Jobs in Miami Fl Online

2,849 positions found — Page 154

A&P Mechanic - Opa Locka, FL
Salary not disclosed
Opa Locka 2 weeks ago
SUMMARY : Recent Corporate Experience a MAJOR Plus! The A&P Technician repairs, troubleshoots, inspects, and performs maintenance on Customer aircraft Performs and documents all work performed per appropriate manuals and regulations as required DUTIES & RESPONSIBILITIES : Under minimal supervision, performs inspections, maintenance, and repairs of moderate to advanced complexity on aircraft systems and structures Communicate as required to receive and understand work assignments Perform complex aircraft inspections, repairs, and modifications with minimal supervision Coordinate with other departments as needed to ensure compliance with internal and FAA inspection and documentation requirements Properly complete work order sign-offs and other paperwork in a timely and accurate manner.

Assist as needed with shift turnovers Ensure that all work accomplished meets quality standards and specifications C ONTACT : Kelly Milowe (251) 260-6022 ABOUT US : We care about you and your career, we care about you and the ones you care for, our success is your success, you are not just a contractor you’re a valued team member and part of our family we look forward to working with you soon! HSGI, Inc.

is a full service staffing company supplying qualified technical and professional employees to the most reputable companies in the Aerospace/Aircraft industry—across the United States and abroad.

REQUIREMENTS: Recent Corporate experience a MAJOR Plus! FAA Airframe and Powerplant License Required Valid Driver’s License Required Must be willing to work any shift including unscheduled overtime, nonscheduled work days and holidays as needed CONTACT: Kelly Milowe (251) 260-6022 MISCELLANEOUS: MUST be able to pass a 10 year federal background check in order to obtain an airport security badge.
Not Specified
Senior Tax Associate
🏢 Jobot
Salary not disclosed
Hialeah 2 weeks ago
Senior Tax Associate, Growing CPA Firm, multiple locations, reply to /> This Jobot Job is hosted by: David Hyon Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.

Salary: $85,000
- $120,000 per year A bit about us: Growing CPA firm, Multiple Locations, Diverse Client Book of Business.

Why join us? Hybrid work schedule Medical Dental Vision 401k Generous PTO plan Job Details Job Details: We are currently seeking a highly motivated, detail-oriented Senior Tax Associate to join our dynamic finance team.

This is an exceptional opportunity for a seasoned tax professional to work on a diverse range of tax-related tasks for our esteemed clients.

The successful candidate will have the opportunity to work on complex tax projects and will be an integral part of our team, providing innovative tax solutions and advice to our clients.

This is a permanent position that offers an excellent opportunity for career growth and professional development.

Responsibilities: As a Senior Tax Associate, your responsibilities will include but are not limited to: 1.

Preparing and reviewing complex tax returns including 1040 individual returns, 1065 partnership, 1120S Corporate tax returns, non-profit, and estate returns.

2.

Conducting thorough tax research and planning to maximize tax savings and ensure compliance with tax laws.

3.

Assisting with tax audits and tax return examinations.

4.

Providing guidance and mentorship to junior tax associates.

5.

Collaborating with cross-functional teams to provide comprehensive tax solutions.

6.

Keeping abreast of current tax practices and changes in tax law.

7.

Providing exceptional customer service by building client relationships and providing timely and accurate responses to client inquiries.

Qualifications: The successful candidate will possess the following qualifications: 1.

Bachelor’s degree in Accounting, Finance, or related field.

A Master’s degree or CPA certification is highly desirable.

2.

Minimum of 5 years of experience in a tax role with a focus on preparing 1040 individual returns, 1065 partnership, 1120S Corporate tax returns, non-profit, and estate returns.

3.

Strong technical tax skills with proficiency in US GAAP and tax compliance and planning.

4.

Exceptional analytical and problem-solving skills.

5.

Excellent written and verbal communication skills, with the ability to communicate complex tax concepts to non-tax professionals and clients.

6.

Strong organizational skills with the ability to manage multiple tasks and projects simultaneously.

7.

Proficient in tax software and Microsoft Office Suite, particularly Excel.

8.

Strong commitment to professional and client service excellence.

This is an exciting opportunity for a talented tax professional to advance their career in a dynamic and supportive environment.

If you have a passion for tax and are ready to take on new challenges, we would love to hear from you.

Interested in hearing more? Easy Apply now by clicking the "Apply Now" button.

Jobot is an Equal Opportunity Employer.

We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws.

Jobot also prohibits harassment of applicants or employees based on any of these protected categories.

It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

Sometimes Jobot is required to perform background checks with your authorization.

Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at /legal.

By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.

Frequency varies for text messages.

Message and data rates may apply.

