• Remote Utilization Review Nurse

    Actalent (Orlando, FL)
    …to validate the necessity and setting of care. Essential Skills + Proficiency in utilization management and utilization review + Experience with Interqual ... review the type of care being delivered, evaluate medical necessity, and contribute to discharge planning following established...program terms. If eligible, the benefits available for this temporary role may include the following: * Medical more
    Actalent (08/08/25)
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  • Hybrid Clinical Review Nurse

    Actalent (Sunrise, FL)
    Medical Directors and other Medical Management staff to direct utilization and capture data effectively. Responsibilities + Review prior authorization ... on department activities as assigned. Essential Skills + Clinical review + Utilization review +...program terms. If eligible, the benefits available for this temporary role may include the following: * Medical more
    Actalent (08/09/25)
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  • Clinical Review Nurse

    Actalent (Orlando, FL)
    …of cases. Essential Skills + Experience in utilization management, concurrent review , prior authorization, utilization review , case management, and ... decisions and gather additional information about the member's condition. Responsibilities: + Review approximately 20 cases a day for medical necessity. +… more
    Actalent (08/02/25)
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  • Assistant Professor, Medicine, General Internal…

    University of Miami (Miami, FL)
    …QI training + Improving patient satisfaction + Improving patient safety + Peer review , performance improvement, utilization review , root cause analysis, and ... Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here… more
    University of Miami (05/24/25)
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  • Physician (Mental Health) - Associate Chief…

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    …and team player who is adaptable to the needs of a growing medical center. Responsibilities This position is eligible for the Education Debt Reduction Program ... are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. VA… more
    Veterans Affairs, Veterans Health Administration (06/28/25)
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  • Manager, Supply Chain Asset Management…

    University of Miami (Hialeah, FL)
    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here ... 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) . Manager, Asset Management… more
    University of Miami (07/05/25)
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  • Sr. Manager, Financial Counseling

    University of Miami (Miami, FL)
    Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here ... 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 Department of… more
    University of Miami (07/29/25)
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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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  • Assistant Professor of Clinical - Pediatrics,…

    University of Miami (Miami, FL)
    …disaster preparedness, critical care, quality improvement, case management, risk management, utilization review , etc. Risk Management + Participate in relevant ... Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here… more
    University of Miami (07/02/25)
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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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