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260 utilization jobs at 125 companies in North Miami, FL

1w
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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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1d
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Manager, Utilization Management
Miami, Florida, United States
OnsiteFull Time
Independent Living Systems
Independent Living Systems: Provides healthcare management and nutritional support for vulnerable populations.
3+ YOEBachelor's degree (or equivalent experience), 3+ years in utilization management, team leadership experience, strong regulatory knowledge, and policy implementation skills.
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1w
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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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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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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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2d
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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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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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4w
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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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2w
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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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1w
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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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3mo
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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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2mo
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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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2mo
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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/yr HybridFull Time
Deloitte
Deloitte: Provides professional audit, consulting, advisory, and tax services.
7+ YOE7+ years in Power and Utilities OT security, with governance and risk management expertise.
AWS, Azure
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9h
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Clinical Reviewer Nurse
Miramar, Florida, United States
OnsiteFull Time
Integrated Home Care Services
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 spreadsheets, certification in utilization or case management preferred.
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1w
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Utility Locator
Fort Lauderdale, Florida, United States
$20/hr FieldFull Time
USIC
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.
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