398 utilization jobs at 170 companies in Lakeland, FL
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Utilization Reviewer 2
Tampa, Florida, United States
$60k-$76k/yrOnsiteFull Time
Enlyte: Providing technology and clinical services for insurance claims management.
2+ YOEFL-licensed RN or chiropractor, Bachelor's degree, 2+ years utilization review experience (or advanced degree), knowledge of medical terminology, strong analytical and communication skills.
Enlyte: Provides technology and clinical services for insurance claims management.
2+ YOEFlorida RN or chiropractor license required, bachelor’s degree, minimum 2 years utilization review experience (or advanced degree), knowledge of medical terminology, strong analytical and communication skills.
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.
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.
AdventHealth: Non-profit health care system providing hospital and medical services.
3+ YOEActive RN, Associate degree in Nursing required (Bachelor preferred); 3+ years clinical nursing experience; BLS/CPR; knowledge of utilization/case management, payer guidelines, and EMR; strong communication and critical thinking.
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.
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.
Utilization Review Care Manager - Must have 3 years in IQ/MCG
Orlando, Florida, United States
HybridFull Time
Orlando Health: A non-profit healthcare network providing comprehensive hospital and specialty services.
3+ YOEFlorida RN required; 3+ years hospital utilization management experience; trained in InterQual and MCG; experience with medical necessity review, care coordination, and concurrent review.
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.
Clinical Program Manager, Utilization Management - Remote
Houston or Atlanta or Nashville or New Orleans or Charlotte or Tampa
$92k-$164k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOE4+ MgmtMaster's/doctoral in behavioral health, current unrestricted independent clinical license, 5+ years post-licensure clinical experience, 4+ years people management, utilization management knowledge.
Orlando Utilities Commission: Municipal utility providing water and electricity services in Florida.
8+ YOEABET-accredited bachelor’s in civil/environmental engineering, 8+ years water engineering experience, construction management/fluid mechanics experience, valid driver’s license, PE or ability to reciprocate in Florida, MOT Intermediate within first year.
Geographic Information Systems (GIS), Google Maps, Infowater, AutoCAD, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, E1, ePETS
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.
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.
Hernando County: Provides local government services and administration for Hernando County.
2+ YOEMaintain and develop GIS utility datasets, produce infrastructure maps, integrate CAD/survey data, perform QA/QC, and support utilities operations; requires valid Florida driver license and 2+ years GIS experience.
George F. Young: Civil engineering and land surveying for property development.
10+ YOE10+ years FDOT utility coordination experience, strong FDOT/FHWA/AASHTO knowledge, proven business development success, established FDOT and utility relationships, MS Office and Adobe proficiency, valid U.S. driver’s license.
LCS: A retirement community employer providing culinary and hospitality services in an upscale senior living environment.
High school diploma or equivalent preferred; six months dishwashing/utility experience preferred but not required; must be available for all shifts and perform physical tasks.