Carriers are not liable for delayed or undelivered messages.

You can reply STOP to cancel and HELP for help.

You can access our privacy policy here: /privacy-policy
Not Specified
Corporate Attorney
🏢 Jobot
Salary not disclosed
Miami 2 weeks ago
Top FL Firm | Great Benefits For Individual/Family | Clear Path For Growth This Jobot Job is hosted by: Jake Vogel Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.

Salary: $180,000
- $240,000 per year A bit about us: Our firm employs hundreds of attorneys who focus on more than a few dozen distinct practice areas, including litigation, construction, financial services, corporate, mergers and acquisitions, securities, hospitality, insurance, real estate, taxation and trusts and estates.

At our firm, we are committed to offering sophisticated legal services efficiently and responsively.

We work tirelessly with businesses and individual clients, as well as with referring national and international law firms and companies.

We always strive to provide the highest degree of professionalism and passion for our work.

Our attorneys work in an environment where people are recognized for their value as individuals, giving them the autonomy and freedom to best serve their clients.

Why join us? Meaningful Work! Best in Class Firm! Competitive Compensation Package! Comprehensive Benefits Package! Accelerated Career Growth! Fun Company Activities! Many More! Job Details We are seeking an experienced Senior Corporate Attorney to join our Miami office.

The ideal candidate brings anywhere from 6–15 years of sophisticated corporate experience and will work closely with practice group leadership and other attorneys across the firm.

Key Responsibilities Advise clients on mergers and acquisitions, including structuring, negotiation, and execution.

Lead and support joint venture transactions.

Prepare, review, and negotiate fundraising documentation and assist with fund formation matters.

Handle a wide range of general corporate and contractual matters for business clients.

Collaborate with partners, senior attorneys, and firm leadership on strategic legal workstreams.

Maintain strong relationships with clients and deliver practical, business focused legal counsel.

Required Qualifications 6–15 years of relevant corporate transactional experience.

Demonstrated expertise in M&A, joint ventures, fund formation, and contract drafting/negotiation.

Strong analytical, communication, and client service skills.

Ability to manage complex transactions with minimal supervision.

Admission to the Florida Bar is required.

Interested in hearing more? Easy Apply now by clicking the "Apply Now" button.

Jobot is an Equal Opportunity Employer.

We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws.

Jobot also prohibits harassment of applicants or employees based on any of these protected categories.

It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

Sometimes Jobot is required to perform background checks with your authorization.

Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at /legal.

By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.

Frequency varies for text messages.

Message and data rates may apply.

Carriers are not liable for delayed or undelivered messages.

You can reply STOP to cancel and HELP for help.

You can access our privacy policy here: /privacy-policy
Not Specified
CRNA / Anesthesiology / Florida / Locum Tenens / Locums CRNA Job in Florida
Salary not disclosed
Davie, Florida 2 weeks ago

CRNA needed to join a locum practice in Florida Coverage dates: 6/20/2022
- Ongoing Shift Days; Any days between Monday
- Friday.

Shift Times: 7am
- 5pm, or 7am
- 7pm.

No call.

No weekends.

The physician must be willing to work day/night/weekends.

OB skills are preferred but not required.

Located near Davie,FL If you are interested in hearing more about this opportunity, please call or text MD Staff at (4

You can also reach us through email at

Please reference Job ID # j-64851.

Not Specified
CRNA / Anesthesiology / Florida / Permanent / Full-Time CRNA Opportunity in Florida
🏢 Hayman Daugherty Associates
Salary not disclosed
Hollywood, Florida 2 weeks ago

Are you looking for a rewarding career where you can make a difference in the lives of your patients? We have an exciting opportunity for a full-time Certified Registered Nurse Anesthetist (CRNA) near Hollywood, Florida.

This permanent position offers competitive compensation, annual raises, and a generous sign-on bonus.

You'll work 36 hours per week, including 12-hour shifts on Saturdays and Sundays, plus one additional weekday shift.

This schedule promotes an excellent work-life balance while allowing you to thrive in a dynamic and supportive environment.

Key Highlights of the Role: Flexible Schedule: Weekend-focused shifts (Saturday and Sunday) plus one weekday, ensuring ample time for personal commitments.

Diverse Case Mix: Gain experience with a wide range of cases, including: Pediatrics, including neonates General surgery Orthopedics Obstetrics Trauma ENT Podiatry Urology Plastics Specialized Facilities: Work in a facility equipped with: Level I trauma center Level III NICU Pediatric ICU 24-hour children???s hospital Career Development: Opportunities to grow your career locally and nationally, with ongoing support and resources.

Why Choose This Opportunity? Comprehensive Support: You'll have the autonomy to practice while receiving robust administrative and clinical resources.

