201 utilization jobs at 94 companies in Homestead, FL
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Utilization Review
Miami, Florida, United States
OnsiteFull Time
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.
Independent Living Systems: Provides healthcare management and nutritional support for vulnerable populations.
5+ YOEBachelor's degree required,5 years utilization management or related healthcare experience,knowledge of healthcare regulations,leadership experience preferred,ACM/CCM certification desirable.
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.
Monte Nido & Affiliates: Provider of clinically comprehensive eating disorder treatment programs.
1+ YOEMaster's in related field required, 1+ year insurance authorization/managed care experience, licensed behavioral health clinician or RD, experience with clinical documentation and payor advocacy.
Monte Nido: Provides residential and outpatient eating disorder treatment services.
1+ YOEMaster's in a mental health-related field, 1+ year experience with insurance authorizations/managed care, licensed behavioral health clinician or RD preferred, experience with eating disorders preferred.
Miami Jewish Health: Provides comprehensive healthcare and residential services for aging adults.
2+ YOECurrent Florida RN or LPN license, 2+ years clinical experience and 2–4 years UM/healthcare administration experience preferred, proficiency with EMRs and Microsoft Office, familiarity with InterQual/MCG and medical necessity criteria.
EMR, UM platforms, Microsoft Outlook, Microsoft Excel, Microsoft Word
Rightway: Healthcare navigation and transparent pharmacy benefit management services.
1+ YOEActive national CPhT, 1+ years pharmacy technician experience in PBM/managed care or mail order/specialty pharmacy; experience with claims adjudication and call center work; strong attention to detail and communication skills; Associate's/Bachelor's preferred.
Registered Nurse Utilization Review, Case Management, Part Time, 7P-7:30A
South Miami, Florida, United States
OnsitePart Time
Baptist Health South Florida: Provides comprehensive medical, diagnostic, and hospital healthcare services.
3+ YOEActive RN with MCG specialist certification (within 12 months), Associates degree (BSN completion requirements for some hires), 3 years nursing experience preferred, strong chart-review, communication, analytical and computer skills.
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yrHybridFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
CognizantNASDAQ: CTSH: Provides IT consulting and technology services to global enterprises.
Bachelor's degree required (MBA/masters preferred); experience in energy/utility domain with SAP ISU and utility billing (meter-to-cash); proficiency with billing analysis, documentation, and collaboration; willingness to travel extensively; must be authorized to work in the US without sponsorship.
JIRA, Qmetry, Microsoft Teams, Microsoft Outlook, Microsoft Excel, SAP ISU, CIS, Microsoft Copilot
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.
US E-Consulting Services-Power and Utilities OT Operational Technology-Manager-Cyber/Enterprise Security-352459
Houston or Dallas or Cleveland or Detroit or St. Louis or Pittsburgh or Boston or Charlotte or Atlanta or Miami or Memphis or Denver or Phoenix or Salt Lake City or Los Angeles or San Diego or San Francisco or Seattle
$135k-$265k/yrHybridFull Time
Deloitte: Provides professional audit, consulting, advisory, and tax services.
7+ YOE7+ years in Power and Utilities OT security, with governance and risk management expertise.
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.
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.
Power Corporation of America: Constructs and maintains electrical utility and energy infrastructure systems.
Ability to locate and mark underground utilities, interpret site plans, operate locating equipment, pass drug/alcohol and background checks, maintain clear driving record, and work nights/weekends.
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.