• Manager, Case Management, MD

    Carnival Cruise Line (Miami, FL)
    … medical cases. + Lead investigations into complaints or concerns regarding crew medical issues. + Conduct utilization reviews to assess medical necessity ... return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews, and represents the company in arbitration when needed.… more
    Carnival Cruise Line (08/29/25)
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  • RN Case Manager PRN

    HCA Healthcare (Sanford, FL)
    …is preferred + BSN is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida Lake Monroe Hospital is a 221-bed ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...supporting a balance of optimal care and appropriate resource utilization . You would be part of a phenomenal team… more
    HCA Healthcare (07/19/25)
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  • Program Operations Administrator-SES

    MyFlorida (West Palm Beach, FL)
    …the Regional Program Supervisor (RPS) to ensure effective and efficient utilization of all assigned resources through monitoring, training, and quality improvement ... Plans staff workloads, workflows, deadlines, work objectives, and time utilization . Directs the work of employees to ensure maximum...may be eligible for leave under the Family and Medical Leave Act (FMLA), or if an employee may… more
    MyFlorida (08/30/25)
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  • Licensed Physician Reviewer - Ortho (remote)

    ChenMed (Miami, FL)
    …experience in Hospital medicine preferred + At least one (1) year of utilization review experience preferred We're ChenMed and we're transforming healthcare for ... our team. The Physician Reviewer is the primary physician reviewer for Utilization Management/Clinical Appropriateness review cases in our organization. Other… more
    ChenMed (06/05/25)
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  • Director of Quality

    HCA Healthcare (Brooksville, FL)
    …Healthcare Quality) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ or_ CHCQM _will be ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (07/14/25)
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  • Physician (Psychiatry) - Section Chief

    Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
    …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. VA offers a comprehensive total rewards package. ... ARNPs and PAs; their respective ongoing/focused professional practice evaluation, review of professional credentials and recommendation for privileging of all… more
    Veterans Affairs, Veterans Health Administration (08/14/25)
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  • Mktg Spc Events/Data Analytics

    Fujifilm (Tallahassee, FL)
    …courses, and grant requests received by Fujifilm from industry societies, Academic Medical Centers, and other health-related organizations in the West and South ... received by the Fujifilm Endoscopy Division from industry societies, Academic Medical Centers, and other health-related organizations in the West and South-Central… more
    Fujifilm (08/11/25)
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  • Executive Director, Clinical Operations

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... a Full Time Executive Director, Clinical Operations to work at the UHealth medical campus in Miami, FL. CORE JOB SUMMARYThe Executive Director, Clinical Operations… more
    University of Miami (08/21/25)
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  • Manager Case Management

    HCA Healthcare (Gainesville, FL)
    …physical, psycho-social, financial). 1. Participates in IDT rounds, 1. Conducts utilization review , evaluates clinical information, and communicates findings to ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...on a timely basis in accordance with the NFRMC Utilization Review Plan and managed care contractual… more
    HCA Healthcare (08/02/25)
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  • Patient Navigator (H)

    University of Miami (Medley, FL)
    …care providers. + Serve as a liaison between the patients, the UHealth Systems, Medical Providers in order to increase the utilization of appropriate primary ... appropriate and established health services, assists and guides patients in receiving medical services, educates patients on the appropriate utilization of care,… more
    University of Miami (08/13/25)
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