314 reviewer jobs at 166 companies in Miami, FL

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UTILIZATION REVIEWER
South Miami, Florida, United States
OnsiteFull Time
Larkin Community Hospital
Larkin Community Hospital: Operates teaching hospitals providing acute and behavioral healthcare services.
2+ YOEClinical background with 2 years of utilization review experience; RN or master's-level clinician; CPI certification; inpatient mental health and substance abuse experience preferred.
1mo
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Psychologist Reviewer Senior
Tampa or Miami or Lake Mary
HybridFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
5+ YOEPhD/PsyD in clinical or counseling psychology, active unrestricted psychologist license, 5+ years behavioral health/managed care experience, experience with psychological testing and clinical reviews, leadership/mentoring skills.
1mo
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State Aid Reviewer
Fort Lauderdale, Florida, United States
OnsiteFull Time
Keiser University
Keiser University: Provides career-focused higher education and degree programs.
Associate degree required (Bachelor's preferred); experience in financial aid preferred; strong Excel, verbal and written communication skills; comfortable reviewing student accounts and reports.
Microsoft Excel
1w
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Engineering Plan Reviewer
Homestead, Florida, United States
$40-$52/hr OnsiteFull Time
City of Homestead
City of Homestead: Municipal government providing public services to residents of Homestead, Florida.
5+ YOEBachelor's degree in engineering, construction management, architecture, or related field; 5 years reviewing construction or design plans; Florida driver's license; Microsoft Office proficiency; background screening.
Microsoft Office, AASHTO, Manual on Uniform Traffic Control Devices, ADA, Florida Greenbook, FDOT Standard Plans for Road and Bridge Construction
1mo
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Physician Reviewer
Miami, Florida, United States
OnsiteFull Time
Independent Living Systems
Independent Living Systems: Provides healthcare management and nutritional support for vulnerable populations.
3+ YOEMedical degree (MD/DO), active Florida medical license, minimum 3 years clinical managed-care experience, BLS/EMR proficiency, strong knowledge of clinical guidelines and healthcare regulations.
Electronic Medical Records (EMR), medical review software
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Licensed Psychologist, Peer Reviewer - Remote in Florida
Tampa or Miami or Orlando or Jacksonville or Tallahassee
$92k-$164k/yr RemoteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
3+ YOELicensed doctoral psychologist in Florida, able to obtain additional state licensure,3+ years post-licensure,experience with insurance authorizations/peer review,advanced Microsoft Office skills,secure remote workspace and broadband,Florida residency required.
Microsoft Word, Microsoft Outlook, Microsoft Teams, Microsoft Excel, Microsoft Access
3d
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RN Professional Practice Quality Reviewer (Full Time, Days)
Miami, Florida, United States
OnsiteFull Time
Nicklaus Children's Health System
Nicklaus Children's Health System: Provides specialized healthcare services for children and adolescents.
1+ YOERequires BSN, active Florida or eNLC RN licensure, 1–3 years of healthcare quality experience, 3–5 years of clinical nursing experience, analytical skills, and Microsoft Office proficiency.
Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, Microsoft Access, Microsoft Visio, Microsoft SharePoint, Electronic Medical Record (EMR)
1w
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Utilization Review Specialist (in-office only)
Boca Raton, Florida, United States
$55k-$70k/yr OnsiteFull Time
Quadrant Health Group
Quadrant Health Group: Operates a network of addiction and mental health centers.
2+ YOEPrior utilization review and clinical experience required (minimum 2 years UR, 4 years behavioral health preferred). Must be proficient with Kipu EMR, ASAM & LOCUS criteria, manage 30–70 caseloads, and perform after-hours reviews as needed.
EMR, Kipu, Google Docs, Google Sheets, Google Drive
6d
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Concurrent Review Nurse
Doral, Florida, United States
OnsiteFull Time
Leon Health: Medicare Advantage health plan providing personal care for seniors.
2+ YOEBachelor’s degree in Nursing, active clinical nursing qualifications, at least 2 years of clinical review or utilization management experience, and bilingual English-Spanish proficiency required.
CMS
2w
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Utilization Review
Miami, Florida, United States
OnsiteFull Time
Westchester General Hospital
Westchester General Hospital: A hospital providing inpatient care and clinically-based care management to support effective and efficient patient care.
