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233 utilization jobs at 120 companies in Miami, FL

2w
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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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2w
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Utilization Review Specialist (Remote)
El Paso or Chapel Hill or Delray Beach or Jackson
$60k-$62k/yr RemoteFull Time
Coronis Health
Coronis Health: Provides revenue cycle management and medical billing to healthcare providers.
3+ YOEBA in Psychology or related field, 3–5 years case management/utilization review experience in substance abuse, knowledge of ASAM and medical terminology, KIPU experience required, strong communication and supervisory ability.
KIPU, Best Notes
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1mo
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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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3w
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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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1mo
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Hybrid, Per-diem Utilization Review RN
Fort Lauderdale, Florida, United States
HybridPart Time
Trinity Health
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.
MCG, InterQual
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2w
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Utilization Review Nurse
Miami, Florida, United States
RemoteFull Time
Miami Jewish Health
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
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4d
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Utilization Review Clinician
Miami or United States
HybridFull Time
Monte Nido & Affiliates
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.
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4d
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Utilization Review Clinician
Miami or United States
RemoteFull Time
Monte Nido
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.
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2w
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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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3d
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Wastewater Operator ($12,000/year COLA) - Key West, FL
Key West or Miami
$56k-$76k/hr OnsiteFull Time
Jacobs
JacobsNYSE: J: Global provider of professional engineering and technical services.
Must hold Florida Wastewater Treatment Plant Operator License (Class C+), understand safety principles, perform preventive maintenance, prepare spreadsheets/reports, and operate plant control systems.
Microsoft Office Suite, PLC, SCADA
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20h
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Water Plant Operator Trainee
Boca Raton, Florida, United States
$20-$27/hr OnsiteFull Time
City of Boca Raton
City of Boca Raton: Municipal government providing public services and infrastructure in Florida.
High school level education or equivalent; enrollment in/ability to obtain Florida DEP Class C within 12 months; valid Florida driver's license; pass background, MVR, drug screen, physical; abstain from tobacco use.
SCADA
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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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1mo
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UR COORDINATOR
Delray Beach, Florida, United States
$60k-$75k/yr RemoteFull Time
Guardian Recovery
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.
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1mo
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UR COORDINATOR
Delray Beach, Florida, United States
$60k-$75k/yr RemoteFull Time
The Plymouth House
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.
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1mo
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ArcGIS Utilities Industry Principal Director
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/yr HybridFull Time
Accenture
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.
ArcGIS Utility Network, ArcGIS Enterprise, ArcGIS Pro, Esri
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2mo
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Dishwasher/Utility
Sunrise, Florida, United States
OnsiteFull Time
Yard House
Yard HouseNYSE: DRI: Casual dining restaurant chain featuring craft beer and food.
No specific qualifications listed; prior restaurant dishwashing or utility experience preferred.
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3mo
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Utility Locator
Fort Lauderdale, Florida, United States
$20/yr OnsiteFull Time
Traffic Management Solutions
Traffic Management Solutions: Installs and maintains smart infrastructure for Florida's transportation systems.
Identify and locate underground utilities; mark lines on-site; coordinate with construction teams.
Locating equipment, Safety gear
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1mo
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UTILITIES TECH I
Oakland Park, Florida, United States
$37k-$59k/yr OnsiteFull Time
City of Oakland Park
City of Oakland Park: Providing municipal government services for the City of Oakland Park.
Performs utilities technician duties within the Storm Water Division. See full job posting for complete requirements.
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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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3mo
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Utility Superintendent
Hialeah Gardens, Florida, United States
FieldFull Time
American Engineering & Development Corp
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.
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