249 utilization jobs at 121 companies in Boynton Beach, FL
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Utilization Review Specialist (Remote)
El Paso or Chapel Hill or Delray Beach or Jackson
$60k-$62k/yrRemoteFull Time
Coronis Health: Provides revenue cycle management and medical billing to healthcare providers.
3+ YOEBA in Psychology or related field, 3–5 years case management/utilization review experience in substance abuse, knowledge of ASAM and medical terminology, KIPU experience required, strong communication and supervisory ability.
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
3+ YOE3+ MgmtMasters in social work, counseling or related field with licensure; 3-5 years Utilization Management in behavioral health; familiar with insurance and aftercare resources; prefer pediatric experience.
Cleveland or Indian River County or Martin County or Weston or Florida
RemoteFull Time
Cleveland Clinic: Provides specialized hospital care, medical research, and education.
3+ YOE1+ MgmtBachelor's degree and RN program completion, Florida RN license, BLS required, 3 years clinical nursing, 2 years utilization review/care management, 1 year healthcare management, proficiency with Microsoft Office and clinical/financial systems, data analysis and UR knowledge.
Trinity Health: National Catholic health system providing comprehensive clinical medical services.
Licensed RN in Florida required; graduate of accredited nursing school; BSN preferred; knowledge of utilization management and MCG/InterQual criteria; ability to review admissions, monitor authorizations, and coordinate physician advisor referrals.
City of Boca Raton: Municipal government providing public services and infrastructure in Florida.
High school level education or equivalent; enrollment in/ability to obtain Florida DEP Class C within 12 months; valid Florida driver's license; pass background, MVR, drug screen, physical; abstain from tobacco use.
Pool Utilization Review Registered Nurse, Case Management, Per Diem, Shift Varies (Rotating Weekends)
Boca Raton, Florida, United States
OnsitePart Time
Baptist Health South Florida: Provides comprehensive medical, diagnostic, and hospital healthcare services.
3+ YOEBSN required, active RN, 3 years nursing (1 year hospital or payor utilization review), MCG Specialist ISC/HRC certification within 12 months, strong chart review, analytical, communication, and computer skills.
The Plymouth House: Residential addiction treatment center and 12-step recovery retreat.
2+ YOEMaster's in social work/mental health/nursing required; 2 years UR experience in hospital or insurance setting; preferred licensure (LMSW, LMHC, LPC); experience with preauthorization, denials/appeals, documentation, and PHI compliance.
Guardian Recovery: Provides comprehensive addiction and mental health treatment services.
2+ YOEMaster's in social work/mental health/nursing required; 2 years UR experience in hospital or insurance setting; preferred licensure (LMSW, LMHC, LPC); strong communication and documentation skills.
American Engineering & Development Corp: Civil construction specializing in site development and grading.
Supervising field utility construction activities, enforcing safety, coordinating vendors/subcontractors, scheduling inspections and testing, preparing production reports and timesheets.
Town of Jupiter: Provides municipal services and public utilities for residents.
1+ YOEProvide utility customer service, process payments and billing, maintain accounts, perform data entry, and handle correspondence; high school diploma/GED and 1 year customer service or billing experience required; valid Florida driver’s license and utility customer service training required within two years.
USIC: Locates and marks underground utility infrastructure to prevent damage.
Ability to safely locate and mark underground utilities, work outdoors, pass a drug screen, hold a valid driver’s license, lift up to 75 lbs, and communicate with customers.
Blue Streak: Builds and maintains fiber optic and telecommunications network infrastructure.
Experience with underground utilities, pole trucks, and reading utility maps; able to lift 50-75 lbs; willing to overtime/on-call; strong safety and teamwork skills.
Integrated Home Care Services: Provides integrated home health, medical equipment, and infusion services.
2+ YOEState LPN or RN licensure; minimum 2 years utilization management experience; proficiency with word processing and spreadsheet programs; utilization or case management certification preferred.
American Engineering & Development Corp: Civil construction contractor specializing in land development and infrastructure.
Experienced pipelayer to install utility piping and structures, operate laser/level, perform shoveling and mud work, compact trenches, verify utilities, and travel within service radius.
Town of Davie: Providing municipal administration and public utility services in Florida.
10+ YOE3+ MgmtBachelor's degree (or equivalent experience),10+ years municipal utilities experience,3+ years managerial experience,valid driver's license,ability to pass background check; PE in Florida and master's degree preferred.
8+ YOE8+ years civil/utility engineering experience; PE license preferred; expertise in site layout, grading, stormwater, erosion control, utility design, trenchless technology, construction support, and specification writing.