Utilization Management Specialist: Improve Care Access
Uloop Inc.
Uloop Inc. is looking for a Utilization Management Coordinator to join our team. This role is crucial for ensuring efficient delivery of healthcare services while managing costs and adhering to regulations. The coordinator will analyze clinical data, communicate with healthcare providers, and maintain accurate documentation. Candidates should possess a high school diploma and have at least 2 years of relevant experience. Preferred qualifications include an Associate degree in Health Administration and certifications in Utilization Review. #J-18808-Ljbffr Uloop Inc.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Utilization Management Specialist: Improve Care Access in Miami, FL vacancy
- ...offering world-class care to any person who walks... ...infrastructure that enhances access, throughput, quality,... ...time. The AVP will manage multidisciplinary teams, implement process improvements, and drives data-... ...COOs, Case Management, Utilization Review, Emergency Department...SuggestedFull timeShift work
- ...Hospital - (Emergency Care Center) Address: 1611... ...The Lead Mental Health Specialist (LMHS) is a hands-on team... ..., suggesting improvements, and monitoring staff... ...evaluations to the overseeing manager or director. Performs... ...intervene per protocol. Utilize verbal de-escalation...SuggestedFull timeShift workNight shift
- ...hospital/clinical setting, specifically within workforce management, staffing office operations, or clinical labor... ...Familiar with strategies for reducing clinician burnout, improving retention, and modernizing care modelsDemonstrated experience in quantitative data analysis...SuggestedApprenticeshipWork at officeEasy work
- ...help our clients better capture, manage, integrate, and analyze complex scientific data. We help improve the research, development, and... ...and government agencies utilize.What would you do? Deliver exceptional... ...in this role through: Accessing and applying capable AI tools...SuggestedFull timeLive inWork at officeLocal area
- Molina Healthcare is seeking a Registered Nurse with utilization management and appeals review experience to assess medical necessity and appropriate care levels in a managed care setting. You will validate records, support appeals, and ensure accurate coding for reimbursement...SuggestedDay shift
- ...Provider Enrollment Specialist Pinnacle Wound Management is a leading wound care provider dedicated to delivering high-quality patient care. We are seeking... ...regulatory agencies Monitor trends and recommend improvements to credentialing workflows Requirements:...Work at officeMonday to FridayShift work
Pinnacle Wound Management
Miami, FL1 day ago - ...Utilization Management Specialist Under general supervision by management, and in collaboration with Medical Directors and other members of the... ...information in order to authorize services. Reviews health care services to determine consistency with contract requirements...Contract workLocal area
- Baptist Health is seeking a patient access professional to coordinate patient flow and handle timely processing within the department. The role requires knowledge of insurance requirements, pricing, and revenue cycle basics, delivering professional and compassionate service...Hourly pay
- ...coordinator and/or advocate between the Homelessness, Housing case Management, Medical Care departments or other community medical or agency service... ...use disorder treatment or social service appointments to improve Housing Stability and medical care · Creates rapport within...Permanent employmentWork experience placementWork at office
- ...world’s health data secure, accessible and actionable, we provide critical... ...is connected and used to improve health. By joining Datavant... ...Conduct and policies. Inform manager of work, site difficulties,... ...computer proficiency. Comfortable utilizing phones, fax machine, printers...Full timeWork experience placementWork at officeMonday to Friday
- A leading educational institution in Miami seeks a full-time Patient Access Specialist to support front-end revenue cycle operations. This role involves verifying patient information, managing insurance details, and assisting staff. Applicants must have a high school diploma...Full time
- ...increasing throughput) and workforce management (optimizing composition of... ...skillset in analytics and a passion for improving the way hospitals source and utilize external spend areas from supplies... ...analysis ideally in the health care sectorHigh level of entrepreneurship...ApprenticeshipEasy work
$55k - $157.3k
...As a FINRA Supervisory Specialist Senior within PNC's Wealth Management organization, you will be... ...Identifies and leads process improvement solutions across... ...purchase plans; dependent care reimbursement account; back... ...foster an inclusive and accessible workplace. We provide...Full timeTemporary workPart timeWork experience placementWork at office$20.98 - $30.12 per hour
...compassionate, high quality care and putting discovery... ...goals set by senior management. Works with third... ...accuracy of billing/charging utilizing knowledge of pre-... ...information with the team to improve the integrity of data.... .../or views data in all accessible systems. Assists...Immediate startRemote workGrabJobs
Hialeah, FL2 days ago$114.1k - $268.18k
...experiences, and have the flexibility and access to constantly find new areas of... ....KPMG is currently seeking a Lead Specialist, Cloud Security to join our Managed Services practice.Responsibilities... ..., and continuous service improvement initiatives.Act with integrity, professionalism...H1bLocal area- ...Job Description The Continuous Improvement Specialist will support the Transformation & Operational Excellence... ...floor processes, workflow, and resource utilization. ~ Develop and maintain standard work, visual management systems, and process documentation. ?- Track...
