385 utilization jobs at 166 companies in Fort Lauderdale, FL
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UTILIZATION REVIEWER
South Miami, Florida, United States
OnsiteFull Time
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.
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.
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.
Compassion Behavioral Health: Providing comprehensive mental health and substance abuse treatment services.
4+ YOERequires 4+ years of utilization review or equivalent experience, insurance industry knowledge, behavioral health experience, MS Office and Excel skills, and strong written and verbal communication.
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.
Smyrna or Fort Riley or Topeka or Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin or Hot Springs or Waco
$75k-$123k/yrOnsiteFull Time
Department of Veterans Affairs: Provides healthcare, benefits, and cemetery services to military veterans.
1+ YOERequires one year of specialized procurement experience at the next lower federal grade, U.S. citizenship, and experience with acquisition strategy, contract compliance, procurement documentation, federal regulations, stakeholder coordination, and presentations.
Meridian or Atlanta or Lake Mary or Indianapolis or Louisville or Tampa or Miami or Durham or Columbus or Winston-Salem
RemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
1+ YOERequires a high school diploma or GED and at least 1 year of customer service or call-center experience; inbound call center and medical or insurance experience preferred.
City of West Palm Beach: Municipal government providing public services for West Palm Beach.
Supervises utility crews and performs skilled construction, repair, and maintenance of wastewater, stormwater, and water distribution systems, treatment plants, and lift stations.
City of Plantation: Provides municipal government services to the Plantation community.
3+ YOEHigh school diploma or equivalent, 3 years of water and wastewater infrastructure experience, Florida Class B CDL with tanker endorsement, and Class B Water Distribution Operator license within two years.
Microsoft Outlook, Microsoft Excel, Microsoft Word, ADP, Hansen, City PGIS system, GIS
City of Boca Raton: Municipal government providing public services and infrastructure in Florida.
1+ YOERequires a Florida DEP Class C or higher wastewater license, one to five years of plant operating experience depending on license level, high school diploma or equivalent, and a valid Florida Class E driver's license.
Superintendent of Water Distribution and Wastewater Collections
Homestead, Florida, United States
$101k-$131k/yrOnsiteFull Time
City of Homestead: Municipal government providing public services to residents of Homestead, Florida.
8+ YOE4+ MgmtBachelor's degree and 8–12 years of public works, construction, or maintenance experience, including 4–7 years supervising multiple crews. Requires Florida Level 2 water distribution license, driver's license, and Microsoft Office proficiency.
Microsoft Office, computerized maintenance management systems, project management systems, work-order systems, procurement systems, contract administration systems
Broward County: Providing municipal administration and public infrastructure for the county.
0.5+ YOERequires 6 months operating or maintaining similar mechanical, hydraulic, or electrical equipment, or qualifying pre-apprenticeship completion. Must obtain a Class C license within two years; related technical education and Florida operator credentials may qualify.
City of Miramar: Provides municipal services to the residents of Miramar, Florida.
3+ YOE3+ MgmtAssociate's degree in science, engineering, or related field; 3–5 years of water system operations experience including leadership; valid Florida Class A Water Operator's License.
Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, computer, calculator, diagnostic equipment, test equipment, pumps, motors, laboratory equipment, generators, mechanic's tools, hand tools, power tools
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.
Registered Nurse Utilization Review, Case Management, Per Diem, 8:30A-5P/Shift Varies
Miami, Florida, United States
OnsitePart Time
Baptist Health South Florida: Provides comprehensive medical, diagnostic, and hospital healthcare services.
3+ YOERequires an RN license and 3 years of experience. An associate degree is required; hospital clinical experience, payer reimbursement knowledge, communication, analytical, and chart review skills are preferred.
Albany or Arlington or Atlanta or Austin or Beaverton or Bentonville or Boston or Carmel or Charlotte or Chicago or Cincinnati or Cleveland or Columbus or Culver City or Denver or Des Moines or Detroit or Hartford or Herndon or Houston or Irvine or Irving or Kirkland or Los Angeles or Miami or Milwaukee or Minneapolis or Morristown or Mountain View or Nashville or New York City or Oklahoma City or Overland Park or Philadelphia or Pittsburgh or Raleigh or Redmond or Sacramento or San Diego or San Francisco or Scottsdale or Seattle or St. Louis or St. Petersburg or Walnut Creek or United States
$80k-$294k/yrHybridFull Time
AccentureNYSE: ACN: Global professional services firm providing consulting and technology solutions.
7+ YOERequires 7+ years in utility GIS solution architecture and implementations, electric and gas utility expertise, ArcGIS Utility Network experience, enterprise integration, and leadership of full-lifecycle transformations.
ArcGIS Utility Network, ArcGIS Enterprise, ArcGIS Pro, Enterprise Asset Management (EAM), Work Management, Outage Management Systems (OMS)