Utilization management jobs in Pompano Beach, FLCreate job alerts

Description Introduction Managers thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a RN Nurse Manager Critical Care for our HCA ...

Description Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is re...

Description Introduction Do you want to join an organization that invests in you as a(an) RN Case Mgr? At HCA Florida Woodmont Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Benefits ...

Job DescriptionCase Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a Case Management role that brings your career closer to home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link be...

Job Description Position Summary: The Utilization Management Nurse (UMN) works under general supervision of the Director and/or Manager/Supervisor of Medical Management, and in collaboration with the interdisciplinary team. The primary responsibilities are to perform the review of requests fo...

Job Description Overview As a Health Services Administrator RN, you'll oversee and assess the Health Care Delivery Program, adhering closely to State and Local Regulations. Your role involves ensuring that medical, dental, and mental health program initiatives align with company and facility pol...

PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operation...

Job Description POSITION SUMMARY The primary responsibility of a Line Cook is to guarantee the quality and proper standards as well maintaining culinary production and quality levels as set by Salumeria. The Line cook prepares, cooks, garnishes & presents food. PRIMARY JOB DUTIES - Inspect fo...

NextGear, a Cox Automotive Brand, is currently hiring a Field Sales Representative/Senior Client Solutions Executive to join our team in Florida. This territory covers Riviera Beach down to north Miami. Person needs to live in this area. The Senior Client Solutions Executive (SE) is a full-time...

Job Description JOB SUMMARY: Clinical Pharmacists are licensed pharmacists who are responsible for providing safe and appropriate pharmacy services to patients in accordance with the policies and procedures of the company, the state’s professional standards/regulations, and other regulatory e...

Job DescriptionAbout Us No Live Bait Needed (NLBN) is a rapidly growing, innovative company in the fishing and outdoor lifestyle space, known for high-performance soft plastic lures and a strong community of passionate anglers. We are committed to quality, authenticity, and customer satisfaction...

Description: The Workforce Manager will lead all aspects of workforce planning and real-time operations to optimize staffing and scheduling in a fast-paced contact center environment. This role utilizes advanced Workforce Management (WFM) platforms to forecast call volumes, develop staffing mode...

Project Administrator Job Description Project Administrator Role Overview: As a vital member of Best Roofing’s construction operations team, the Project Administrator is responsible for providing comprehensive administrative support to Project Managers and Construction Managers. This role...

Job Description Position Summary: The Behavioral Health Care Coordinator plays a pivotal role as a core member of the collaborative care team, working alongside the enrollee’s medical provider, mental health team, and the larger Concierge Care Coordination team. This position is responsible f...

Job Description Advanced Practice Registered Nurse (APRN) Boca Recovery Center Website Location: On Site - Pompano, Florida Department: Medical Services Reports to: Medical Director Salary: Competitive, based on licensure and experience About Boca Recovery Center Founded in 2016, Boca Recover...

Job Description Position Summary: The Behavioral Health Care Coordinator plays a pivotal role as a core member of the collaborative care team, working alongside the enrollee’s medical provider, mental health team, and the larger Concierge Care Coordination team. This position is responsible for ...

Job DescriptionBenefits: - Competitive salary - Flexible schedule - Opportunity for advancement - Training & development - Dental insurance - Free uniforms - Health insurance - Paid time off - Vision insurance Health, Wellness and Fitness Professionals Are you looking for: - A great...

Job Description Hybrid-Sunrise, Florida Position Summary: Perform day to day duties of assuring that providers (individual, group, ancillary, etc.) are set up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliv...

Manages utilization management supporting medical necessity, determine appropriate level of care, and resource utilization, and evaluates the need for services for continuity of care and denial prevention. Broward Health prohibits any policy or procedure which results in discrimination on the bas...

The Utilization Management Nurse (UMN) collaborates closely with the interdisciplinary team to perform reviews of service authorization requests, ensuring the utilization of appropriate services. Knowledge of case management and utilization review concepts, including InterQual and Milliman Criter...

Location: Hollywood, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. ...

Job DescriptionCompany Description SIXT is seeking a Senior Revenue Management Analyst to support US pricing and rate management. This role collaborates with teams in Fort Lauderdale and Munich HQ, implementing pricing strategies, analyzing market trends, and managing internal systems. The idea...

Job Description H&H is offering and exciting opportunity for a Senior Project Engineer/Leader in Fort Lauderdale, FL. With over 138 years of experience, H&H is a trusted full-service infrastructure engineering firm. Our clients, including infrastructure owners, contractors, and colleagues, rely ...

Job Description Client Success Manager We are seeking a strong Client Success Manager to join our team of outstanding professionals. This is an ever evolving position at GRUBBRR with lots of room to grow personally and professionally. Your initiative, assertiveness, and outgoing enthusiastic att...

Job Description About Company: Southern Specialties was founded in 1990 by Robert Colescott, President and CEO of the company. Our mission, then, was to provide the finest restaurants and hotels in the nation with the best service and highest quality specialty produce. Today, we are proud to c...

Job DescriptionBenefits: - 401(k) - Training & development - Bonus based on performance - Opportunity for advancement - Wellness resources Benefits/Perks - Attractive Compensation Package - Growth Opportunities - Service Benefits - Varying per Location - Transferable Skill DevelopmentC...