Insight Global
Miami, FL3 days ago - ...oversee complex facilities issues, manage vendor relationships, and... ...repairs, as needed. Manage various utility accounts and conduct quarterly... ..., including camera data and access control systems management.... ...opportunities aimed at helping to improve our employees' lives and...Work at officeLocal areaFlexible hours
Compass
Miami Beach, FL1 day ago - ...experiences, and have the flexibility and access to constantly find new areas of... ....KPMG is currently seeking a Lead Specialist, Oracle SCM to join our Managed Services practice.Responsibilities... ...contribute to continuous service improvements by monitoring performance,...H1bLocal area
$169.01k - $370.53k
...experiences, and have the flexibility and access to constantly find new areas of... .... KPMG is currently seeking a Specialist Director, Threat Management to join our Managed Services practice... ...and 24x7 operational readiness. Improve cyber defense outcomes through integrated...H1bLocal area$77k - $202k
...OpportunityAs a Senior Associate - Managed Services - EPM Oracle Cloud,... ...for seamless integration and utilization of Oracle applications.... ...business process modeling to improve client workflows- Managing systems... ...to responsibilities such as accessing sensitive company or customer...Full timeH1b- ...Catering Specialist At Fogo de Cho, we strive to give our guests an unforgettable dining... ...Our mission is to ignite fire and joy to care for our team, our guests, and our... ...questions, concerns, issues directly to management immediately. Be knowledgeable of all...Hourly payPermanent employmentFull timeTemporary workPart timeLocal areaImmediate start
$106.3 - $151.88 per hour
...inspire others with your kindness and joy? The Network Specialist is a licensed/Board Certified/Board Eligible... ...specialty such as urology, otolaryngology, orthopedics, pain management, dermatology or wound care. The specialist plays a key role as part of the clinical...Hourly payFull timeInternshipWork at officeLocal area$26.44 per hour
Leasing Specialist - Multifamily ResidentialSkip to main... ...vibrant resident events and managing the entire leasing... ...technology and the ability to utilize same in day to day job... ..., Dental & Vision Care* Paid parental leave at... ...Company Holidays* Early access to earned wages through...Contract workWork at officeLocal areaWeekend work- The Contract Management Specialist (“CMS”) will be responsible for supporting the contract lifecycle... ...reporting. Contract Management: Utilize Carnival’s Contract Management System... ...agreements. Drive continuous process improvements. Maintain accurate and up-to-date...Full timeContract workPart timeWork at officeLocal areaRemote workWork from homeRelocationMonday to Thursday
- ...Patient Access Specialist The University of Miami, Bascom Palmer Eye... ...Recommends new approaches to management for enhancing performance... ...culture of compassion and caring through building healthy relationships... ..., nursing unit, and utilization review department in...Full timeWork at officeImmediate startRemote workFlexible hoursAfternoon shift
$17.27 - $21.93 per hour
Baptist Health in Miami is seeking a Patient Access professional to manage patient appointment scheduling across diagnostic, surgical, therapy, and physician visits. You will verify demographics and insurance, register patients, and enter data into the scheduling system...Hourly pay$33k - $35k
...Professional Advisors via appointment management system and Outlook by scheduling appointments... ...business cards, nametags, granting access to doors, and setting up phone lines.... ...processes and suggests and implements improvements. Minimum Qualifications High school diploma...Permanent employmentFor contractorsWork at office$20.2 - $28.83 per hour
...company focused on transforming the delivery of care for seniors. The Clinician Licensing Specialist will manage the full lifecycle of professional licenses for... ...expertise and requirements analysis. Identify process improvement opportunities and present recommendations to...Hourly payWork at office$17.27 - $21.93 per hour
...Patient Access Associate 2, MNI Neurology Office I Baptist Health is the region's largest not-for-profit healthcare organization, with... ...employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe,...Work at office$16.28 - $20.68 per hour
...employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward... .... Additional Qualifications Complete and pass the Patient Access training course. Ability to work in a high volume, fast-paced work...Work at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Management Specialist: Improve Care Access. Be the first to apply!
Related searches
- senior safety specialist Miami, FL
- health specialist Miami, FL
- outreach specialist Miami, FL
- invoice specialist Miami, FL
- information technology specialist Miami, FL
- rehabilitation specialist Miami, FL
- asset protection specialist Miami, FL
- change management specialist Miami, FL
- housing program specialist Miami, FL
- equal employment specialist Miami, FL