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106 utilization management jobs at 68 companies in Miami, FL

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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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Regional Manager Utilization Management
Cleveland or Indian River County or Martin County or Weston or Florida
RemoteFull Time
Cleveland Clinic
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.
Microsoft Office
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3w
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Utilization Management Support Technician
Miami, Florida, United States
$22/hr RemoteFull Time
Rightway
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.
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4d
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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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2mo
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DIR - UTILIZATION REVIEW / MGMT
Oakland Park, Florida, United States
OnsiteFull Time
Universal Health Services
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.
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4d
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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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3w
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Case Management Director
Sunrise, Florida, United States
OnsiteFull Time
Encompass Health
Encompass HealthNYSE: EHC: Operates a national network of inpatient rehabilitation hospitals.
3+ YOELead day-to-day case management operations, supervise staff, oversee discharge planning and utilization review; requires 3+ years hospital-based case management, relevant certification preferred, and discipline-specific active license if applicable.
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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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Manager Social Work & Care Management, Case Management, FT, 8:30A-5P
Miami, Florida, United States
OnsiteFull Time
Baptist Health South Florida
Baptist Health South Florida: Provides comprehensive medical, diagnostic, and hospital healthcare services.
5+ YOEMasters in social work, active LCSW, 5+ years hospital experience, utilization review and case management knowledge, crisis intervention, clinical assessment, effective communication, certified in case management or Interqual.
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2mo
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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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2mo
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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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2w
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Customer Growth Strategy Manager | Utilities
New York or Milwaukee or Dallas or Columbus or Kirkland or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or San Francisco or Morristown 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
$87k-$294k/yr OnsiteFull Time
Accenture
AccentureNYSE: ACN: Global provider of management consulting and technology services.
6+ YOE6+ years strategy/management consulting experience with utilities/customer service focus; 3+ years experience in design, analytics, or implementation; 1+ year utilities client experience; hands-on AI/GenAI and automation experience; Bachelor’s or equivalent.
Salesforce, Dynamics, Amazon Connect, Genesys, NICE
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2w
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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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2mo
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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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1mo
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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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2mo
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Medical Director, Vision
Miami, Florida, United States
$275k-$325k/yr OnsiteFull Time
Health Network One
Health Network One: Manages specialty care networks for health insurance plans.
MD/DO with Ophthalmology, active medical license, board certified/eligible, strong utilization management and client-facing leadership.
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3d
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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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2d
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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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2mo
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Infrastructure Project Manager Position
Fort Lauderdale, Florida, United States
OnsiteFull Time
Hypower
Hypower: Provides electrical and utility infrastructure construction and maintenance services.
5+ YOEMinimum 5 years experience managing underground utility projects; bachelor's in Construction Management or related field preferred; Procore, MS Office, Bluebeam; OSHA 30 preferred; bilingual English/Spanish a plus.
Procore, MS Office, Bluebeam
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2mo
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Infrastructure Project Manager Position
Fort Lauderdale, Florida, United States
OnsiteFull Time
Hypower
Hypower: Builds and maintains critical electrical and utility infrastructure nationwide.
5+ YOEBachelor's degree preferred in Construction Management or related field; minimum 5 years managing underground utility projects; Procore, MS Office, Bluebeam; OSHA 30 preferred; bilingual English/Spanish a plus.
Procore, MS Office, Bluebeam
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