1932 Utilization Management Rn Manager jobs in Miami,FL

Supervisor, Healthcare Services (Utilization Management)

Molina Healthcare

Miami, FL 33135

At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW).
Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
Ability to manage conflict and lead through change.
Operational and process improvement experience.
Strong written and verbal communication skills.
Working knowledge of Microsoft Office suite.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.

Memorial Healthcare System

Hollywood, FL 33084

The Surgery Center at Doral

Miami, FL 33178

RN
With a minimum of four years of supervisory/management experience required.
Knowledge of State, Federal and Accrediting Body regulations (AAAHC) and standards related to healthcare.
Willingness to participate in goal-setting and educational activities for own professional advancement and that of others.
Experience in budgeting and personnel management
Evidence of continuing education is directly related to the job specifications.

ChenMed

Hallandale, FL 33009

A valid, active RN license required
Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software
A minimum of 3 years' of dialysis experience
Basic Life Support (BLS) certification required
Spoken and written fluency in English
Ability and willingness to travel locally, regionally and nationwide up to _40%_ of the time
This job requires use and exercise of independent judgment
Teaching/training experience required

United States Army

Pembroke Pines, FL 33028

Catholic Health Services

Miami, FL 33177

High School diploma or general education degree (GED)
1-2 years of experience in a Health Care Facility preferred
Must have knowledge of computer office/clinical software such as Microsoft Office (Word, Excel, and Outlook).
Basic knowledge of Medicare/Medicaid, managed care and private insurance guidelines
Must be able to read, write and understand the English language (Bilingual preferred)

Accentcare

Fort Lauderdale, FL 33324

RN
Florida RN License Required
Licensed to practice as a registered nurse in the state of agency operation
Bachelor's degree or commensurate work experience accepted
Role may require travel up to 80% of business days in supported territory
Comprehensive knowledge of theories, concepts and practices and ability to use in complex, difficult and/or unprecedented situations
Must be a licensed driver who can travel to all business locations