Utilization review jobs in Miami, FLCreate job alerts

Overview: The Chief Estimator plays a critical role in the pre-construction phase of construction projects. This leadership position involves overseeing the estimation team, managing cost estimates, and collaborating with various departments to ensure accurate and competitive bids. The Chief Est...

Are you a transitioning military service member or a Military Spouse looking for an internship that supports the goal to put health first? During the period of this unpaid internship, you will work with the Medicaid Clinical Services team to ensure interaction between the company and members are ...

Job Description Job Title Superintendent 1- Civil Department Civil Construction Reports to Project Manager / General Superintendent / Superintendent 2 Works with Foreman, Skilled and Unskilled Laborers, Subcontractors Status CIVIL CONSTRUCTION SUPERINTENDENT - Summary Schedule, coordina...

Job Description The Clinical Pharmacist in addition to being responsible for the daily Clinical Pharmacist operations and decision-making process related to coverage determinations, will be responsible for all aspects of Formulary maintenance and management. The Clinical Pharmacist may also be re...

Job DescriptionLead Flexologist StretchLab is seeking an experienced health/fitness professional with leadership aspirations to lead our team of stretching therapists, or Flexologists. This is an amazing opportunity to propel your fitness career in a new modality that is taking the fitness indus...

Job DescriptionSalary: $33.00 an hour Job Overview The Site Supervisor will supervise the after-school program and ensure Funders and District guidelines are met. The Site Supervisor is responsible for providing program support, program reporting, data oversight and the coordination of staff an...

Job DescriptionAre you a passionate about growing an IT Cybersecurity and IT GRC Compliance advisory practice? Elevate is looking for a dynamic, hard charging IT Service Delivery Practice Lead who thrives on excellent client service, and takes pride in providing your clients with quality, pragma...

Job Description A beloved hotel with an enviable oceanfront location is now even better, following a $50 million renovation. Our newly redesigned Loews Miami Beach Hotel includes all-new touchpoints throughout the property. Welcome to a South Beach Icon, Reimagined. Who We Are: Loews Hotels & Co...

Job Description Who we are: We love what we do and what we do is important! We believe that everyone should leave feeling better - this means not just our guests, but also our teammates. Everyone should go home feeling better because they learned something new or had fun working that day. Theref...

Job Description About Summit: Ivonescimab, known as SMT112, is a novel, potential first-in-class investigational bispecific antibody combining the effects of immunotherapy via a blockade of PD-1 with the anti-angiogenesis effects associated with blocking VEGF into a single molecule. Ivonescim...

Job Description Job Title: ServiceNow Knowledge Manager Location: Fully Remote Schedule: 20–40 hours per week based on project phase; core hours 8 AM – 5 PM ET; limited overtime as needed Overview: A leading national homebuilder and real estate services firm is expanding its enterprise use of Se...

Job DescriptionCompany Description SOCOTEC is a provider of niche consulting services within the architecture, engineering and construction industries focusing on high-performance buildings and specialty structures. Through an integrated, holistic approach, our professionals provide solutions f...

Job DescriptionDescriptionCPH is a multi-disciplinary Engineering and Architecture firm that ranks in the nation’s Top 500 Design Firms by ENR Magazine. We are seeking a CAD Technician to join our dynamic and collaborative team in Miami! The CAD Technician is responsible for preparing detailed t...

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 DescriptionSalary: Open **IMMEDIATE OPENING Job Highlights The Case Manager will be responsible for coordinating and overseeing the care of patients, collaborating with healthcare providers, and ensuring the delivery of high-quality, personalized care. The role involves assessing patie...

Job Description Summary The Medical Director is a qualified physician appointed to provide direction, professional support, guidance, medical technical assistance to the patients and staff of the medical center. Duties and Responsibilities - Work with staff to assure that the medical needs o...

Job Description Summary APRNs diagnose and treat acute, episodic, or chronic illness, independently or as part of a healthcare team. May focus on health promotion and disease prevention. APRNs work under the direct supervision of a physician. Duties and Responsibilities - Perform annual evalu...

Job Description Summary Telephone triage APRNs diagnose and treat acute, episodic, or chronic illness, independently or as part of a healthcare team. May focus on health promotion and disease prevention. APRNs work under the direct supervision of a physician unless the autonomous license is ...

Job DescriptionSalary: $33.00 an hour Job Overview The Site Supervisor will supervise the after-school program and ensure Funders and District guidelines are met. The Site Supervisor is responsible for providing program support, program reporting, data oversight and the coordination of staff an...

Job Description The DoubleTree by Hilton Miami Airport Convention Center is seeking an experienced Conference Service Manager to join our team. This position is 100% on-site, no remote work. The DoubleTree by Hilton Hotel Miami Airport Convention Center is conveniently situated just south of M...

Job DescriptionSalary: $52,000 - $65,000 Job Title: Event Vehicle Operator Reports To: Sr. Director Client Services Location: National Schedule: Full Time; Weekends & Holidays are Required Travel: 100% SUMMARY BeCore is looking for an Event Vehicle Operator (EVO) to execute innovative, impactf...

Job Description We are North Shore Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision. We service a multitude of patients and their families across our vast networ...

