- Mount Sinai Medical Center (Miami Beach, FL)
- Care Management Business Operations Manager As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained ... as required with representatives from payors to ensure accomplishment of utilization management activities Oversees the management of observation cases, both… more
- University of Miami (Miami, FL)
- …Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
- Molina Healthcare (Miami, FL)
- …(such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services ... (such as, therapeutic drug monitoring, drug regimen review , patient education, and medical staff interaction), and oversight (establishing and measuring performance… more
- Elevance Health (Miami, FL)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... employment, unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases for… more
- Elevance Health (Miami, FL)
- ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... be 10 AM to 6:00 PM Eastern. Training hours may vary. The ** Utilization Management Representative I** is responsible for coordinating cases for precertification and… more
- Molina Healthcare (Miami, FL)
- …At least 2 years clinical nursing experience, including at least 1 year of utilization review , medical claims review , long-term services and supports (LTSS), ... on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for medical claim and internal… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management. The Manager leads a team of associates and ... stakeholders and assistance companies and facilitating expedited return-to-work planning. The Manager also escalates high-risk cases, conducts care coordination and … more
- University of Miami (Miami, FL)
- … utilization and prevent loss of reimbursement.UNIVERSITY OF MIAMICore_Sr. Manager , Financial Counseling11. Utilizes financial and decision support systems to ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of… more
- Carnival Cruise Line (Miami, FL)
- …stakeholders, supporting disability claims, and facilitating return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews, ... This role reports to the Senior Manager of Case Management and oversees the daily...seafarers and their families with professionalism and empathy. + Review clinical care plans for appropriateness and support the… more
- University of Miami (Miami, FL)
- …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Project ... has an exciting opportunity for a Full Time Project Manager 1 to work at the UHealth Medical Campus....gather, examine and analyze data related to research space utilization and productivity. + Conduct space audits, surveys and… more
- ChenMed (Miami Gardens, FL)
- …rapidly expanding and we need great people to join our team. The Senior Manager , Analytics actively leads and participates with a team to create and implement ... day-to-day operations and strategic decisions. + Leads and develops projects focused on utilization management trends which help find insights in the data and work… 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 ... **Pharmacist Program Manager ** **Hybrid 1:** This role requires associates to...education programs. + Assists in developing formularies. Performs drug utilization analyses. + Participates in and presents to Pharmacy… more
- University of Miami (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 ... - Blood Bank is currently seeking a full time Manager , Laboratory Services to work in Miami. The ...quality data, outliers, and corrective actions. + Monitor's product utilization and brings utilization issues to the… more
- University of Miami (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 ... Oncology has an exciting opportunity for a Sr. Practice Manager to work on the UHealth Campus. The Senior...of faculty, staff physicians and advanced practice providers. + Review requisitions submitted and ensure they are in alignment… more
- Cordis (Miami Lakes, FL)
- …who keep saving lives. **Responsibilities** **Job Summary:** The Global IT Category Manager will lead sourcing and supplier management activities as well as define ... EMEA, and APAC) focusing on understanding, optimizing, and directing IT spend and asset utilization . This is a remote role within the continental US and will be… more
- University of Miami (Hialeah, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Manager ... of Asset Management- Supply Chain has an exciting opportunity for a Full Time Manager , Supply Chain Asset Management to work in the UHealth Medical Campus. Core Job… more
- Elevance Health (Miami, FL)
- **Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure… more
- MyFlorida (Miami, FL)
- HEALTH EDUCATION PROGRAM MANAGER - SES - 64082808 Date: Oct 30, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Agency: Department of Health Working Title: HEALTH EDUCATION PROGRAM MANAGER - SES - 64082808 Pay Plan: SES Position...in accordance with Healthy Start standards and guidelines. Performs review and analysis of all Healthy Start Universal Screening… more
- University of Miami (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 ... of OBGYN has an exciting opportunity for a full-time Manager , Nursing to work in Miami, FL. The ...certifications and professional practice standards. + Responsible for the utilization and maintenance of appropriate nursing care plans and… more
- Omni Hotels (Fort Lauderdale, FL)
- …and catering contracts and guiding meeting planners through the planning process. The manager will serve as the liaison between the meeting planner/client and the ... of program arrival). + Drive function space optimization/maximization, to ensure best utilization of space for guest experience and financial performance of hotel. +… more
