8 utilization review case manager jobs at 6 companies in Miami, FL
1w
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RN Case Manager
Weston, Florida, United States
OnsiteFull Time
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
4w
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Case Manager (H)
Hialeah, Florida, United States
OnsiteFull Time
Conduct utilization and discharge reviews, coordinate multidisciplinary care, obtain authorizations and precertifications, perform financial clearance for transplants, and ensure documentation to maximize reimbursement.
UChart
1mo
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Oncology Prior Authorization Case Manager, Non-RN - Remote
Miami, Florida, United States
RemoteFull Time
2+ YOEBachelor's degree or equivalent, minimum 2 years relevant experience (oncology preferred), experience with utilization review and authorization, strong communication and coordination skills.
1w
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RN Community Case Manager
North Miami Beach, Florida, United States
$37-$53/hr OnsiteFull Time
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)
1w
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Registered Nurse Utilization Review, Case Management, Per Diem, 8:30A-5P/Shift Varies
Miami, Florida, United States
OnsitePart Time
3+ YOERequires an RN license and 3 years of experience. An associate degree is required; hospital clinical experience, payer reimbursement knowledge, communication, analytical, and chart review skills are preferred.
3w
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Care Management Discharge Plan Coordinator, Case Management, FT, 8:30A-5:00P
Miami, Florida, United States
OnsiteFull Time
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
2mo
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RN MDS Coordinator – Competitive Pay + $5,000 Annual Bonus
Wilton Manors, Florida, United States
OnsiteFull Time
Coordinate RAI/MDS process, maintain policies, implement quality assurance, participate in surveys, monitor QI/QM, chair case management and utilization review meetings. RN and BLS preferred; Associate degree and 1 year nursing experience preferred.
1w
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CDI Specialist - Mortality & Quality Reviews
Boca Raton, Florida, United States
RemoteFull Time
1+ YOEBachelor's degree in a healthcare field or equivalent experience; 1–3 years in CDI, clinical quality, utilization management, case management, or nursing; strong clinical analysis and Microsoft Excel skills.
3M Solventum Software, Epic Software, Microsoft Excel, Microsoft Office, Microsoft Word, Microsoft Teams, Microsoft OneDrive, Microsoft ADP, Oracle E1, APR-DRG, MS-DRG, Vizient, HIPAA, PHI