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Utilization Management jobs in Florida

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CLINICAL UTILIZATION MANAGER

Monitor and supervise Behavior Health Coordinators specific to the oversight of licensed out of home care and ensuring appropriate levels of care for children. Oversee higher levels of care and ensure suitability procedure is foll...

Company	Embrace Families
Address	Orlando, FL
Category	Education/Training
Job type	Full-Time
Date Posted	6 days ago See detail

Clinical Utilization Manager

Embrace Families

Orlando, FL

6 days ago seen See more...

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Utilization Management Nurse

Solis Health Plans

Miami, FL

Conduct concurrent and retrospective utilization review for inpatient, observation or SNF services. Conducts clinical reviews of proposed services against appropriate criteria/guidelines to determine medical necessity, benefit eli...

3 weeks ago seen See more...

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CarePlus - Weekend Utilization Management Nurse, RN - Remote- Florida

Humana

Lorida, FL

Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to re...

a month ago seen See more...

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ED Utilization Management RN Nights Remote

Adventhealth Corporate

Altamonte Springs, FL

$34.78 - $52.17 an hour

Benefits from Day One. Career Development. Whole Person Wellbeing Resources. Mental Health Resources and Support. Reviewing available patient records pre-admission, providing timely status recommendations to optimize correct patie...

2 months ago seen See more...

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Manager - Case Management & Utilization Review, Jay Hospital

Baptist Health Care Corporation

Jay, FL

3 years nursing experience in the clinical setting Required. 1 year Case Management or Utilization Review experience Preferred. Excellent verbal and written communication skills required. Understands health care finance relative t...

3 weeks ago seen See more...

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Manager Utilization Management Remote

Adventhealth Corporate

Altamonte Springs, FL

$72.6K - $91.9K a year

Benefits from Day One. Career Development. Whole Person Wellbeing Resources. Mental Health Resources and Support. Evaluates the efficiency, clinical appropriateness, necessity of the use of medical services and procedures in the m...