210 utilization jobs at 110 companies in Rockledge, FL
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Utilization Review Nurse
Orlando or United States
$90k-$98k/yrRemoteFull Time
Cobalt Benefits Group: Manages self-funded health and dental benefit plans for employers.
3+ YOEActive unrestricted RN license, minimum 3 years clinical nursing experience, 1+ year UM/UR experience, proficiency with Microsoft Office (Excel, Word, Outlook) and utilization management systems, strong analytical and communication skills.
Milliman, Aetna, BCBS, Microsoft Office Suite, Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft Teams
Aspire Health Partners: Non-profit provider of behavioral health and addiction treatment services.
2+ YOEHigh school diploma/GED, Level II background clearance, valid driver’s license; 2 years utilization review/managed care experience required; BLS required; LPN/RN and bachelor’s degree preferred.
Cleveland or Indian River County or Martin County or Weston or Florida
RemoteFull Time
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.
Orlando or Arizona or Florida or Minnesota or North Dakota or Oregon or Tennessee or United States
RemoteContract
Medical Review Institute of America: Provides independent clinical and utilization review services for healthcare.
5+ YOEBoard-certified medical oncologist (MD or DO) with a current medical license in AZ, FL, MN, ND, OR, or TN, 5+ years clinical experience (residency counts), daytime availability, and adherence to HIPAA and company policies.
TurningPoint Healthcare Solutions: Provides technology-enabled clinical management for complex medical conditions.
5+ MgmtRN license and Bachelor's required; 7+ years healthcare operations leadership and 5+ years leading UM operations; strong regulatory knowledge (NCQA/URAC/CMS); executive leadership, change management, and Microsoft Office skills.
Sr Utilities Maintenance Coordinator - $1000 Sign - on Incentive
Orlando, Florida, United States
$29-$38/hrOnsiteFull Time
Orange County Government: Public administration and civic services for Orange County, Florida.
5+ YOEHigh school diploma and 5+ years operations/maintenance experience in utilities infrastructure; valid Florida driver's license; knowledge of water/wastewater systems and maintenance planning.
City of Maitland: Provides municipal and public administration services to Maitland citizens.
7+ YOE3+ MgmtAssociate's in water management/environmental science or 7 years progressive water system experience with 3 years supervisory experience; FDEP Drinking Water Treatment Plant Operator Class B, Florida driver, NIMS IS-700 and ICS-100, stormwater certification required/obtainable.
Supervisory Control and Data Acquisition (SCADA), CMMS
U.S. Water Services Corporation: Operates and maintains municipal water and wastewater utility systems.
1+ YOERequires Florida Class C water and Class C wastewater operator licenses, valid Florida driver's license, 1+ year experience with water and wastewater plants and route work.
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
3+ YOEMaster’s degree in psychology, mental health counseling, social work or related field; Florida license preferred; 3-5 years chart analysis/utilization review experience; strong communication skills.
T2 Utility Engineers: Provides subsurface utility engineering, utility coordination, and surveying to reduce utility risks for infrastructure projects.
5+ YOE5+ years project management experience in municipal/highway/utility engineering; strong knowledge of utility coordination, right-of-way, utility design/construction, surveying and SUE mapping; valid driver\u0001s license and reliable vehicle; excellent presentation and communication skills.
Mott MacDonald: Global engineering and management consultancy for infrastructure and development.
0+ YOECoordinate utility relocations, review utility plans/specs, perform site visits, prepare documentation. Degree in engineering or construction management preferred; alternatively HS + 4 years construction/utility experience. FDOT standards knowledge and ability to obtain FDOT Advanced MOT required.
PDF Acrobat Pro, Blue Beam, One Stop Permitting (OSP), Electronic Review Comments (ERC), Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Southeastern Surveying & Mapping Corporation: Professional surveying, mapping, and utility engineering firm.
1+ YOELocate and expose underground utilities using hand and vacuum excavation, read utility and survey drawings, record field data in CAD/drafting formats, operate and maintain field equipment, and perform physical outdoor work.
Appeals and Grievances Clinical Specialist/ Quality Of Care
New York or New York City or Lake Mary
$73k-$120k/yrRemoteFull Time
Healthfirst: Provides not-for-profit health insurance coverage to New York residents.
Active RN required; experience in appeals & grievances, utilization review, or case management preferred; familiarity with utilization guidelines and ability to manage large caseloads under regulatory timeframes.
Microsoft Word, Microsoft Excel, Macess, CCMS, TruCare, Hyland, InterQual, Milliman
Appeals and Grievances Clinical Specialist/ Quality Of Care
New York City or Lake Mary
$83k-$120k/yrHybridFull Time
Healthfirst: Non-profit health insurance provider serving New York residents.
Active RN required; experience in clinical practice and appeals & grievances, claims processing, utilization review or case management; knowledge of utilization review guidelines and ability to manage large caseloads.
Microsoft Word, Microsoft Excel, Macess, CCMS, TruCare, Hyland, InterQual, Milliman
The Davey Tree Expert Company: Provides tree care, landscaping, and environmental consulting services.
2+ YOEOperate tractors and mobile equipment on utility right-of-way, perform tree removal and utility line clearance, maintain crew and equipment safety, pass pre-employment drug screen and verification.
City of Winter Park: Providing comprehensive municipal services and public utilities for the community.
0+ YOEUtility Service Workers I-III perform maintenance, repair, and installation of water and wastewater lines; must meet CDL requirements and have relevant experience.
CDL, Heavy equipment, Water distribution equipment, Wastewater collection equipment
City of Casselberry: Provides municipal services and public safety to Casselberry residents.
1+ YOEHigh school diploma; utility technician levels I–IV; valid Florida CDL Class B with tanker and air brakes; DEP water/wastewater licenses; background clearance.
SCADA, ArcMap, Central Square/NaviLine, MS Office, GIS software, water and wastewater equipment
Agadia: Healthcare technology platform for utilization management and automation.
PharmD and current U.S. pharmacist license; residency or hands-on coverage/utilization management experience; strong knowledge of medical/pharmacy benefit coverage, prior authorization and utilization management; strong analytical and communication skills.