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Utilization Review Jobs in Miami

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Search Results - Utilization Review Jobs in Miami
apartmentJackson Health SystemplaceMiamilanguageappcast.ioevent_available
in utilization review, quality assessment and improvement programs to improve patient care. Provides medical consultative services to other medical personnel, specifically related to overall patient management. Maintains current standards of acceptable medical...
placeMiamilanguageicims.comevent_available
plans as necessary.  •  Work closely with Utilization Review and Admissions staff to ensure proper authorization of patient insurance coverage.  •  May include managing and directing subordinate staff to identify goals and objectives. Qualifications...
apartmentNavitasPartnersplaceMiamilanguagetalentnest.comevent_available
Oversee core case management functions, including utilization review, discharge planning, and documentation integrity.  •  Allocate resources effectively to meet productivity and quality benchmarks.  •  Collaborate with executive leadership (including...
placeMiamilanguagecolliersengineering.comevent_available
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...
apartmentICBDplaceLauderdale Lakes, 29 mi from Miamilanguageworkable.comevent_available
Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing...
apartmentmyMDcareersplaceFort Lauderdale, 25 mi from Miamilanguageappcast.ioevent_available
Seeking a Medical Director of Clinical Effectiveness (CE) Overview Posted: 06/21/2017 Working with the hospital's CMO, Utilization Review Committee, medical staff leadership, and the Clinical Effectiveness team, you will proactively identify...
apartmentBanyan Health SystemsplaceLauderdale Lakes, 29 mi from Miamievent_available
/organizations  •  Participate in community education/activities program presentations as required JOB DESCRIPTION  •  Participate in on-going improvement and utilization review activities as well as BHS scheduled training, meetings, and clinical supervision...
apartmentMount Sinai Medical CenterplaceMiami Beach (FL)event_available
drug utilization reviews to promote rational and safe drug therapies and determines action plan based on results.  •  Support participation in daily multidisciplinary and bedside rounds. (may need to attend)  •  Maintain appropriate controlled substance...
apartmentHealth Business Solutions LLCplaceCooper (FL), 22 mi from Miamilanguageprimepay-recruit.comevent_available
experience in utilization review, case management, CDI, or clinical appeals  •  Familiarity with CMS guidelines, InterQual, Milliman, or similar criteria  •  Experience in hospital or payer-facing environments  •  Bachelor of Science in Nursing (BSN) Core...
apartmentBanyan Health SystemsplaceLauderdale Lakes, 29 mi from Miamievent_available
in community education/activities program presentations as required JOB DESCRIPTION  •  Participate in on-going improvement and utilization review activities as well as BHS scheduled training, meetings, and clinical supervision sessions  •  Adhere to training...

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