- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …discharge. + Provides after hour safe discharge coverage for all hospital units. + Participates in utilization management initiatives/opportunities for ... to meet the healthcare needs of the patients using the functions of Utilization Resource Management, Transition of Care, Discharge Planning, and Case Management. +… more
- ChenMed (Miami, FL)
- …in Hospital medicine preferred + At least one (1) year of utilization review experience preferred We're ChenMed and we're transforming healthcare for seniors ... The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in...reviewers. + Other duties as assigned and modified by manager . **KNOWLEDGE, SKILLS AND ABILITIES:** + Excellent analytical and… more
- Actalent (Sunrise, FL)
- …cases, internal process development, and educates physicians and team members on utilization review issues. Ensuring smooth transitions and patient satisfaction ... organizations. + Prepare and present reports on department activities. Essential Skills + Clinical review + Utilization review + Utilization management +… 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 ... a Full Time Director, Facilities & Operations - School/ College/ Hospital (H) to work at the UHealth Medical campus...strategies for present and future projects, space planning and utilization . Analyze space and facility layouts for the purpose… more
- ChenMed (North Miami Beach, FL)
- …work experience required. + A minimum of 1 year of utilization review and/or case management, home health, hospital discharge planning experience required. + ... conjunction with the PCP, Hospitalist, Medical Director, insurance case manager and the hospital case manager...to review treatment goals and optimize resource utilization ; provides family education and identifies post- hospital … more
- CVS Health (Hialeah, FL)
- …do it all with heart, each and every day. **Position Summary** The Care Manager RN is responsible for driving and supporting care management and care coordination ... and coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal, cost-effective outcomes. The schedule for… 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
- 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 ... Center and Bascom Palmer Eye Institute, the number-one eye hospital in the nation. UHealth at SoLe Mia will...Mia has an exciting opportunity for a full-time Practice Manager (H) with a target hire in 6/30/2025. Be… more
- HCA Healthcare (Miami, FL)
- … hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred + 3 years experience ... employer? We have an exciting opportunity for you to join HCA Florida Mercy Hospital which is part of the nation's leading provider of healthcare services, HCA… more
- HCA Healthcare (Margate, FL)
- …or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Northwest ... for the opportunity below:RN case Mgr PRNHCA Florida Northwest Hospital **Benefits** HCA Florida Northwest Hospital , offers...supporting a balance of optimal care and appropriate resource utilization . What you will do in this role: +… more
- Actalent (Sunrise, FL)
- …+ Engage with Medical Directors and care management staff to direct appropriate utilization and data capture. + Educate members, providers, and team members on care ... to determine health, psychological, educational, and social needs. + Review the daily census for enrollees admitted to the... the daily census for enrollees admitted to the hospital , assess the need for ongoing care coordination, and… more
- HCA Healthcare (Aventura, FL)
- … hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred HCA Florida Aventura ... a(an) RN Case Mgr PRN? At HCA Florida Aventura Hospital , you come first. HCA Healthcare has committed up...of our team. **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative… more
- Molina Healthcare (Miami, FL)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + Identifies and… more
- HCA Healthcare (Plantation, FL)
- … hospital nursing experience required + Certification in case management or utilization review preferred InterQual experience preferred HCA Florida Westside ... a(an) Case Mgr RN PRN with HCA Florida Westside Hospital you can be a part of an organization...Unlock your potential! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing Rehabilitative… 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 ... day. + Prepares statistics, identifying add-on totals, cancellations and overall OR utilization . + Responsible for clerical functions of the respective unit. +… 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) . *REMOTE* The ... Functions as an independent project lead or provides oversight for project manager and/or business analyst on assigned projects, and recognize/ minimize business… 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 ... Functions as an independent project lead or provides oversight for project manager and/or business analyst on assigned projects and recognize/ minimize business… more
- Actalent (Coral Gables, FL)
- …building systems (architectural, civil, structural, etc.) proactively to projects. + Review and manage Requests for Information (RFI) and submittals, maintaining ... intent. + Monitor owner and/or contractor directed changes and notify the Project Manager of any potential additional services. + Check submittals (eg, shop drawings… more