419 Utilization Management jobs in Miami,FL

Supervisor, Healthcare Services (Utilization Management)

Molina Healthcare

Miami, FL 33135

$66,456-$129,590/yr

Onsite

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.

SmartExplore AI is experimental.

New, Posted 2 hours ago

Recommended

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Assistant Property Director

Crown Residential

Miami Beach, FL 33141

~ 17 min Onsite

High school diploma or equivalent

SmartExplore AI is experimental.

New, Posted 1 day ago

Recommended

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Lead, Healthcare Services (Utilization Management) - Remote in FL

Molina Healthcare

Miami, FL 33135

$29.05-$56.64/hr

Onsite

At least 4 years experience in health care, 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 Social Worker (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.
Demonstrated knowledge of community resources.
Proactive and detail-oriented.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and demonstrate self-motivation.
Responsive in all forms of communication.
Ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving, and critical-thinking skills.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

SmartExplore AI is experimental.

New, Posted 1 hour ago

General Manager – Miami Distribution & Warehouse

Painters Supply and Equipment

Miami, FL 33242

Bilingual Preferred

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Inside Sales Manager (East Region)

Southern Glazer's Wine & Spirits

Hialeah, FL 33014

~ 21 min OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

Bachelor's degree plus three years of people management, coaching and sales management experience; or an equivalent combination of education and experience
Minimum 3 years of sales experience
Must be at least 21 years of age
This position is deemed a safety-sensitive position. As such, any person who is given a conditional offer of employment will be required to pass a drug test

SmartExplore AI is experimental.

Aldi Full-Time Assistant Manager

ALDI

Miami, FL 33186

$25.50/hr

FOOD SERVICE UTILITY (FULL TIME)

Chartwells HE

Miami, FL 33146

$15/hr

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Marine Fire Service Technician

Johnson Controls

Miramar, FL 33023

Requires Travel

5+ years of experience in low voltage and Fire/Life Safety systems
Experience with addressable fire alarm systems
Ability to read technical drawings and manuals
Strong troubleshooting skills
High School Diploma or equivalent
Valid driver's license
Willingness to travel frequently, including international travel
Ability to work in marine and offshore environments (vessels, shipyards, offshore platforms)
Availability for emergency call-outs and after-hours service
Comfortable working in physically demanding and confined environments
This position is non-union

SmartExplore AI is experimental.

New, Posted 23 hours ago

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Retail Cosmetics Sales Counter Manager - Kiko Milano, Aventura - Full Time

Macy’s

Aventura, FL 33160

OnsiteFlexible ScheduleHealth InsurancePaid Time OffRetirement Benefit

3–5 years of relevant retail, beauty, or leadership experience preferred
Flexible availability, including days, evenings, weekends and holidays with regular, dependable attendance and punctuality
Must be able to:
Understand and communicate effectively with customers, co-workers, and supervisors
Read and understand employment policies and safety rules/procedures in English
Essential Physical Requirements You Will Perform
This position requires talking, lifting, constant moving, standing, and reaching with arms and hands
Standing for at least two consecutive hours, lifting at least 25lbs., stooping, kneeling, crouching, and climbing ladders, reaching, including above eye level
Requires close vision, color vision, depth perception, and focus adjustment
Frequent use of computers and other technology, necessary to perform job functions, including handheld equipment, cash register and ability to process register transactions

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Territory Sales Manager, N Miami Beach to S Miami

US Foods

Miami, FL 33152

OnsiteHealth InsurancePaid Time OffRetirement Benefit

HS Diploma or equivalent.
A valid driver's license is required, and motor vehicle record must be in good standing.
Have the ability to occasionally lift or carry up to 75 lbs.

SmartExplore AI is experimental.