• UM Case Manager

    Healthfirst (FL)
    … management, identifying alternative care options, and discharge planning** + **Certified Case Manager ** + **Interqual and//or Milliman knowledge** + **Knowledge ... This position is 100% Remote** **Duties//Responsibilities:** + **Provides case management services for assigned member caseloads which includes:** +… more
    Healthfirst (10/07/25)
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  • Utilization Management ( UM ) Program…

    Community Based Care of Brevard, Inc. (Orlando, FL)
    Salary: $65,000/year Position Summary: The UM Program Manager provides oversight and management of service authorization data validation, reporting and trend ... provider invoices, reviews line-by-line entries, and submits to finance for payment. The UM Program Manager reconciles ARGOS Dependency Cases to FSFN for… more
    Community Based Care of Brevard, Inc. (10/04/25)
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  • Pharmacist, Utilization Management ( UM…

    Molina Healthcare (Orlando, FL)
    …medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist, UM will be responsible for reviewing coverage determinations and ... in a timely, compliant, and accurate manner. The Pharmacist, UM will also be responsible for serving as a...changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary… more
    Molina Healthcare (09/25/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Lake City, FL)
    …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Manager Part Time with HCA Florida Lake City Hospital you can ... our organization. We are looking for an enthusiastic RN Case Manager Part Time to help us...condition and insurance company request and documents in the UM module. + Performs initial screening of identified patients… more
    HCA Healthcare (09/19/25)
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  • RN Case Manager PRN

    HCA Healthcare (Lake City, FL)
    …**Introduction** Do you want to join an organization that invests in you as an RN Case Manager PRN? At HCA Florida Lake City Hospital, you come first. HCA ... a difference. We are looking for a dedicated RN Case Manager PRN like you to be...condition and insurance company request and documents in the UM module. + Performs initial screening of identified patients… more
    HCA Healthcare (09/13/25)
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  • RN- Case Manager

    ERP International (Macdill AFB, FL)
    …Collegiate Nursing Education (CCNE). **Experience:** Minimum 1 years experience as a RN Case Manager within the past 24 months. Certification:** Possess one of ... for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with...the following certifications: o Commission for Case Manager Certification Certified … more
    ERP International (08/20/25)
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  • Manager , Programs - Human Genetics

    University of Miami (Miami, FL)
    …. The Department of Human Genetics is currently seeking a full time Manager , Programs to work in Miami. The Manager , Programs provides direction, ... in the Program Director's absence within prescribed limits of authority. The Manager , Programs will be responsible for overseeing activities and functions of the… more
    University of Miami (08/14/25)
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  • Behavioral Health Care Manager I

    Elevance Health (Tampa, FL)
    **JR168679 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health ... necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as… more
    Elevance Health (10/09/25)
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  • Executive Director, Utilities and Energy…

    University of Miami (Miami, FL)
    …and water conservations project opportunities new to the University, prepare business case rationale. + Builds, leads, and motivates multiple teams, representing the ... on the creativity and diversity of campus project team members and other UM employees alike. + Supports the business development and management of strategic… more
    University of Miami (09/24/25)
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  • Clinical Research Coordinator 1

    University of Miami (Miami, FL)
    …Specifics: DUTIES & RESPONSIBILITIES: + Assist Principal Investigator and Sr. Manager with assessing feasibility. + Organizes and participates in Study Initiation ... the protocol, federal regulations, and sponsor requirements and as required per UM policy. + Participates in quarterly peer-review, quality control program. +… more
    University of Miami (08/01/25)
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