Director of Utilization Review
2 weeks ago
Job Summary:
We are seeking a highly skilled and experienced Director of Utilization Review to join our team at Memorial Healthcare System. As a key member of our leadership team, you will be responsible for directing the department's activities and resources to ensure alignment with our mission, values, and objectives.
Key Responsibilities:
- Prepares and evaluates departmental budgets, ensuring compliance with allocated funding.
- Coordinates and directs internal/external audits.
- Plans and monitors staffing activities, including hiring, orienting, evaluating, disciplinary actions, and continuing education initiatives.
- Manages and evaluates department operations, including information technologies, service level determination, and complaint management, to achieve performance and quality control objectives.
- Develops and implements departmental goals, plans, and standards consistent with clinical, administrative, legal, and ethical requirements.
- Collaborates with other disciplines, physician liaison, and facility Directors of Clinical Effectiveness to ensure timely, accurate, and compliant utilization review.
Requirements:
- Accredited Program: Nursing (Required)
- Registered Nurse License (RN LICENSE) - State of Florida (FL)
Working Conditions and Physical Requirements:
- Bending and Stooping = 60%
- Keyboard Entry = 80%
- Kneeling = 40%
- Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
- Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
- Reaching = 60%
- Repititive Movement Hand/Arm = 80%
- Sitting = 80%
- Standing = 80%
- Walking = 80%
- Audible Speech = 80%
- Hearing Acuity = 80%
- Distinguish Color = 80%
- Seeing - Far = 80%
- Seeing - Near = 80%
Shift:
Primarily for office workers - not eligible for shift differential
Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
-
Director of Utilization Review
4 weeks ago
Miramar, Florida, United States Memorial Healthcare System Full timeJob SummaryWe are seeking a highly skilled and experienced Director of Utilization Review to join our team at Memorial Healthcare System. As a key member of our leadership team, you will be responsible for directing the department's activities and resources to ensure alignment with our mission, values, and objectives.Key ResponsibilitiesPrepare and evaluate...
-
Nurse Reviewer
1 month ago
Miramar, Florida, United States Integrated Home Full timeJob Title: UM Nurse ReviewerWe are seeking a skilled UM Nurse Reviewer to join our team at Integrated Home. As a key member of our Utilization Management department, you will play a critical role in ensuring that home health care services are administered with quality, cost efficiency, and within compliance.Key Responsibilities:Concurrently review patient...
-
Utilization Management Nurse
2 weeks ago
Miramar, Florida, United States Integrated Home Full timeJob SummaryWe are seeking a skilled Utilization Management Nurse to join our team at Integrated Home. As a key member of our healthcare team, you will play a critical role in ensuring that home health care services are administered with quality, cost efficiency, and within compliance.Key ResponsibilitiesConcurrently review patient clinical information for...
-
Director of Service Management and Performance
4 weeks ago
Miramar, Florida, United States Memorial Healthcare System Full timeJob SummaryWe are seeking a highly skilled and experienced Director of Service Management and Performance to join our team at Memorial Healthcare System. As a key member of our leadership team, you will be responsible for managing and evaluating department operations to achieve performance and quality control objectives.Key ResponsibilitiesDevelop and...
-
Associate Director of Financial Aid Operations
1 month ago
Miramar, Florida, United States FVI School of Nursing and Technology Full timeJob Title: Associate Campus Director of Financial AidJob Summary:FVI School of Nursing and Technology is seeking a highly skilled and experienced Associate Campus Director of Financial Aid to join our team. As a key member of our financial aid department, you will be responsible for overseeing the administration of our financial aid programs, ensuring...
-
Food and Beverage Director
1 month ago
Miramar, Florida, United States Hilton Sandestin Beach Full timeJob Title: Director of Food and BeverageHilton Sandestin Beach is seeking a highly skilled and experienced Director of Food and Beverage to lead our Food and Beverage Department. As a key member of our management team, you will be responsible for directing and organizing the activities of the department to maintain high standards of food and beverage...
-
Associate Director of Financial Operations
1 week ago
Miramar, Florida, United States FVI School of Nursing and Technology Full timeJob DescriptionAt FVI School of Nursing and Technology, we are seeking a highly skilled and experienced Associate Campus Director of Financial Aid to join our team. This is a critical role that requires a strong understanding of federal and state financial aid regulations, as well as excellent communication and interpersonal skills.Key...
-
Digital Product Design Director
2 weeks ago
Miramar, Florida, United States Southern Glazer's Wine and Spirits Full timeAbout the RoleSouthern Glazer's Wine and Spirits is seeking a highly skilled Digital Product Design Director to join our team. As a key member of our digital product design team, you will be responsible for leading the design of our digital products and experiences.Key ResponsibilitiesLead problem-framing and ideation sessions to drive design...
