35 utilization opportunities in Jacksonville updated today
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· Page 1 / 2Behavioral Health Utilization Management Medical Case Manager CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready
Hours of Job Part Time - 40 hours/5 days per pay period 7:30 AM-4:00 PM Every third weekend rotation off-site; less than 3 hours per scheduled weekend Duties and Key Responsibilities The Utilization Review Coordinator reviews and clarifies patient status, applies initial and continued stay criteria
Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to review medical services with evidence‑based criteria, authorize requested s
Industry/Sector Health Services Specialism Operations Management Level Senior Associate Job Description & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs
PWCIndustry/Sector Health Services Specialism Operations Management Level Manager Job Description & Summary As an operations consulting generalist at PwC, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clien
Concierge Home CareA home health care provider in Florida is seeking a Utilization Review Specialist. The role involves quality assurance by reviewing OASIS documentation, verifying clinical compliance, and collaborating with clinical teams. Applicants must have OASIS and Coding certifications, a Florida RN License, a
Responsibilities We are pleased to announce the following available position: **TEMP** **FT** **Utilization Review Coordinator, including weekends** This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizat
Mental Health Resource CenterCompany Overview<br />Mental Health Resource Center is a not-for-profit Florida corporation that provides a wide range of mental health and behavioral health care services to the community such as 24-hour emergency services, inpatient psychiatric services for children, adolescents, and adults
Description Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to review medical services with evidence-based criteria, authorize
We are currently looking for a **TEMP** **FT Utilization Review Case Manager**. The Utilization Review Case Manager is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizations to ensure quality patient care and collabo
Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape-analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective DUR and pre
Responsibilities We are pleased to announce the following available position: FT Utilization Review Coordinator, including weekends $26-$37 This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizations to e
Molina HealthcareA leading healthcare provider in Jacksonville, Florida is seeking a Medical Director to lead a team ensuring appropriate member care. Responsibilities include oversight of medical necessity assessments, leadership in healthcare services, and developing policies. The ideal candidate will possess over
Nursing Pro StaffingA healthcare staffing agency is seeking a Case Management Manager RN in Orange Park, FL. This full-time position offers normal business hours, Monday to Friday, with no weekends. You'll manage Utilization Management functions, ensure compliance with standards, and support resource management strateg
Responsibilities We are pleased to announce the following available position: TEMP FT Utilization Review Coordinator, including weekends This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizations to ensu
Join the Team at Concierge Home Care – Where Care Changes Lives! At Concierge Home Care, we believe in the power of home health care to change lives—for patients and team members alike. Our mission, “Caring for people who care for people,” is the foundation of who we are and what we do. Guided by ou
TravelNurseSourceRegistered Nurse (RN) | Utilization Review Location: Tallahassee, FL Agency: GQR Healthcare Pay: $1,524 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is working with GQR Healthcare to find a qualified Utilization Review RN in Talla
Universal Health ServicesResponsibilities We are pleased to announce the following available position: TEMP FT Utilization Review Coordinator, including weekends This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizations to ensu
Flexible Independent Contractor (1099) Opportunity ??? Work 20 to 40 Hours Per Week! An active, unrestricted California, Texas or Nebraska medical license are required. We are seeking Family Medicine or Internal Medicine board certified physicians to review Prior Authorizations for treatments, DME r
TravelNurseSourceRegistered Nurse (RN) | Utilization Review Location: Fort Walton Beach, FL Agency: GQR Healthcare Pay: $1,693 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is working with GQR Healthcare to find a qualified Utilization Review RN in
Coastal Pines Behavioral HealthOverview Director of Utilization Management – New Behavioral Health Hospital near Jacksonville, FL - Opening Late Summer 2026 We are seeking an experienced Director of Utilization Management to direct and manage the day-to-day operations of the Utilization Review department. Coastal Pines will be a
River Point Behavioral HealthWe are currently looking for a **FT Utilization Review Case Manager**. The Utilization Review Case Manager is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizations to ensure quality patient care and collaborating wi
River Point Behavioral HealthResponsibilities We are pleased to announce the following available position: **FT** **Utilization Review Coordinator, including weekends $26-$37** This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizati
Utilization and Discharge Coordinator (Therapeutic) *Requirements:** *Master's Degree Required from an accredited college or university in the area of social work or counseling plus 1-2 years' experience working with youth in a therapeutic setting.** *Salary range: $21.15 to $27.89 / hourly** *Full-
$40,000 – $63,000/year
Estimation confidence: Low
Estimate based on market data for Jacksonville. Actual salaries may vary depending on experience, company, and area.
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