Job Description POSITION PURPOSE: School Based Positions working through different locations. The Medical Assistant is responsible for assisting medical providers/nursing staff with patient care increments. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: Graduate from a standa...

Job Description POSITION PURPOSE: Provide supportive and services to patients under the supervision of skill nursing (RNs) staff. Team member in the delivery of health care services. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: High School diploma or GED equivalent. Graduate...

Job DescriptionWarehouse Manager Job Summary: The Warehouse Manager will manage all warehouse activities, ensuring efficient processes and maximizing productivity. They will oversee inventory management, coordinate logistics, maintain safety protocols, and lead the warehouse team. This role requ...

Job Description POSITION PURPOSE: Provide supportive and services to patients under the supervision of skill nursing (RNs) staff. Team member in the delivery of health care services. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: High School diploma or GED equivalent. Graduate...

Job Description As a Territory Manager for our established orthodontic manufacturer client, your mission is to apply comprehensive knowledge of the client's offering and promote it to accounts to facilitate trial and full integration of the client's orthodontic system and manage existing clients....

The UHealth System at the University of Miami has an exciting opportunity for a Full Time Clinical Pharmacist. The Clinical Pharmacist conducts drug utilization review studies and consults with medical practitioners on prescription orders, patient reactions, and errors. Licensed as Florida Regist...

Job Description - Reviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries. - Performs hospital length of stay reviews to determine reasonable and necessary care, and appropriateness of s...

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 J...

Job Description Summary Physicians diagnose and treat acute, episodic, or chronic illness, independently or as part of a healthcare team. May focus on health promotion and disease prevention. Duties and Responsibilities - Performs annual evaluations on patients and ensure preventative proced...

Utilization Review supervisor experience a plus.

Review prescribing trends and propose cost-saving alternatives.

Job Description Exciting News! We’re thrilled to announce that the Infrastructure Asset Maintenance business line of Versar Global Solutions is now Oasis IAM. This transition marks an exciting new chapter, and we’re looking forward to what’s ahead. While our new Oasis IAM careers website is com...

Job DescriptionPosition Summary: The Vice President of Utilization Management at Palm will be responsible for overseeing the Referrals Department and RN Case Managers across our network of primary care clinics. This leadership role ensures that appropriate utilization of healthcare resources is ...

DEPARTMENT: 26317 - HSS2 PreOp.LOCATION: 1665 Medical Blvd, Naples, FL, 34110.At Hospital for Special Surgery (HSS) at Naples Comprehensive Health (NCH), we don’t settle for ordinary—we redefine what’s possible in healthcare.HSS has partnered with NCH to bring that world-class legacy home to

Nightingale Nurses is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Viera, Florida.Job Description & Requirements.You may not realize it, but as an RN with real world hospital experience, you are legendary.To the lives you’ve helped save, the patients you’ve car

DEPARTMENT: 26035 - HSS2 Inpatient.LOCATION: 1665 Medical Blvd, Naples, FL, 34110.At Hospital for Special Surgery (HSS) at Naples Comprehensive Health (NCH), we don’t settle for ordinary—we redefine what’s possible in healthcare.HSS has partnered with NCH to bring that world-class legacy hom

Monday to Friday, 9:00 am - 5:30 pm (30 min lunch).We are currently seeking a reliable and dedicated.

DEPARTMENT: 26310 - HSS2 Operating Room.LOCATION: 1665 Medical Blvd, Naples, FL, 34110.At Hospital for Special Surgery (HSS) at Naples Comprehensive Health (NCH), we don’t settle for ordinary—we redefine what’s possible in healthcare.HSS has partnered with NCH to bring that world-class legac

Core Medical-Perm is seeking a Registered Nurse (RN) OR - Operating Room for a nursing job in Miami, Florida.Job Description & Requirements.We are looking for a healthcare professional who is ready to provide exceptional patient care in this permanent position.This is an excellent opportunity to ...

DEPARTMENT: 26317 - HSS2 PreOp.LOCATION: 1665 Medical Blvd, Naples, FL, 34110.No call, no nights, no weekends, no holidays.At Hospital for Special Surgery (HSS) at Naples Comprehensive Health (NCH), we don’t settle for ordinary—we redefine what’s possible in healthcare.HSS has partnered with

Reviews, evaluates and reports diagnostic tests to assess patient’s condition.

DEPARTMENT: 26310 - HSS2 Operating Room.LOCATION: 1665 Medical Blvd, Naples, FL, 34110.At Hospital for Special Surgery (HSS) at Naples Comprehensive Health (NCH), we don’t settle for ordinary—we redefine what’s possible in healthcare.HSS has partnered with NCH to bring that world-class legac

Reviews, evaluates, and reports diagnostic tests to assess patient’s condition.

Review lab and diagnostic test results with patients. Maintains/reviews patient records, charts and other pertinent information in Powerchart.

Reviews, evaluates, and reports diagnostic tests to assess patient’s condition.

DEPARTMENT: 26310 - HSS2 Operating Room.LOCATION: 1665 Medical Blvd, Naples, FL, 34110.No call, no nights, no weekends, no holidays.At Hospital for Special Surgery (HSS) at Naples Comprehensive Health (NCH), we don’t settle for ordinary—we redefine what’s possible in healthcare.HSS has partn