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RN Medical Management Coordinator Utilization & Case Review
Job in
Miami, Miami-Dade County, Florida, 33222, USA
Listed on 2026-08-05
Listing for:
Uloop Inc.
Full Time
position Listed on 2026-08-05
Job specializations:
-
Healthcare
Healthcare Administration
Job Description & How to Apply Below
Uloop Inc. is seeking a Utilization Management professional to review medical necessity for home care and elective services, ensuring alignment with plan criteria and regulations.
The role involves documenting in the UM system, coordinating with pre-authorization teams, and advocating for appropriate resource use. The ideal candidate will have 2+ years in pre-authorization, utilization review, case management, and discharge planning, with strong communication and analytical skills, and the
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