Professional Growth: Explore options to advance within the region or across the nation.

Exceptional Compensation Package: Recently increased pay rates, annual raises, and a sign-on bonus.

Location Benefits: Situated near Hollywood, FL, you'll enjoy beautiful beaches, vibrant culture, and year-round sunshine.

The area offers a perfect blend of career and leisure opportunities.

Take the next step in your career and join a team committed to making a difference.

How to Apply: If this opportunity interests you, apply now using reference Job ID # j-261659.

permanent
Inside Property Adjuster - Hybrid work flexibility (CHESAPEAKE)
🏢 Usaa
Salary not disclosed

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

As a dedicated Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate, and settle low to moderate complexity property insurance claims. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. You will recognize and empathize with members’ life events, as appropriate.

This hybrid role requires an individual to be in the office 3 days per week. This position can be based in one of the following locations: San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, Tampa, FL or Chesapeake, VA. Relocation assistance is not available for this position.

This is an experienced desk based Property Adjuster role working in a telephone concentrated environment without physical inspection of loss. This is an hourly, non-exempt position with paid overtime available. Training will be approximately 12 weeks, Monday to Friday and hours may vary by location. Upon successful completion of training, employees will transition to an eight-hour work shift ranging between 8:00 am – 5:30 pm (local time) Monday to Friday with availability for occasional evenings and weekends based on business needs.

What you'll do:

  • Proactively manages assigned claims caseload comprised of claims with low to moderate complexity damages that require commensurate knowledge and understanding of claims coverage.

  • Partners with vendors and internal business partners to facilitate low to moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.

  • Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.

  • Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing investigation information involving low to moderate complexity policy terms and contingencies.

  • Determines and negotiates low to moderate complexity claims settlement. Coordinates with management for guidance on assessing settlement amounts outside of authority limits to support managing claims outcomes.

  • Maintains accurate, thorough, and current claim file documentation throughout the claims process.

  • Applies knowledge of estimating technology platforms and virtual inspection tools to prepare and manage low to moderate complexity property insurance claims estimates

  • Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.

  • Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.

  • May be assigned CAT deployment travel with minimal notice during designated CATs.

  • Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.

  • Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. 

What you have:

  • High School Diploma or General Equivalency Diploma.

  • 1 year of customer service, military leadership, construction related industry/insurance experience and/or experience handling low complexity property claims

  • Knowledge of estimating losses using Xactimate or similar tools and platforms.

  • Demonstrated negotiation, investigation, communication, and conflict resolution skills.

  • Working knowledge and understanding of claims contracts as well as application of case law and state laws and regulations.

  • Ability to prioritize and multi-task, including navigating through multiple business applications.

  • May need to travel up to 25% of the year (local & non-local) and/or work catastrophe duty when needed.

  • Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

What sets you apart:

  • 1+ years relevant property adjusting claims of moderate complexity

  • Experience desk adjusting residential property claims to include water, roof, and personal property

  • File ownership handling claims from start to finish (scoping the loss, assessing damages, estimating, interpreting policy, making coverage decisions, settlement)

  • Proficient in estimate writing using Xactimate and virtual tools (such as Claim X, Hover, and Hosta)

  • Currently hold an active P&C Adjuster license

  • Experience working directly for a standard insurance carrier

  • Experience in a all center environment

  • US military experience through military service or a military spouse/domestic partner

Physical Demand Requirements:

  • May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces.  

  • May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license.

  • May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.

  • May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.

Compensation range: The salary range for this position is: $57,970 - $97,820.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

 

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

 

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

 

For more details on our outstanding benefits, visit our benefits page on

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

 

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.


Remote working/work at home options are available for this role.
Not Specified
Auto Adjuster - Non-Injury - Hybrid work flexibility with competitive benefits (CHESAPEAKE)
🏢 Usaa
Salary not disclosed
Chesapeake, VA, Hybrid 3 days ago

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

As a dedicated auto adjuster, within defined guidelines and framework, you are responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations. You are accountable for delivering best in class service, through setting appropriate expectations, proactive communications, advice, and empathy.

This hybrid role requires an individual to be in the office 3 days per week, after completing 6 months in office. This position can be based in the following location: Chesapeake, VA. Relocation assistance is not available for this position.

What you'll do:

  • Investigates liability and applies appropriate coverage, evaluates, negotiates, and settles moderately complex auto claims.

  • Negotiates liability for comparative negligence (claimant or adverse carrier).

  • Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit (SIU) referrals, when appropriate.

  • Interacts with multiple parties to gather information needed to determine liability (police reports, recorded statements, witness statements).

  • Resolves claims through proactive problem solving and decision making, within authority guidelines and under moderate supervision, overcoming obstacles, and effectively prioritizing the workload.

