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Kaiser Utilization Management Jobs in Florida (NOW HIRING)

Base-2 Solutions, LLC

Training Coordinator

Doral, FL · On-site

Manage training on geospatial tools and operational dashboard utilization. * Apply instructional ... Choose from multiple plan options with CareFirst, Kaiser, and UnitedHealthcare, including PPO, POS ...

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Kaiser Utilization Management information

What is Kaiser Utilization Management?

Kaiser Utilization Management refers to the process within Kaiser Permanente that evaluates the necessity, appropriateness, and efficiency of healthcare services provided to members. Utilization management professionals review medical cases to ensure that treatments and procedures are medically necessary and align with established guidelines. Their goal is to optimize healthcare outcomes while controlling costs and preventing unnecessary services, ensuring members receive the right care at the right time.

What are the key skills and qualifications needed to thrive as a Kaiser Utilization Management professional?

To thrive in Kaiser Utilization Management, you need a solid background in clinical healthcare (often as an RN or other licensed clinician), understanding of medical necessity criteria, and experience with healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of guidelines such as Milliman or InterQual are typically required. Excellent communication, critical thinking, and organizational skills set standout professionals apart in this role. These competencies ensure effective resource management, regulatory compliance, and quality patient care within the healthcare system.

How does a Kaiser Utilization Management professional typically collaborate with healthcare providers to ensure appropriate patient care?

Kaiser Utilization Management professionals work closely with physicians, nurses, and other healthcare team members to review patient cases and ensure that treatments and services are medically necessary and align with organizational guidelines. This collaboration often involves case discussions, care planning meetings, and providing recommendations for alternative care options when appropriate. Open communication and a collaborative approach help ensure patients receive high-quality care while also managing resources efficiently. Professionals in this role regularly interact with both clinical and administrative staff to resolve issues and support optimal patient outcomes.

What is the difference between Kaiser Utilization Management vs Kaiser Case Manager?

AspectKaiser Utilization ManagementKaiser Case Manager
Primary RoleReview and authorize healthcare services based on medical necessityCoordinate and manage patient care plans and services
CertificationsTypically requires medical or nursing credentials, possibly certifications in utilization reviewOften requires nursing or social work credentials, with case management certifications
Work EnvironmentUtilization review departments within health plans or hospitalsDirect patient interaction, care coordination teams, healthcare facilities
Industry UsageCommonly employed by health insurance providers like KaiserEmployed in healthcare settings, insurance companies, or integrated health systems

While both roles are integral to healthcare management at Kaiser, Utilization Management focuses on reviewing services for appropriateness, whereas Case Managers actively coordinate patient care and services. Understanding these differences helps clarify career paths and job expectations within Kaiser’s healthcare system.

What are popular job titles related to Kaiser Utilization Management jobs in Florida?

For Kaiser Utilization Management jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Kaiser Utilization Management jobs in Florida look for?

The top searched job categories for Kaiser Utilization Management jobs in Florida are:

Kaiser Utilization Management jobs near you
Infographic showing various Kaiser Utilization Management job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution.

Training Coordinator with Security Clearance

Base-2 Solutions, LLC

Miami, FL • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

Job description

Job Description Position Summary Base-2 Solutions is seeking a Training Coordinator to support USSOUTHCOM J26 ENHANCED DOMAIN AWARENESS task order. The role involves overseeing Open-Source Intelligence (OSINT) reporting, geospatial tools, and operational dashboard utilization training for partner nations. The Training Coordinator will apply instructional design, adult learning methodologies, and hands-on training techniques to ensure effective knowledge transfer in diverse environments. Essential Duties and Responsibilities * Oversee Open-Source Intelligence (OSINT) reporting training for partner nations. * Manage training on geospatial tools and operational dashboard utilization. * Apply instructional design and adult learning methodologies. * Conduct hands-on training sessions. * Facilitate communication and cross-cultural knowledge transfer. * Oversee training in geospatial analysis and visualization using ESRI ArcGIS or other tools. * Incorporate real-world scenarios into training programs and adapt content to evolving needs. Required Qualifications * Bachelor's degree in education, Instructional Design, Intelligence Studies, or a related field OR a minimum of 5 years of equivalent experience in training and curriculum development. * Knowledge in OSINT methodologies, geospatial data analysis, or intelligence tradecraft. * Exposure to ESRI ArcGIS and/or dashboard analytics or other mission-relevant tools. Preferred Qualifications * Experience working with international partners. * Experience in interagency collaboration. * Experience in training program assessment. Required Education and Experience Equivalency * Bachelor's degree in education, Instructional Design, Intelligence Studies, or a related field. * OR Minimum of 5 years of equivalent experience in training and curriculum development. Required Certifications * None specified. Required Security Clearance * Active Top Secret/SCI Pay & Benefit Highlights Compensation * Competitive fixed salary or hourly pay (based on experience, skills, location, and internal equity). * Employee referral bonuses up to $10,000 per hired referral. * Additional bonus opportunities for exceptional performance and contributions to business development and company growth (role-dependent). Health * 100% company-paid medical premiums for employees and eligible dependents. * Choose from multiple plan options with CareFirst, Kaiser, and UnitedHealthcare, including PPO, POS, HMO, and HSA-compatible plans. * 100% company-paid dental premiums for employees and eligible dependents. * 100% company-paid vision premiums for employees and eligible dependents. Income Protection * 100% company-paid premiums for short-term disability. * 100% company-paid premiums for long-term disability. * 100% company-paid premiums for accidental death & dismemberment (AD&D). * 100% company-paid premiums for life insurance up to $200,000. Retirement * 401(k) with immediate vesting: 4% company match plus a 4% non-elective company contribution (8% total). * 401(k) pre-tax and Roth options. Leave * Up to 20 days of flexible paid time off (PTO). * 11 paid floating holidays. Work-Life Balance * Flexible work schedules, including flex time and compressed work periods (contract and project-dependent). NT

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