Utilization Review Jobs in Miami
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Search Results - Utilization Review Jobs in Miami
First Connect Health-Miami
First Connect Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Fort Mayers, Florida.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13 weeks
• 40 hours per week
• Shift...
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Pro Med Healthcare Services-Miami
the Utilization Review team by preparing and tracking written insurance appeals.
Relationships and Contacts
Within the organization: Maintains frequent and close working relationships with Clinical staff and facility team members throughout the organization...
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workable.com -
University of Miami - UHealth-Miami
in quality review of motility procedures, performance improvement, utilization review and risk management and patient safety activities as they relate motility procedures.
• Interpret and help to ensure medical staff compliance with hospital and medical...
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Miami
Overview:
The Case Manager (CM) is an important member of the treatment team responsible for participating in the development of the patient's plan of care and facilitating efficient throughput, conducting utilization review, promoting appropriate...
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ufhealth.org -
ChenMed-Miami
Medicine or Family Practice residency
• Board Certification in Endocrinology
• Two (2) years’ experience in Hospital medicine preferred
• At least one (1) year of utilization review experience preferred
PAY RANGE:
$204,761 - $292,515 Salary
The posted...
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Miami
in utilization review or case management
• Knowledge of healthcare utilization guidelines and compliance
• Experience evaluating medical necessity and treatment plans
• Strong communication skills for authorization decisions
• Ability to analyze utilization data...
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ufhealth.org -
ChenMed-Miami
Medicine or Family Practice residency
• Board Certification in residency area - Otorhinolaryngology (ENT)
• Two (2) years’ experience in Hospital medicine preferred
• At least one (1) year of utilization review experience preferred
PAY RANGE:
$204,761...
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Miami
experience in case management and/or utilization review preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
• Current license required within the state the facility is operating in if required.
• CPR and de-escalation/restraint certification required...
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icims.com -
ChenMed-Miami
Medicine or Family Practice residency
• Board Certification in - Pulmonology
• Two (2) years’ experience in Hospital medicine preferred
• At least one (1) year of utilization review experience preferred
PAY RANGE:
$204,761 - $292,515 Salary
The posted...
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Miami
staff utilization. Reviews staff utilization regularly and promptly addresses staff not meeting utilization goals.
• Prepare for future state of the discipline through succession planning.
• Responsible for fostering staff professional development...
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colliersengineering.com -
Miami
information to ensure the best outcome for the patient.
• Completes utilization reviews by providing all relevant clinical information to insurance companies for any pre-certification of hospitalization.
• Provides patients and families with education, comfort...
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ufhealth.org -
ChenMed-Miami
Medicine or Family Practice residency
• Board Certification in Infectious Disease
• Two (2) years’ experience in Hospital medicine preferred
• At least one (1) year of utilization review experience preferred
PAY RANGE:
$204,761 - $292,515 Salary...
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ChenMed-Miami
Medicine or Family Practice residency
• Board Certification in residency area
• Two (2) years’ experience in Hospital medicine preferred
• At least one (1) year of utilization review experience preferred
PAY RANGE:
$204,761 - $292,515 Salary
The posted...
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ChenMed-Miami
Medicine or Family Practice residency
• Board Certification in Rheumatology
• Two (2) years’ experience in Hospital medicine preferred
• At least one (1) year of utilization review experience preferred
PAY RANGE:
$204,761 - $292,515 Salary
The posted pay...
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ChenMed-Miami
improvement in our developing area of Delegated Utilization Management.
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
• Provides Clinical Appropriateness Reviews by covering the specified territories as assigned:
• Establish 2-3 cases a day for each market covered...
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