Job Description CALL CENTER REPRESENTATIVE FinBe USA is one of the nation’s top automobile loan providers and we are searching for talented professionals with a track record of success within a collections role. If you are an ambitious, results- oriented collector that enjoys being number 1 in...

Job Description COLLECTION AGENT We are one of the nation’s top automobile loan providers and we are searching for talented professionals with a track record of success within a collections role. If you are an ambitious, results- oriented collector that enjoys being number 1 in results while...

Manages utilization management supporting medical necessity, determine appropriate level of care, and resource utilization, and evaluates Acute Care, Case Manager, Manager, Acute, Healthcare, Health.

Job Description JOB SUMMARY: The Intake Coordinator is responsible for taking all referrals received from referral sources such as physician offices, clinics, discharge planners, case managers, and other sources. Enters patient demographics into the computer system, communicates ability to servi...

Job Description Atlas Field Services is actively scouting for Consulting Utility Foresters/ Utility Arborists - Distribution to join our team as full-time employees. We are looking to fill this role in the client's service area. Who are we? We’re dedicated to the growth of our employees. We ...

Job Description Ranked among the largest accounting and consulting firms in the country and consistently recognized as a Great Place to Work, Cherry Bekaert delivers innovative advisory, assurance and tax services to our clients. We are proud to foster a collaborative environment focused on enabl...

Job Description Position Summary: Community Care Plan is seeking an Actuary leader to join our strategic finance team. This fast-paced role provides an outstanding opportunity to influence data-driven business decisions. You will have exposure to all facets of the business and play a critical ro...

Job Description Position Summary: The Population Health and Care Coordinator for Maternal Child Health plays a critical role as a core member of the care team, working closely with medical providers, maternal health specialists, and the broader care coordination team. This position is dedicated ...

Job Description Octagon Talent Solutions is a full-service technology recruitment and staffing company based in South Florida. We humanize technical recruitment by identifying candidates' long-term career goals and assessing cultural fit when presenting opportunities. Our focus on long-term relat...

Job Description Ranked among the largest assurance, tax and advisory firms in the U.S., Cherry Bekaert has been providing superior tax, audit, and advisory solutions across the globe for 75+ years. Our strategy is to be digitally driven, industry-aligned, and focused on the middle market. As our...

Job Description At ITRADE STEM, we help create jobs and support the future of industries like space, technology, energy, and manufacturing. We do this by creating programs that teach skills and support sustainable growth. Join us on our mission to Redefine STEM! We are seeking a highly skilled W...

Job DescriptionBenefits: - Childcare Benefit - 401(k) - 401(k) matching - Company parties - Competitive salary - Dental insurance - Free food & snacks - Health insurance - Opportunity for advancement - Paid time off - Training & development - Tuition assistance - Vision insurance Po...

Job Description Hybrid- Sunrise, Florida Position Summary: Associate Systems Development Analyst (ASDA) is responsible for learning new tasks and seeking approval for any decisions related to this role. Including developing user specifications, operations workflows, complex application build/...

Job Description Lubin Elite is a South Florida based civil engineering firm with a primary focus in land development. At our company, you’ll be working alongside a committed group of professionals who are enthusiastic about the work they do and the impact they have on communities. Our success is ...

Job Description Position Summary: This position coordinates, educates, and provides expertise to members across the continuum of care from complex medical to chronic conditions as well as promote compliance with preventative care measures. The position coordinates healthcare interventions d...

Job Description:\n\n Minimum of a Master’s Degree in Social Work (MSW). Position Summary: The Population Health Social Worker plays a crucial role in facilitating the psychosocial care of patients to ensure quality outcomes and appropriate utilization of healthcare resources. As a key member of a...

Job DescriptionBenefits: - 401(k) - Bonus based on performance - Competitive salary - Paid time off Position: Service Manager Reports to: General Manager / Operations Manager Direct Reports: Service Electricians, CSR/Dispatch Coordinator (shared accountability) Job Responsibilities: The...

Job Description Why We Stand Out Seeking a new challenge where your professional and personal aspirations are not only possible but supported? Kaufman Rossin might be just the place for you! As one of the top accounting firms in the country, our foundation is “people first”. In the words of ...

Job Description Join our dynamic team at Quadrant Health Group! Quadrant Billing Solutions, a proud member of the Quadrant Health Group, is seeking a passionate and dedicated Utilization Review Specialist to join our growing team. You will play a vital role focused on ensuring that healthcare ser...

Job Description Total Project Strategies, Inc. (TPS) Orange County Public Schools (OCPS) Program Management (PM) Services TPS, a sub-consultant to AECOM, is seeking a qualified Project Manager to take on the role of Owner’s Representative. The selected Project Manager primary responsibility i...

Job Description Lendz Financial offers a full-service direct wholesale residential mortgage lending platform, focused on helping mortgage brokers grow their loan origination volume with simplified processes and intuitive, tech-based solutions. We emphasize a modern, customer-centric approach, off...

Job DescriptionJob Title: Manufacturing EngineerLocation: Onsite – Tamarac, FLSchedule: Monday to Friday, 8:00 AM – 5:00 PM (EST), with additional hours as neededSalary: $93,000 Job Overview:We are seeking a detail-oriented and innovative Manufacturing Engineer to join our team. The ideal candida...