340 utilization jobs at 165 companies in Winter Haven, 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.
Department of Veterans Affairs: Provides healthcare, benefits, and cemetery services to military veterans.
1+ YOEOne year specialized experience in healthcare contracting and procurement, familiarity with FAR/VAAR, ability to prepare procurement packages and support contract administration; U.S. citizenship and selective service compliance required.
BayCare Health System: Operates non-profit hospitals and outpatient healthcare facilities in Florida.
5+ YOEDoctorate (MD/DO) with medical board license, 5 years clinical experience, 1 year education experience; performs observation and secondary reviews, collaborates with case management and clinical providers, and uses Cerner and Microsoft Teams.
Central Florida Behavioral Health Network: A non-profit managing entity for public behavioral health services.
2+ YOEMaster's in social work/mental health counseling/MFT; active behavioral health license (LMHC, LCSW, or LMFT); minimum 2 years utilization management experience; Microsoft Office skills; ability to travel up to 25%.
Clean Recovery Centers: Provides addiction treatment and mental health recovery services.
Manage insurance authorizations, review medical necessity and records, navigate EMRs and payer portals, communicate with clinicians and payors, and track denials; high school diploma and attention to detail required.
EMR, payspan, zelis, Microsoft Word, Microsoft Outlook, Microsoft Excel, Adobe, InterQual, ASAM, LOCUS
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.
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 Lakeland: Provides municipal services, public utilities, and safety for Lakeland.
4+ YOEHigh school diploma/GED and 4+ years journeyman-level industrial mechanical/electrical/instrument experience (internal candidates: 5 years apprenticeship). Must hold valid driver\u0001s license, pass respirator/fit testing, and have intermediate computer skills (Microsoft Office, MAXIMO preferred).
Microsoft Excel, Microsoft Word, Microsoft Outlook, MAXIMO
City of Tampa: A municipal department responsible for operating and maintaining stormwater pump stations and related infrastructure.
5+ YOEHigh school diploma/GED plus 5 years experience in mechanical/electrical/plumbing/industrial maintenance or water/wastewater systems; ability to read technical manuals and schematics; valid driver’s license; confined space work and heavy lifting.
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
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.
St. Petersburg or Tampa or Cleveland or California or Colorado or Illinois or Maine or Maryland or Massachusetts or Minnesota or New York or New Jersey or Virginia or Washington or District of Columbia
$80k-$266k/yrHybridFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
5+ YOEMinimum 5 years experience as a solution architect/designer/techno-functional consultant in Oracle Utilities CCB and C2M; master proficiency in Oracle Utilities Customer Care & Billing; bachelor’s degree or equivalent experience; strong requirements analysis and solution architecture skills.
Oracle Utilities Customer Care And Billing, Oracle Utilities Customer to Meter C2M Back Office, Oracle Utilities Customer to Meter C2M Front Office