-
Community Association Manager
2 weeks ago
Miramar, Florida, United States Associa Full timeJob DescriptionAssocia is seeking a highly skilled and experienced Community Association Manager to join our team in Miramar, FL. As an Onsite Community Association Manager, you will be responsible for working closely with our clients and vendors, and partnering with other Associa departments to deliver exceptional results.To be successful in this role, you...
-
Community Association Manager
3 weeks ago
Miramar, Florida, United States Associa Full timeJob Title: Onsite Assistant Community ManagerAssocia is seeking a highly skilled and experienced Onsite Assistant Community Manager to join our team in Miramar, FL. As a key member of our community management team, you will be responsible for providing exceptional customer service and support to our clients and their communities.Key Responsibilities:Act as...
-
Community Association Manager
1 week ago
Miramar, Florida, United States Associa Full timeJob DescriptionAssocia is seeking a Community Association Manager to work closely with our clients and vendors, and partner with other Associa departments. To be successful in this role, you will need great customer service skills and the ability to work on multiple projects.What We OfferAssocia offers a competitive benefits package to our full-time...
-
Community Association Manager
2 weeks ago
Miramar, Florida, United States Associa Full time{"title": "Community Association Manager", "content": "Job SummaryAssocia is seeking a highly skilled Community Association Manager to join our team in Miramar, FL. As an Onsite Community Association Manager, you will work closely with our clients and vendors, and partner with other Associa departments to deliver exceptional customer service and drive...
-
Community Association Manager
2 weeks ago
Miramar, Florida, United States Associa Full timeJob Title: Onsite Community Association ManagerAssocia is seeking a highly skilled and experienced Onsite Community Association Manager to join our team in Miramar, FL. As a key member of our team, you will be responsible for providing exceptional customer service and ensuring the smooth operation of our community associations.Key Responsibilities:Act as the...
-
Project Director
2 weeks ago
Miramar, Florida, United States SkyBridge Aviation Full time{"Role Summary/Purpose": "As a Project Manager at SkyBridge Aviation, you will be responsible for the execution of shop transformation planning, execution, and completion of projects within the organization. You will report to the Chief Engineer and work closely with stakeholders, cross-functional teams, and external vendors and suppliers to ensure that...
-
Community Association Manager
1 week ago
Miramar, Florida, United States Associa Full timeJob DescriptionAssocia is seeking a highly skilled Community Association Manager to join our team in Miramar, FL. As an Onsite Community Association Manager, you will work closely with our clients and vendors, and partner with other Associa departments. To succeed in this role, you will need excellent customer service skills and the ability to manage...
-
Transformation Programs Director
2 weeks ago
Miramar, Florida, United States Royal Caribbean Group Full timeJob Title: Associate Vice President, Transformation Programs Job Summary: The Associate Vice President, Transformation Programs will provide leadership technology direction to large business transformation programs at Royal Caribbean Group. This executive will oversee the project team comprised of members from Engineering, Enterprise Architecture, Project...
-
Community Association Manager
1 week ago
Miramar, Florida, United States Associa Full timeJob Title: Community Association ManagerAbout the Role:We are seeking a skilled Community Association Manager to join our team at Associa. As a Community Association Manager, you will be responsible for working closely with our clients and vendors, and partnering with other Associa departments. To be successful in this role, you will need great customer...
-
Laboratory Supervisor
5 days ago
Miramar, Florida, United States Quest Diagnostics Incorporated Full timeJob SummaryWe are seeking a highly skilled and experienced Laboratory Supervisor to join our team at Quest Diagnostics Incorporated. The successful candidate will be responsible for planning, organizing, and directing the work of the laboratory section to maximize employee, equipment, and material utilization within budgetary constraints.Key...
-
Activities Coordinator
2 weeks ago
Miramar, Florida, United States Miami Jewish Health Full timeJob Title: Activities AssistantMiami Jewish Health is a leading provider of healthcare and living options for aging adults in the Southeast.Our main campus is located on 20+ acres just north of mid-town Miami, and is home to our support departments like Finance, Accounting, Human Resources, Marketing and more.Job Summary:As an Activities Assistant, you will...
-
Laboratory Supervisor
1 week ago
Miramar, Florida, United States Quest Diagnostics Incorporated Full timeJob SummaryWe are seeking a highly skilled and experienced Laboratory Supervisor to join our team at Quest Diagnostics Incorporated. As a Laboratory Supervisor, you will be responsible for planning, organizing, and directing the work of the section to effectively maximize employees, equipment, and material utilization within budgetary constraints while...