• Utilization Management ( UM

    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 ... line-by-line entries, and submits to finance for payment. The UM Program Manager reconciles ARGOS Dependency Cases...application for daily entry of case activity and the utilization management of service authorizations. Educational and… more
    Community Based Care of Brevard, Inc. (10/04/25)
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  • UM Coordinator

    Centers Plan for Healthy Living (Margate, FL)
    …with the guidance and plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to ... the care of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists… more
    Centers Plan for Healthy Living (07/15/25)
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  • Utilization Management Registered…

    AdventHealth (Daytona Beach, FL)
    …MEDICAL PKWY, Daytona Beach, 32117 **The role you'll contribute:** The role of the Utilization Management ( UM ) Registered Nurse (RN) is to use clinical ... Days Off from Day One + Student Loan Repayment Program * (For eligible positions) + Career Development + Whole...including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable for a… more
    AdventHealth (09/18/25)
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  • Executive Director, Utilities and Energy…

    University of Miami (Miami, FL)
    …processes including financial/budget matters, utilities systems, condition-based maintenance, work management information technology, water program management ... goals and objectives, and provides resource programming, budgeting and resource allocation, program management and training. + Oversees all utility use and… more
    University of Miami (09/24/25)
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  • Medical Director (AZ)

    Molina Healthcare (Orlando, FL)
    utilization and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies ... adjustment, disease management , and evidence-based guidelines. + Experience in Utilization /Quality Program management + HMO/Managed care experience… more
    Molina Healthcare (09/26/25)
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  • Physician Advisor

    AdventHealth (Orlando, FL)
    Utilization Management . Serves as an active participating member of the Utilization Management ( UM ) Committee by ensuring committee is actively ... this role educates, informs, and advises members of the Utilization Management , Health Information Management ...succeed** **:** + Graduate from medical school and residency program + 5 Recent clinical practice Required + MD… more
    AdventHealth (09/24/25)
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  • Sr Mgr, Aetna Medicare Medical Pharmacy…

    CVS Health (Tallahassee, FL)
    …long-term vision and strategy around Part B drug management related to utilization management ( UM ), clinical programs, and pharmacy operations. + Lead ... for Part B and specialty drugs. Key areas of responsibility include utilization management , clinical programs, and operational excellence. Responsible for… more
    CVS Health (09/27/25)
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  • Physician Advisor

    AdventHealth (Orlando, FL)
    …and serves as a resource to Medical Staff colleagues regarding best practices, Utilization Management and Care Management structures, and functions and ... Days Off from Day One + Student Loan Repayment Program + Career Development + Whole Person Wellbeing Resources...productive internal/external relationships with all physicians and constituents of Utilization Management , Care Management and… more
    AdventHealth (09/04/25)
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  • GME Program Administrator

    University of Miami (Miami, FL)
    program 's overall success. + Serves as a liaison between the Program Director(s), administrative leadership, UM /JMH Graduate Medical Education (GME) ... + Required to learn and become competent in the utilization of new software. + Performs other duties as...a relevant field + New Innovations online software Residency Management System + ACGME Program requirements #LI-GD1… more
    University of Miami (09/26/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Lake City, FL)
    …goals. Unlock your potential! **Job Summary and Qualifications** Provides hospital case management / utilization review and discharge planning to assure that the ... Degree + One year experience in case management and/or supervisory / management position involving case management / utilization review/responsibility in an… more
    HCA Healthcare (09/19/25)
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