Certification in Case Management or Utilization Review preferred + InterQual experience preferred ... find this opportunity compelling, we encourage you to apply for our RN Case Manager opening. We promptly review all applications. Highly qualified candidates… more
- HCA Healthcare (Miami, FL)
- … management experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience ... colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Manager with HCA Florida Kendall Hospital you can be a part of an… more
- University of Miami (North Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... has an exciting opportunity for a full time Sr Manager , Business Operations with a hire date of December,...out the University and department mission. + Oversees the review , approval and reporting of all expenditures . Reviews… more
- Ross Stores, Inc. (Miami, FL)
- …and development for our teams\. **GENERAL PURPOSE:** The Area Loss Prevention Manager \(ALPM\) is responsible for protecting the assets of Ross Stores, Inc\. ... Operations, MPT, etc\.\) and analytics\. + Identify shortage risks through regular review of indicator reports; partner with stores to develop action plans to… more
- ChenMed (Tamarac, FL)
- …functions in the pre-acute, ER, acute and post-acute setting. + Coordinates with the case manager , patient and family, support the patient transition to the ... situations. Additional duties and responsibilities include working closely with the nurse case managers to transition patients to the appropriate level of care post… more
- Elevance Health (Miami Lakes, FL)
- …appropriate area to refer or assign case ( utilization management, case management, QI, Med Review ). + Provides information regarding network providers or ... clinical information regarding case and determines...and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation… more
- Immigration and Customs Enforcement (Miami, FL)
- …health assessment, evaluation, and diagnosis of detained non-citizens (including the utilization of the DSM-V to formulate findings). Utilizes the electronic medical ... record (EMR) to complete clinical documentation, and to review and process telephone encounters, etc. . Provides referral, identification, and evaluation for those… more
- Elevance Health (Miami, FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.… more
- Elevance Health (Miami, FL)
- …reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical ... I Responsible for providing non-clinical support to the Medical Management and/or Operations/ Case Management Departments. **How you will make an impact:** + Provides… more
- Abbott (Fort Lauderdale, FL)
- …in planning, organizing and performing work; monitors performance and reports status to manager . + Acts as a clinical interface between the medical community and the ... next generation of products. + Provides regional EP procedural case coverage. + Provides additional back-up support to EP...+ Achieves or exceeds expectations in most recent performance review . + Requires an average of 15+ cases a… more