  • Clearly documents thought process including damage evaluation, investigation, negotiation, and settlement decisions

  • Collaborates and sets expectations with external and internal business partners to facilitate claims resolution.

  • Supports members, business partners, and claimants, through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.

  • Applies developing knowledge of P&C insurance industry products, services, to include P&C insurance policy contracts, coverages and internal claims handling process and procedures.

  • Applies intermediate knowledge of Auto Physical Damage to adjust claims.

  • Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.

  • May be assigned CAT deployment travel with minimal notice during designated CATs.

  • Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.

  • Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

  • High School Diploma or General Equivalency Diploma.

  • 1 year of customer service experience.

  • Progressive experience handling low complexity auto non injury liability claims.

  • Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

  • Developing knowledge and understanding of auto claims contracts as well as application of case law and state laws and regulations.

  • Demonstrated negotiation, investigation, communication, and conflict resolution skills.

  • Proficient in prioritizing and multi-tasking, including navigating through multiple business applications.

  • Successful completion of a job-related assessment may be required.

What sets you apart:

  • One or more years of auto liability claims experience managing claims from initial contact through resolution

  • Minimum one year of experience managing a pending inventory with demonstrated organization and prioritization skills

  • At least two years of customer service experience, demonstrating strong communication and problem-solving skills

  • Proven experience with comparative negligence and shared liability determinations

  • Strong analytical and communication skills with the ability to interpret policy language, assess coverages, and make sound decisions

  • Proficiency with Guidewire or similar claims management systems

  • Bachelor’s degree or industry designation (e.g., AIC, CPCU)

  • Military experience through service or as a military spouse

Compensation range: The salary range for this position is: $51,370 - $92,060.

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

 

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

 

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

 

For more details on our outstanding benefits, visit our benefits page on

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

 

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.


Remote working/work at home options are available for this role.
Not Specified
Nurse Practitioner - Flexible work settings from ambulatory to inpatient care (SAN ANTONIO)
Salary not disclosed
POSITION SUMMARY/RESPONSIBILITIES

Serves as member of health care team that provides specialized health care including preventive care and on-going health maintenance for selected groups of patients. Functions in a variety of settings ranging from ambulatory to inpatient. Participates in the care of well, acutely ill and chronically ill patients.

EDUCATION

A Registered Professional Nurse who is prepared for advanced nursing practice by virtue of knowledge and skills obtained through an accredited post basic or advanced educational program of study acceptable to the Board of Nurse Examiners. A Master’s degree in nursing is preferred. Must be a participating Medicare provider or eligible to obtain a Medicare provider number. Three years of nursing experience is required and two years of advanced practice is preferred.

LICENSURE/CERTIFICATION

Must be currently licensed as a Registered Nurse in Texas and credentialed by the State to practice as an Advanced Nurse Practitioner. Must maintain current AHA BLS or higher in accordance with Medical-Dental staff bylaws. Prescriptive authority is required. Valid DEA number must be obtained within 90 days of hire. Certification by a national nursing body is required.
Remote working/work at home options are available for this role.
permanent
Nurse Case Manager CFHP PRN - Flexible Work Schedule (SEGUIN)
🏢 University Health
Salary not disclosed

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity.

Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making.

Provides support for claim appeals in relation to medical necessity.

Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards.

Facilitates member second level appeal process.

Graduate from an accredited school of professional nursing is required.

BSN preferred.

Minimum 2 years acute care experience or managed care experience is required.

Basic knowledge of Medicaid, Medicare preferred.

Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required.

Active Certification in Case Management (CCM) is preferred.


Remote working/work at home options are available for this role.
Not Specified
Nurse Case Manager CFHP PRN - Flexible Scheduling Options (BOERNE)
🏢 University Health
Salary not disclosed

Conducts comprehensive clinical reviews of adverse determinations related to medical necessity.

Initiates outreach to providers to obtain clarification or additional documentation in alignment with established clinical criteria and organizational policies, to support Medical Director decision making.

Provides support for claim appeals in relation to medical necessity.

Ensures the timely and accurate resolution of appeal cases and supports organizational adherence to all state, federal, and accreditation standards.

Facilitates member second level appeal process.

Graduate from an accredited school of professional nursing is required.

BSN preferred.

Minimum 2 years acute care experience or managed care experience is required.

Basic knowledge of Medicaid, Medicare preferred.

Knowledge of InterQual screening criteria, ICD-10, CPT coding preferred.

Current Registered Nurse (RN) license to practice professional nursing issued by the Board of Nurse Examiners for the State of Texas is required.

Active Certification in Case Management (CCM) is preferred.


Remote working/work at home options are available for this role.
Not Specified
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