122 utilization jobs at 71 companies in Belleview, FL
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Utilization Specialist
Ocklawaha, Florida, United States
$20-$24/hrOnsiteFull Time
Acadia HealthcareNasdaq: ACHC: Provider of inpatient and outpatient behavioral health services.
2+ YOEHigh school diploma required; clinical experience or 2+ years working with the population; CPR, de-escalation and restraint certification required; EMR/administrative skills and ability to coordinate utilization reviews and appeals.
TurningPoint Healthcare Solutions: Provides technology-enabled clinical management for complex medical conditions.
5+ MgmtRN license and Bachelor's required; 7+ years healthcare operations leadership and 5+ years leading UM operations; strong regulatory knowledge (NCQA/URAC/CMS); executive leadership, change management, and Microsoft Office skills.
UF Health: Academic health center providing clinical care and medical education.
3+ YOECurrent Florida RN license; minimum 3 years experience in utilization review/management or case management; knowledge of utilization guidelines, payer requirements, and regulatory compliance; strong communication and data-analysis skills.
Wire 3: Provides high-speed fiber-optic internet services to Florida communities.
High school diploma/GED, valid driver\u0002s license, ability to pass DOT drug/alcohol testing, experience in utility locating or underground construction preferred, familiarity with utility locating equipment and GIS preferred.
City of Wildwood: Provides municipal governance and public services for Wildwood residents.
8+ YOEBachelor's degree in Civil Engineering or related field; PE license; 8+ years utilities/public works experience; strong budget, PM, and GIS/AutoCAD skills.
AutoCAD, GIS, Adobe Acrobat, Microsoft Office, Windows, Internet
Appeals and Grievances Clinical Specialist/ Quality Of Care
New York or New York City or Lake Mary
$73k-$120k/yrRemoteFull Time
Healthfirst: Provides not-for-profit health insurance coverage to New York residents.
Active RN required; experience in appeals & grievances, utilization review, or case management preferred; familiarity with utilization guidelines and ability to manage large caseloads under regulatory timeframes.
Microsoft Word, Microsoft Excel, Macess, CCMS, TruCare, Hyland, InterQual, Milliman
Appeals and Grievances Clinical Specialist/ Quality Of Care
New York City or Lake Mary
$83k-$120k/yrHybridFull Time
Healthfirst: Non-profit health insurance provider serving New York residents.
Active RN required; experience in clinical practice and appeals & grievances, claims processing, utilization review or case management; knowledge of utilization review guidelines and ability to manage large caseloads.
Microsoft Word, Microsoft Excel, Macess, CCMS, TruCare, Hyland, InterQual, Milliman
City of Leesburg: Municipal government providing public services and utilities in Florida.
1+ YOEHigh school diploma or GED, valid Florida driver's license, minimum 1 year construction experience with underground utility systems, ability to read plans, perform inspections, and complete testing and documentation.
NeuLife Rehabilitation: Provider of residential post-acute rehabilitation for catastrophic injuries.
Prior cook/utility experience preferred; high school diploma or equivalent; valid food handler permit; ability to work fast-paced, physical tasks; strong organizational skills.
IQ Fiber: High-speed fiber-optic internet services for residents and businesses.
2+ YOEHigh school diploma or equivalent and two years of experience operating utility locating equipment; valid Delaware Driver’s License; knowledge of underground utilities, MOT; ability to read as-builts; operate PC; drive company vehicle.
City of Ocoee: Provides municipal services and public administration for Ocoee residents.
3+ YOEHigh school diploma/GED and 3+ years utilities maintenance/installation experience or equivalent; valid Florida driver\u0002s license; ability to locate/repair water and sewer lines, operate equipment, and work in adverse weather.
The Davey Tree Expert Company: Provides tree care, landscaping, and environmental consulting services.
Perform utility line clearance tree trimming and removal using climbing systems and equipment; valid driver’s license required; CDL, line clearance, CPR/First Aid, ISA/TCIA credentials and pesticide licenses preferred.
Technical Leader, PE-Water and Wastewater Utilities
Tavares, Florida, United States
OnsiteFull Time
Halff: Infrastructure consulting firm providing engineering and architecture services.
10+ YOEPE-licensed civil engineer with 10+ years of water/wastewater utility experience, bachelor’s degree in civil engineering, project delivery and business development experience, budget and personnel management.
Technical Leader, PE-Water and Wastewater Utilities
Tavares, Florida, United States
OnsiteFull Time
Halff: Full-service infrastructure consulting firm providing engineering and design services.
10+ YOEBachelor's or Master's in Civil Engineering, 10+ years water/wastewater utility experience, PE license (FL preferred or obtainable), project delivery, business development, budget and personnel management, mentoring, strong communication.
City of Mount Dora: Provides municipal services and local governance to residents.
2+ YOEHigh school/GED required, 2+ years office/administrative experience, strong typing and computer skills, ability to interact with the public and handle emergency utility situations, valid Florida driver's license or ability to obtain, complete NIMS training within 6 months of probation.
City of Eustis: Providing municipal services and public infrastructure for Eustis, Florida.
5+ YOEBachelor's in Civil or Environmental Engineering with 5+ years in public utilities/engineering and project management; valid Florida driver’s license.