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8 utilization review case manager jobs at 6 companies in Hollywood, FL

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Case Manager, Full Time Day
West Palm Beach or Riviera Beach
OnsiteFull Time
Kindred Healthcare
Kindred Healthcare: Specialty hospital system providing long-term acute care and rehabilitation.
2+ YOERequires nursing or social work postsecondary education, RN or clinical social work licensure, and 2+ years in healthcare. Case management, utilization review, or discharge planning experience preferred.
Microsoft Office
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2w
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RN Case Manager
Weston, Florida, United States
OnsiteFull Time
Cleveland Clinic Weston Hospital
Cleveland Clinic Weston Hospital: Nonprofit academic hospital providing multispecialty medical care, emergency services, surgery, research, and physician education.
3+ YOEProfessional nursing graduate with current RN licensure, BLS certification, and three years of recent RN clinical experience; care management or utilization review experience preferred.
CMS Conditions of Participation
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1mo
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Case Manager (H)
Hialeah, Florida, United States
OnsiteFull Time
University of Miami
University of Miami: Private research university and academic medical center.
Conduct utilization and discharge reviews, coordinate multidisciplinary care, obtain authorizations and precertifications, perform financial clearance for transplants, and ensure documentation to maximize reimbursement.
UChart
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2w
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CASE MANAGER (RN/LIC)
West Palm Beach, Florida, United States
OnsitePart Time
Wellington Regional Medical Center
Wellington Regional Medical Center: Private acute-care hospital serving Palm Beach County with emergency, inpatient, surgical, maternity, and specialty medical services.
2+ YOEFlorida RN with 2–4 years of recent acute care experience, utilization chart review and discharge planning experience, strong clinical and communication skills, InterQual Criteria knowledge, and basic computer skills.
InterQual Criteria
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1mo
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Oncology Prior Authorization Case Manager, Non-RN - Remote
Miami, Florida, United States
RemoteFull Time
Sylvester Comprehensive Cancer Center
Sylvester Comprehensive Cancer Center: Nonprofit academic cancer center providing diagnosis, treatment, research, and clinical trials to South Florida patients.
2+ YOEBachelor's degree or equivalent, minimum 2 years relevant experience (oncology preferred), experience with utilization review and authorization, strong communication and coordination skills.
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2w
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RN Community Case Manager
North Miami Beach, Florida, United States
$37-$53/hr OnsiteFull Time
ChenMed
ChenMed: Physician-led primary care organization transforming healthcare for seniors.
2+ YOEActive RN license, 2+ years clinical experience, 1+ year utilization review or case management experience, BLS, driver's license, and proficiency with Microsoft Office. English fluency required.
Microsoft Office Suite, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, Electronic Medical Records (EMR)
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1mo
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Care Management Discharge Plan Coordinator, Case Management, FT, 8:30A-5:00P
Miami, Florida, United States
OnsiteFull Time
Baptist Hospital of Miami
Baptist Hospital of Miami: Nonprofit acute-care hospital serving Miami-area and international patients with cancer, cardiac, neuroscience, and general hospital care.
1+ YOE1+ year healthcare experience; associate degree preferred; experience in discharge planning, billing, or utilization review preferred; strong analytical, communication, typing (30 WPM) and Microsoft Word skills.
Microsoft Word
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Physician Advisor, Miami, Florida, Full-Time
Miami or Palm Beach County
OnsiteFull Time
Bethesda Hospital East
Bethesda Hospital East: Not-for-profit community hospital providing emergency, maternity, surgical and specialty care to Palm Beach County patients.
3+ YOEMD or DO, active unrestricted medical license, 3+ years practicing physician experience with case reviews, and knowledge of MCG/InterQual, CMS Two-Midnight Rule, billing, utilization management, and quality principles.
InterQual, MCG, Electronic Health Record (EHR)
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