355 utilization jobs at 170 companies in Auburndale, FL
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Utilization Specialist - Full-Time
Wesley Chapel, Florida, United States
OnsiteFull Time
Acadia HealthcareNasdaq: ACHC: Provider of inpatient and outpatient behavioral health services.
2+ YOEHigh school diploma or equivalent required; clinical experience or 2+ years working with the population. Preferred clinical degree/licensure; CPR and de-escalation/restraint training required. Experience with utilization management preferred.
Cobalt Benefits Group: Manages self-funded health and dental benefit plans for employers.
3+ YOEActive unrestricted RN license, minimum 3 years clinical nursing experience, 1+ year UM/UR experience, proficiency with Microsoft Office (Excel, Word, Outlook) and utilization management systems, strong analytical and communication skills.
Milliman, Aetna, BCBS, Microsoft Office Suite, Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft Teams
Central Florida Health Care: Provider of integrated medical, dental, and behavioral healthcare services.
2+ YOERequires Florida nursing license, BLS,2+ years clinical experience, HEDIS/ utilization review or chart abstraction experience preferred, EHR proficiency, strong communication and analytical skills.
Aspire Health Partners: Non-profit provider of behavioral health and addiction treatment services.
2+ YOEHigh school diploma/GED, Level II background clearance, valid driver’s license; 2 years utilization review/managed care experience required; BLS required; LPN/RN and bachelor’s degree preferred.
Acadia HealthcareNASDAQ: ACHC: Provides inpatient and outpatient behavioral healthcare and addiction treatment.
2+ YOEHigh school diploma or equivalent required; clinical experience or 2+ years working with the facility population; preferred health-related degree; preferred clinical licensure; CPR and de-escalation/restraint certifications.
Department of Veterans Affairs: Provides healthcare, benefits, and cemetery services to military veterans.
1+ YOEOne year specialized experience in healthcare contracting and procurement, familiarity with FAR/VAAR, ability to prepare procurement packages and support contract administration; U.S. citizenship and selective service compliance required.
SECUR Health Plan: Provider of specialized Medicare Advantage health plans for individuals with complex needs.
2+ YOEActive RN or LPN license, 2+ years clinical nursing experience, EMR/EHR experience, Microsoft Office proficiency, case management certification preferred.
Electronic Medical Records (EMR), EHR, Microsoft Office
Clean Recovery Centers: Provides addiction treatment and mental health recovery services.
Manage insurance authorizations, review medical necessity and records, navigate EMRs and payer portals, communicate with clinicians and payors, and track denials; high school diploma and attention to detail required.
EMR, payspan, zelis, Microsoft Word, Microsoft Outlook, Microsoft Excel, Adobe, InterQual, ASAM, LOCUS
Orlando or Arizona or Florida or Minnesota or North Dakota or Oregon or Tennessee or United States
RemoteContract
Medical Review Institute of America: Provides independent clinical and utilization review services for healthcare.
5+ YOEBoard-certified medical oncologist (MD or DO) with a current medical license in AZ, FL, MN, ND, OR, or TN, 5+ years clinical experience (residency counts), daytime availability, and adherence to HIPAA and company policies.
Sr Utilities Maintenance Coordinator - $1000 Sign - on Incentive
Orlando, Florida, United States
$29-$38/hrOnsiteFull Time
Orange County Government: Public administration and civic services for Orange County, Florida.
5+ YOEHigh school diploma and 5+ years operations/maintenance experience in utilities infrastructure; valid Florida driver's license; knowledge of water/wastewater systems and maintenance planning.
City of Maitland: Provides municipal and public administration services to Maitland citizens.
7+ YOE3+ MgmtAssociate's in water management/environmental science or 7 years progressive water system experience with 3 years supervisory experience; FDEP Drinking Water Treatment Plant Operator Class B, Florida driver, NIMS IS-700 and ICS-100, stormwater certification required/obtainable.
Supervisory Control and Data Acquisition (SCADA), CMMS
City of Tampa: A municipal department responsible for operating and maintaining stormwater pump stations and related infrastructure.
5+ YOEHigh school diploma/GED plus 5 years experience in mechanical/electrical/plumbing/industrial maintenance or water/wastewater systems; ability to read technical manuals and schematics; valid driver’s license; confined space work and heavy lifting.
City of Lakeland: Provides municipal services, public utilities, and safety for Lakeland.
4+ YOEHigh school diploma/GED and 4+ years journeyman-level industrial mechanical/electrical/instrument experience (internal candidates: 5 years apprenticeship). Must hold valid driver\u0001s license, pass respirator/fit testing, and have intermediate computer skills (Microsoft Office, MAXIMO preferred).
Microsoft Excel, Microsoft Word, Microsoft Outlook, MAXIMO
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
3+ YOEMaster’s degree in psychology, mental health counseling, social work or related field; Florida license preferred; 3-5 years chart analysis/utilization review experience; strong communication skills.
T2 Utility Engineers: Provides subsurface utility engineering, utility coordination, and surveying to reduce utility risks for infrastructure projects.
5+ YOE5+ years project management experience in municipal/highway/utility engineering; strong knowledge of utility coordination, right-of-way, utility design/construction, surveying and SUE mapping; valid driver\u0001s license and reliable vehicle; excellent presentation and communication skills.
Mott MacDonald: Global engineering and management consultancy for infrastructure and development.
0+ YOECoordinate utility relocations, review utility plans/specs, perform site visits, prepare documentation. Degree in engineering or construction management preferred; alternatively HS + 4 years construction/utility experience. FDOT standards knowledge and ability to obtain FDOT Advanced MOT required.
PDF Acrobat Pro, Blue Beam, One Stop Permitting (OSP), Electronic Review Comments (ERC), Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Southeastern Surveying & Mapping Corporation: Professional surveying, mapping, and utility engineering firm.
1+ YOELocate and expose underground utilities using hand and vacuum excavation, read utility and survey drawings, record field data in CAD/drafting formats, operate and maintain field equipment, and perform physical outdoor work.