If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for ...
Medical Review Nurse - CMS RAC (Government audits)
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good standing, is required. * Must not be currently ...
Medical Review Nurse - CMS RAC (Government audits)
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good standing, is required. * Must not be currently ...
Current RN (Registered Nurse) license. Compact or Multi-State License strongly preferred ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
Current RN (Registered Nurse) license. Compact or Multi-State License strongly preferred ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
CERTIFIED NURSE ANESTHETIST
Deerfield Beach, FL · On-site +1
$120K - $201K/yr
The CRNA II administers anesthesia in both inpatient and outpatient settings to patients of all ... The incumbent may be required to work various shifts on a permanent or temporary basis based on ...
CERTIFIED NURSE ANESTHETIST
Deerfield Beach, FL · On-site +1
$120K - $201K/yr
The CRNA II administers anesthesia in both inpatient and outpatient settings to patients of all ... The incumbent may be required to work various shifts on a permanent or temporary basis based on ...
Clinical Manager
Deerfield Beach, FL · Remote
The Part-Time QA Nurse is a remote-based RN who plays a critical role in ensuring the clinical documentation integrity, regulatory compliance, and accreditation readiness of our Florida-based home ...
Clinical Manager
Deerfield Beach, FL · Remote
The Part-Time QA Nurse is a remote-based RN who plays a critical role in ensuring the clinical documentation integrity, regulatory compliance, and accreditation readiness of our Florida-based home ...
Pool Resuscitation Educator, Remote, Resuscitation Education, Palm Beach County, Per Diem, VARIES
Miami, FL · On-site +1
$42.50/hr
Registered Nurse. * AHA PALS Instructor Certification. * AHA NPR Instructor Certification. * AHA BLS Instructor Certification. * NBRC Registered Respiratory Therapist. * AHA ACLS Instructor ...
Pool Resuscitation Educator, Remote, Resuscitation Education, Palm Beach County, Per Diem, VARIES
Miami, FL · On-site +1
$42.50/hr
Registered Nurse. * AHA PALS Instructor Certification. * AHA NPR Instructor Certification. * AHA BLS Instructor Certification. * NBRC Registered Respiratory Therapist. * AHA ACLS Instructor ...
Psych Nurse Practitioner (PMHNP, Psych APRN)
Miami, FL · Remote
$250K - $500K/yr
Psychiatric-Mental Health Nurse Practitioner degree and board certification * Valid state medical ... Remote Compensation Range: $250K - $500K
Quick apply
Psych Nurse Practitioner (PMHNP, Psych APRN)
Miami, FL · Remote
$250K - $500K/yr
Psychiatric-Mental Health Nurse Practitioner degree and board certification * Valid state medical ... Remote Compensation Range: $250K - $500K
Healthcare Business Development Professional 100% Remote | Commission-Only | Uncapped Earnings
Fort Lauderdale, FL · Remote
... registered nurses, advanced practice providers, and physicians in roles where they can make a ... Remote | Commission-Only | Uncapped Earnings Join Transformational Health Network (TrHN ...
Quick apply
Healthcare Business Development Professional 100% Remote | Commission-Only | Uncapped Earnings
Fort Lauderdale, FL · Remote
... registered nurses, advanced practice providers, and physicians in roles where they can make a ... Remote | Commission-Only | Uncapped Earnings Join Transformational Health Network (TrHN ...
Oncology Account Executive
South Miami, FL · Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... Remote
Oncology Account Executive
South Miami, FL · Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... Remote
Remote Medical Scribe
Miami, FL · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
Quick apply
Remote Medical Scribe
Miami, FL · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
Remote Medical Scribe
Fort Lauderdale, FL · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
Quick apply
Remote Medical Scribe
Fort Lauderdale, FL · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
Remote Medical Scribe
Hialeah, FL · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
Quick apply
Remote Medical Scribe
Hialeah, FL · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
On-Site Remote Patient Attendant, Full Time
Miami, FL · On-site +1
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Notifies the unit nursing team through communication devices if the patient requires immediate ...
Temporary Remote Rn information
What are the key skills and qualifications needed to thrive as a temporary remote RN, and why are they important?
What is a temporary remote RN?
What are some common challenges faced by temporary remote RNs, and how can they be managed?
What is the difference between Temporary Remote Rn vs Permanent Remote Rn?
| Aspect | Temporary Remote Rn | Permanent Remote Rn |
|---|---|---|
| Duration of employment | Short-term, project-based or seasonal | Long-term, ongoing employment |
| Work arrangement | Remote with potential for on-site shifts | Fully remote, consistent schedule |
| Credentials required | Registered Nurse license, possibly additional certifications | Registered Nurse license, similar certifications |
| Employer type | Hospitals, clinics, staffing agencies | Hospitals, healthcare organizations, telehealth companies |
Temporary Remote Rn roles are short-term positions often filled through staffing agencies, ideal for project-based work. Permanent Remote Rn roles offer ongoing employment with consistent remote work, suitable for nurses seeking stability. Both roles require RN licensure and similar certifications, but differ mainly in duration and employment structure.

Oncology Prior Authorization Case Manager, Non-RN - Remote
Miami, FL • On-site, Remote
Full-time
Medical, Dental
Re-posted 22 days ago
University Of Miami rating
7.7
Based on 52 frontline employees who took The Breakroom Quiz
260th of 617 rated colleges and universities
Job description
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.
The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable for a designated patient caseload and provide intervention and coordination to decrease avoidable delays, at all times they provide communication of progress and or determination to the clinical team and or the patient. He/she monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Evaluates the needs of the patient, the resources available, and recommends and facilitates for the best outcome to meet ongoing patient needs that encourages compliance with medical advice.
CORE FUNCTIONS:
- Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of care services
- Follows the authorization process using established criteria as set forth by the payer or clinical guidelines
- Accurate review of coverage benefits and payer policy limitations to determine appropriateness of requested services
- Refers to the treatment plan for clinical reviews in accordance with established criteria and guidelines
- Facilitates communication of denials and or Peer to Peer requests between payers and the healthcare team
- Identifies potential delays in treatment or inappropriate utilization by reviewing the treatment plan, serves as a resource to provide education regarding payer policies and assists with coordination of alternative treatment options
- Ensures and Maintains effective communication regarding authorization status and determination to the clinical team and on occasion the patient.
- Proactive communication with leadership regarding barriers and or potential delays in care Identifies opportunities for expedited requests and prioritizes caseload accordingly
- Maintains knowledge regarding payer reimbursement policies and clinical guidelines.
- This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS:
Education:
Bachelor's degree in relevant field; or equivalent
Experience:
Minimum of 2 years of relevant experience
Oncology - Preferred
Any relevant education, certifications and/or work experience may be considered
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full time
Employee Type:
Staff
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About University of Miami
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The University of Miami, located in the beautiful Coral Gables, Florida, is a comprehensive, private research institution in the United States. Operating within the higher education industry, the institution offers a multitude of degree programs spanning over 180 majors and program through its 12 colleges. The University was founded in 1925 with the mission to disseminate knowledge, transform lives, and change the world - a mission it has held faithfully to this day. Notably, the University of Miami has gained global recognition for its commitment to research and innovation, with over $324 million in research and sponsored project funding awarded annually.
Industry
Colleges, universities, and professional schools
Company size
10,000+ Employees
Headquarters location
Coral Gables, FL, US
Year founded
1925