• Patient Access Specialist (On-Site)

    University of Miami (Fort Lauderdale, FL)
    …via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU + Must possess ... 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) . Core Job Summary:… more
    University of Miami (08/08/25)
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  • Chief Financial Officer

    HCA Healthcare (Pensacola, FL)
    …responsibility typically includes Accounting, Reimbursement, Managed Care, Health Information, and Utilization Review . Functions at an executive level in an ... administration, appropriate facility staff members and Division Office. + You will review denials issues and trends for maximizing net reimbursement for Facility.… more
    HCA Healthcare (07/03/25)
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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 ... 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 (07/02/25)
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  • Supervisor, Patient Access (On-Site) (H)

    University of Miami (Miami, FL)
    …via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU + Must possess ... 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 University of… more
    University of Miami (06/21/25)
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  • Medical Management Specialist I

    Elevance Health (Tampa, FL)
    …regarding case and determines appropriate area to refer or assign case ( utilization management, case management, QI, Med Review ). + Provides information ... reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical… more
    Elevance Health (07/29/25)
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  • Associate Medical Director

    CenterWell (Jacksonville, FL)
    …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... of health (SDOH) efforts, improving clinical outcomes and avoidable utilization + Monitor and manage daily patient care and...and monitor clinical & financial performance and metrics. + Review clinician schedules and incentive plans to align with… more
    CenterWell (07/22/25)
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  • Associate Medical Director

    CenterWell (Daytona Beach, FL)
    …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... social determinants of health (SDOH) efforts, improving clinical outcomes and avoidable utilization *Monitor and manage daily patient care and initiatives to improve… more
    CenterWell (06/12/25)
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  • Patient Access Representative 2 (On-Site) (H)

    University of Miami (Miami, FL)
    …via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU + Must possess ... 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 University of… more
    University of Miami (08/19/25)
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  • Case Manager RN

    HCA Healthcare (Port Charlotte, FL)
    …You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you ... encourage you to apply for our Case Manager RN opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
    HCA Healthcare (08/19/25)
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  • Mental Health Prof III Lic

    HCA Healthcare (West Palm Beach, FL)
    …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... you to apply for our Mental Health Prof III Lic opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of… more
    HCA Healthcare (08/16/25)
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