2+ YOEValid Florida RN license, associates degree in nursing (bachelor preferred), minimum 2 years utilization review/care management experience in hospital, BLS/clinical knowledge, strong communication and documentation skills.
2mo
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Clinical Document Specialist-PBO-BHC
Fort Lauderdale, Florida, United States
OnsiteFull Time
Broward Health
Broward Health: Operates public hospitals and healthcare centers in South Florida.
3+ YOEClinical document review, coding queries, physician communication; inpatient medical records review; requires nursing licensure and coding certifications.
1mo
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Plans Processor
Cutler Bay, Florida, United States
OnsiteFull Time
SAFEbuilt
SAFEbuilt: Provides outsourced building department and community development services.
High school diploma required. Process and log construction plan submittals, review applications for completeness, route plans to trade reviewers, track review progress, communicate with applicants, and maintain electronic permitting records. 2 years experience preferred.
2w
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Utilization Review Specialist
Pompano Beach, Florida, United States
$50k-$65k/yr RemoteFull Time
Banyan Treatment Centers
Banyan Treatment Centers: Providing comprehensive addiction and mental health treatment services.
1+ YOEHigh school diploma, 1+ year utilization review experience in psychiatric or chemical dependency settings, strong documentation and communication skills, ability to manage high caseloads, and work independently in a remote environment.
1mo
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Chief Electrical Inspector
Broward County, Florida, United States
FieldFull Time
Bureau Veritas
Bureau VeritasEuronext Paris: BVI: Provides global laboratory testing, inspection, and certification services.
10+ YOEFlorida electrical inspection and plan-review experience; ability to interpret codes, perform plan reviews and inspections, communicate with stakeholders, and resolve code compliance issues.
1mo
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Sr Team Member, CSC Ops Sup
Miami Lakes, Florida, United States
OnsiteFull Time
Tractor Supply Company
Tractor Supply CompanyNasdaq: TSCO: Retailer of supplies for rural lifestyle and farming needs
2+ YOEMinimum 2 years customer service experience; ability to resolve complex escalations, excellent written and verbal communication, experience with online review platforms and order/fraud review.
Trustpilot, Google Reviews
5d
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Utilization Review Specialist (Per Diem)
Deerfield Beach or United States
OnsitePart Time, Temporary
FHE Health
FHE Health: Medically integrated treatment for addiction and mental health disorders.
2+ YOERequires a bachelor's degree in nursing, social work, behavioral health, or a related field; 2–3 years of utilization review experience; and knowledge of ASAM, LOCUS, DSM-5, and clinical documentation.
ASAM, LOCUS, DSM-5
2mo
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Structural Inspector I or Inspector II Plans Review
Coral Springs, Florida, United States
$65k-$110k/yr OnsiteFull Time, Contract
City of Coral Springs
City of Coral Springs: Provides municipal services and public safety to Coral Springs residents.
5+ YOEHigh school diploma; 5 years construction experience incl. HVHZ; Florida General Contractor certificate; valid Florida driver's license; inspections and plan review experience.
3mo
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Care Review Clinician (RN) - Remote in FL
Miami or Jacksonville or St Petersburg or Orlando or Tampa
RemoteFull Time
Molina Healthcare
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
2+ YOERN with at least 2 years in hospital acute care, inpatient review, prior authorization, managed care or equivalent; active RN license in state of practice; strong communication and time-management skills.
1w
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Standards and Practices Associate: International Multimedia Journalist IV
Doral, Florida, United States
OnsiteFull Time
United States Agency for Global Media
United States Agency for Global Media: Operates international broadcasting and global news networks.
Review multimedia content for editorial compliance, identify legal and ethical issues, maintain review records, research regulations, and collaborate with production teams; fluency in target language and specialized subject knowledge desired.
1w
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Senior Mechanical Inspector
Sunny Isles Beach, Florida, United States
$74k-$121k/yr OnsiteFull Time
City of Sunny Isles Beach
City of Sunny Isles Beach: Municipal government providing public services to Sunny Isles Beach residents.
5+ YOEHigh school diploma/GED, five years as a licensed mechanic, high-rise inspection and plan review experience, Florida and Miami-Dade mechanical inspector certifications, plan reviewer certification, and Florida driver's license.
computer terminals, printers, copy machines, telephone systems, facsimile machines