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114 utilization management jobs at 72 companies in Doral, FL

1w
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Utilization Management Nurse
Miami or Doral
OnsiteFull Time
Solis Health Plans
Solis Health Plans: Provides personalized Medicare Advantage health insurance plans and services
3+ YOEFlorida RN license, nursing degree, 3–5 years of clinical RN experience, and bilingual English-Spanish proficiency required; utilization management, case management, and discharge planning experience preferred.
CMS
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1mo
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Director, Utilization Management
Miami, Florida, United States
OnsiteFull Time
Independent Living Systems
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.
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1mo
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Utilization Management Representative I
Meridian or Atlanta or Lake Mary or Indianapolis or Louisville or Tampa or Miami or Durham or Columbus or Winston-Salem
RemoteFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
1+ YOEHigh school diploma/GED and 1+ year customer service or call-center experience; ability to coordinate prior authorizations, check benefits, handle inbound calls, multi-task, and use digital tools; medical terminology preferred.
Workday
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2w
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Utilization Review
Miami, Florida, United States
OnsiteFull Time
Westchester General Hospital
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.
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2w
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Utilization Review Specialist
Pompano Beach, Florida, United States
$50k-$65k/yr RemoteFull Time
Banyan Treatment Centers
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.
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Utilization Review Specialist (in-office only)
Boca Raton, Florida, United States
$55k-$70k/yr OnsiteFull Time
Quadrant Health Group
Quadrant Health Group: Operates a network of addiction and mental health centers.
2+ YOEPrior utilization review and clinical experience required (minimum 2 years UR, 4 years behavioral health preferred). Must be proficient with Kipu EMR, ASAM & LOCUS criteria, manage 30–70 caseloads, and perform after-hours reviews as needed.
EMR, Kipu, Google Docs, Google Sheets, Google Drive
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2w
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Director of Case Management, Case Management Dept, Full Time, Day Shift, Job ID # 1827958
Hialeah, Florida, United States
OnsiteFull Time
Palmetto General Hospital
Palmetto General Hospital: Acute care hospital providing comprehensive medical and surgical services.
Active RN license required; leadership case management experience preferred; knowledge of utilization management, transition management, regulatory compliance, and case management systems.
Allscripts Care Management System, McKesson Care Enhance Review Manager (CERMe), InterQual, Crimson, Cerner, HPF, Decision Support
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3mo
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Director, Case Management-Case Mgmt-FT-Days-BHMC #30273
Fort Lauderdale, Florida, United States
OnsiteFull Time
Broward Health
Broward Health: Operates public hospitals and healthcare centers in South Florida.
7+ YOEOversee hospital utilization, performance improvement, and operations of Case Management; RN license required; CCM/ACM preferred; bachelor’s degree; 7+ years hospital management.
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6d
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UTILITIES CREWLEADER
Plantation, Florida, United States
$55k-$100k/yr OnsiteFull Time
City of Plantation
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
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1mo
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Pool Utilization Review Registered Nurse, Case Management, Per Diem, Shift Varies (Rotating Weekends)
Boca Raton, Florida, United States
OnsitePart Time
Baptist Health South Florida
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.
MCG
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3mo
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Director, Asset Management (Engineering and Finance)
Miami, Florida, United States
OnsiteFull Time
Hut 8
Hut 8NASDAQ: HUT: Operates energy infrastructure and high-performance computing data centers.
10+ YOE10+ years in energy infrastructure or utilities; expert financial modeling; negotiate PPAs and Real Estate contracts; lead multi-site portfolios; present to C-suite and board.
Financial Modeling, Underwriting, Contract Negotiation
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Superintendent of Water Distribution and Wastewater Collections
Homestead, Florida, United States
$101k-$131k/yr OnsiteFull Time
City of Homestead
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
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1d
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WATER PLANT SHIFT SUPERVISOR
Miramar, Florida, United States
$69k-$102k/yr OnsiteFull Time
City of Miramar
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
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Utilities Transmission & Distribution Field Service/EAM Manager or Senior Manager
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 Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$113k-$338k/yr HybridFull Time
Accenture
AccentureNYSE: ACN: Global provider of management consulting and technology services.
5+ YOERequires 5+ years in gas or electric utilities, 5+ years in utility EAM and field scheduling or mobility systems and processes, team or workstream leadership, client management, and a bachelor's degree or equivalent experience.
IBM Maximo, SAP PM, IFS MWM, CGI PCAD, Salesforce, Artificial intelligence (AI)
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4w
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Project Manager II - Public Works Utility Modeling
Fort Lauderdale, Florida, United States
$85k-$132k/yr OnsiteFull Time
City of Fort Lauderdale
City of Fort Lauderdale: Municipal governance and public services for the Fort Lauderdale community.
3+ YOEBachelor's in construction management, architecture, civil engineering or related; 3+ years construction management/engineering; utility modeling and permit experience; ability to manage consultants, contracts, and construction oversight.
InfoWater Pro, InfoWorks WS Pro, AutoCAD Civil 3D, ArcGIS
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3mo
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Infrastructure Project Manager Position
Fort Lauderdale, Florida, United States
OnsiteFull Time
Hypower
Hypower: Construction of electrical and utility infrastructure systems.
5+ YOEOversee underground utility infrastructure projects; manage schedules, budgets, and coordination with field teams and clients; 5+ years in underground utility project management; Bachelor's in Construction Management or related field preferred; Procore/MS Office/Bluebeam proficiency; OSHA 30 preferred; bilingual English/Spanish a plus.
Procore, MS Office, Bluebeam
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2mo
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Sr. Consultant w/ Utility Billing exp.
Miami, Florida, United States
$87k-$102k/yr OnsiteFull Time
Cognizant
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
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1w
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Senior Project Manager - Energy
Chicago or Burr Ridge or Miami or United States or Puerto Rico or United Kingdom or Saudi Arabia or United Arab Emirates or India
$130k-$180k/yr HybridFull Time
Consertus
Consertus: Global capital program management and infrastructure advisory firm.
10+ YOEBachelor's degree in project management, construction management, engineering, or related field; 10 years of related experience; MS Office proficiency. Utilities or energy experience preferred; PMP certification preferred.
Microsoft Word, Microsoft PowerPoint, Microsoft Excel
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2w
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Senior Project Manager
Orlando or Tampa or Miami or Atlanta or Raleigh or Charlotte or Greenville
$114k-$135k/yr HybridFull Time
AECOM
AECOMNYSE: ACM: Provides infrastructure consulting and engineering services for global projects.
6+ YOE6+ MgmtBA/BS plus 6+ years project management experience in environmental permitting and utility siting; valid driver’s license; US citizenship; strong written and oral communication.
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2w
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Aviation Project Manager / Construction Manager
Fort Lauderdale, Florida, United States
$125k-$140k/yr HybridFull Time
GFT (Gannett Fleming)
GFT (Gannett Fleming): Provides infrastructure engineering, design, and construction management services.
10+ YOEBachelor's in civil engineering, 10+ years construction management experience, Florida PE required, FDOT and aviation experience, permitting and utility relocation experience, schedule and cost review skills.
Microsoft Project, Primavera
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