• Clinical Specialist II

    Abbott (Miami, FL)
    …**Working at Abbott** At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll ... support in response to field inquiries from physicians, health care professionals, patients, and field sales staff, involving EP...and reports status to manager. + Acts as a clinical interface between the medical community and the business.… more
    Abbott (08/14/25)
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  • Clinical Program Manager- Payment Integrity…

    Molina Healthcare (Miami, FL)
    …to synthesize complex information. **PREFERRED QUALIFICATIONS:** + **5+ years Clinical Nursing experience, including hospital acute care /medical experience ... claims data to ensure appropriate payment levels, optimize resource utilization , and maintain compliance with state and federal laws....focus on promoting the quality, accuracy, and efficiency of review services. + Serve as a resource and subject… more
    Molina Healthcare (08/14/25)
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  • Clinical Documentation Specialist 1…

    University of Miami (Hialeah, FL)
    …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... review of inpatient medical records to evaluate the documentation and utilization of acute care services. + Facilitates appropriate physician documentation… more
    University of Miami (07/24/25)
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  • Acute Care Manager, Complex Care

    ChenMed (Pembroke Pines, FL)
    …in achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from admission through discharge. ... clinical and progress notes for each patient receiving care and provide progress report to PCP and others...interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization , provide… more
    ChenMed (08/16/25)
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  • Remote Clinincal Review Nurse

    Actalent (Miami, FL)
    Job Title: Clinical Review Nurse Job Description As...of care . Essential Skills + Proficiency in utilization management and utilization review ... a Clinical Review Nurse, you will perform concurrent reviews to assess members' overall health, review the type of care being delivered, evaluate medical… more
    Actalent (08/08/25)
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  • Clinical Pharmacist, Full Time

    University of Miami (Miami, FL)
    …Miami has an exciting opportunity for a Full Time Clinical Pharmacist. The Clinical Pharmacist conducts drug utilization review studies and consults with ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The UHealth System… more
    University of Miami (06/24/25)
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  • Acute Care Case Manager , Registered Nurse…

    ChenMed (North Miami Beach, FL)
    …in achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from admission through discharge. ... clinical and progress notes for each patient receiving care and provides progress report to PCP and others...patients' progress and adjust and plan accordingly. + Understanding utilization review and how to leverage with… more
    ChenMed (05/28/25)
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  • Clinical Pharmacist

    AdventHealth (Deland, FL)
    …- 701 W PLYMOUTH AVE, Deland, 32720 The role you'll contribute: The Clinical Staff Pharmacist supports the mission of the department, hospital, and health-system by ... in the main Pharmacy, as well as in patient care areas. Will perform all functions of a registered...of a registered pharmacist including accurate and timely dispensing, clinical interaction with the healthcare team, patients' involvement, and… more
    AdventHealth (08/07/25)
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  • Clinical Pharmacist

    ChenMed (Miami, FL)
    …responsible for the daily dispensing of medication, prospective and retrospective drug utilization review and patient counseling. The Incumbent will participate ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...in Medication Therapy Management and additional clinical roles as needed including Anticoagulation Clinic. **ESSENTIAL JOB… more
    ChenMed (08/16/25)
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  • Case Manager RN

    Adecco US, Inc. (Altamonte Springs, FL)
    …in an acute clinical care setting or equivalent. . Previous care management, utilization review or discharge planning experience. . RN License ... Record. . Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such… more
    Adecco US, Inc. (08/01/25)
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