Chief Utilization Review Officer (Hiring Immediately) Job at Memorial Healthcare System, Miramar, FL

TFh6S3kwVm5iTjF0blo2TlpmNExXQnZDNHc9PQ==
  • Memorial Healthcare System
  • Miramar, FL

Job Description

**Location:**

Miramar, Florida

At Memorial, we are dedicated to improving the health, well-being and, most of
all, quality of life for the people entrusted to our care. An unwavering
commitment to our service vision is what makes the difference. It is the
foundation of The Memorial Experience.

**Summary:**

Directs the departments activities and resources to ensure alignment with the
mission, values, and objectives of the department and organization.

**Responsibilities:**

Prepares and evaluates departmental budgets, and ensures that the department
operates in compliance with allocated funding. Coordinates and directs
internalexternal 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 the clinical,
administrative, legal and ethical requirements of the organization.Works
collaboratively with other disciplines, physician liaison, and facility
Directors of Clinical Effectiveness to ensure that utilization review is
performed timely, accurately and in compliance with appropriate regulatory
bodies.

**Competencies:**

ACCOUNTABILITY, ANALYSIS AND DECISION MAKING, CUSTOMER SERVICE, EFFECTIVE
COMMUNICATION, MANAGING BUDGETS - MANAGEMENT, MANAGING PEOPLE, RESPONDING TO
CHANGE, STANDARDS OF BEHAVIOR

**Education and Certification Requirements:**

Accredited Program: Nursing (Required)Registered Nurse License (RN LICENSE) -
State of Florida (FL)

**Additional Job Information:**

Complexity of Work: Requires critical thinking skills, decisive judgment and
the ability to work with minimal supervision. Must be able to work in a
stressful environment and take appropriate action. Excellent interpersonal
skills needed.Required Work Experience: 5 years leadership experience and 2
years experience in utilization case management.

**Working Conditions and Physical Requirements:**

* Bending and Stooping = 60%
* Climbing = 0%
* Keyboard Entry = 80%
* Kneeling = 40%
* LiftingCarrying Patients 35 Pounds or Greater = 0%
* Lifting or Carrying 0 - 25 lbs Non-Patient = 60%
* Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
* Lifting or Carrying > 75 lbs Non-Patient = 0%
* Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
* Pushing or Pulling 26 - 75 lbs Non-Patient = 0%
* Pushing or Pulling > 75 lbs Non-Patient = 0%
* Reaching = 60%
* Repetitive Movement FootLeg = 0%
* Repetitive Movement HandArm = 80%
* Running = 0%
* Sitting = 80%
* Squatting = 40%
* Standing = 80%
* Walking = 80%
* Audible Speech = 80%
* Hearing Acuity = 80%
* Smelling Acuity = 0%
* Taste Discrimination = 0%
* Depth Perception = 80%
* Distinguish Color = 80%
* Seeing - Far = 80%
* Seeing - Near = 80%
* Bio hazardous Waste = 0%
* Biological Hazards - Respiratory = 0%
* Biological Hazards - Skin or Ingestion = 0%
* Blood andor Bodily Fluids = 0%
* Communicable Diseases andor Pathogens = 0%
* Asbestos = 0%
* Cytotoxic Chemicals = 0%
* Dust = 0%
* GasVaporsFumes = 0%
* Hazardous Chemicals = 0%
* Hazardous Medication = 0%
* Latex = 0%
* Computer Monitor = 80%
* Domestic Animals = 0%
* Extreme HeatCold = 0%
* Fire Risk = 0%
* Hazardous Noise = 0%
* Heating Devices = 0%
* Hypoxia = 0%
* LaserHigh Intensity Lights = 0%
* Magnetic Fields = 0%
* Moving Mechanical Parts = 0%
* NeedlesSharp Objects = 0%
* Potential Electric Shock = 0%
* Potential for Physical Assault = 0%
* Radiation = 0%
* Sudden Decompression During Flights = 0%
* Unprotected Heights = 0%
* Wet or Slippery Surfaces = 0%

**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.


Wages shown on independent job boards reflect market averages, not specific to
any employer. We encourage candidates to talk to their Memorial Healthcare
System recruiter to discuss actual pay rates, during the hiring process.


Memorial Healthcare System is proud to be an equal opportunity employer
committed to workplace diversity.


Memorial Healthcare System recruits, hires and promotes qualified candidates
for employment opportunities without regard to race, color, age, religion,
gender, gender identity or expression, sexual orientation, national origin,
veteran status, disability, genetic information, or any factor prohibited by
law.


We are proud to offer Veteran’s Preference to former military, reservists and
military spouses (including widows and widowers). You must indicate your
status on your application to take advantage of this program.


Employment is subject to post offer, pre-placement assessment, including drug
testing.


If you need reasonable accommodation during the application process, please
call 954-276-8340 (M-F, 8am-5pm) or email
[TalentAcquisitionCenter@mhs.net](mailto:TalentAcquisitionCenter@mhs.net)


Job Tags

Full time, Work experience placement, Immediate start, Shift work,

Similar Jobs

Get It - Real Estate

Senior Field Marketing Manager - Remote | WFH Job at Get It - Real Estate

 ...accelerate deals, and deepen customer and partner relationships. - Work closely with sales, product marketing, demand generation, ABM, and customer success teams to ensure alignment on messaging, goals, and deliverables for all event initiatives. - Tailor events to... 

CBRE

VAS - Funds Consultant Job at CBRE

 ...VAS - Funds Consultant Job ID 193369 Posted 10-Jan-2025 Service line Advisory...  ...have the support and resources of a global firm where an entrepreneurial mentality is...  ...marital status, disability, veteran status, political belief, or any other basis protected by... 

Southeast Airport Services, Inc.

Janitor/Cleaner Job at Southeast Airport Services, Inc.

 ...We are seeking a reliable and hardworking Janitor/Cleaner to join our team at MCO Airport. The successful candidate will be responsible for maintaining the cleanliness and hygiene of the airport facilities, including restrooms, waiting areas, and other public spaces.... 

Cox Media Group

Content Coordinator - WSOC TV Job at Cox Media Group

 ...judgement and organizational skills. Preferred Qualifications ~ Previous newsroom experience is strongly preferred. About Cox Media Group CMG Media Corporation (d/b/a Cox Media Group) is an industry-leading media company with unparalleled brands, award-winning... 

K.A. Recruiting, Inc.

Medical Laboratory Scientist/Technologist (MLS/MT) OR Medical Laboratory Technician (MLT) Job at K.A. Recruiting, Inc.

Medical Laboratory Scientist/Technologist (MLS/MT) OR Medical Laboratory Technician (MLT) *SIGN ON BONUS AND RELOCATION ASSISTANCE OFFERED (if needed)* SUMMARY: Performs laboratory tests; interprets results; documents and reports results. Maintains department equipment...