<h3>Job Description</h3>
Job DescriptionLocal Superintendent - Restaurant Construction
Superintendent Position Overview We are seeking an experienced Superintendent to oversee construction projects, ensuring they are completed on time and within budget within the luxury restaurant space. The ideal candidate will have a strong background in construction management, particularly in the restaurant industry, and will be responsible for coordinating all aspects of the construction process while maintaining high standards of quality and safety. Key Responsibilities
<ul>
<li>Manage and supervise construction projects from start to finish</li>
<li>Coordinate with subcontractors, suppliers, and vendors to ensure smooth project operations</li>
<li>Ensure compliance with design specifications, building codes, and safety regulations</li>
<li>Develop and maintain project schedules and budgets</li>
<li>Conduct regular site inspections to monitor progress and address any issues</li>
<li>Communicate effectively with stakeholders, including clients and project teams</li>
<li>Prepare and submit progress reports and documentation as required</li>
</ul>
Qualifications
<ul>
<li>Proven experience as a Superintendent in construction management</li>
<li>Strong knowledge of construction processes and best practices</li>
<li>Experience inbuilding high end restaurants &nbsp;is highly preferred</li>
<li>Ability to read and interpret blueprints and technical drawings</li>
<li>Excellent leadership and communication skills</li>
<li>Strong problem-solving abilities and attention to detail</li>
<li>Nice to have: Experience in managing construction projects for country clubs, hotels, or resorts</li>
</ul>
Benefits
Vacation/PTO 
Medical 
Dental 
Vision 
401k 
Bonus 
Relocation 
Telecommute 
 - For this position, you must be currently authorized to work in the United States without the need for sponsorship for a non-immigrant visa. This job was first posted by CyberCoders on 12/18/2025 and applications will be accepted on an ongoing basis until the position is filled or closed.CyberCoders is proud to be an Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity or expression, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, status as a crime victim, disability, protected veteran status, or any other characteristic protected by law. CyberCoders will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable state and local law, including but not limited to the Los Angeles County Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, and the California Fair Chance Act. &nbsp;CyberCoders is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. Individuals needing special assistance or an accommodation while seeking employment can contact a member of our Human Resources team at <a href="mailto:Benefits@CyberCoders.com" target="_blank">Benefits@CyberCoders.com</a> to make arrangements.

Local Superintendent - Restaurant Construction

<h3>Job Description</h3>
Job Description
Join a High-Performing, Fun, and Growing Real Estate Investment Team
Palladium Investments is seeking driven professionals to join our Acquisitions Team in downtown Boca Raton. We specialize in sourcing off-market residential properties across Florida —leveraging proprietary marketing, deep seller relationships, and a proven offer-to-close process that keeps our pipelines full and our earnings uncapped. This isn’t your average phone job—if you’re competitive, coachable, and seeking a career in Real Estate Investing, let’s talk.
What We Offer  Competitive Base + Commissions + Bonus: Hourly $17.50–$19.00 plus uncapped payouts  Endless Lead Flow: Warm, database lead campaigns keep you closing  Weekly Training: One on one coaching, objection handling, and deal structuring  Incentives &amp; Perks: Monthly and quarterly bonuses, end of year prizes, team outings, and quarterly fun days  Prime Office: Mizner Park HQ—walk to shops, restaurants, and entertainment
What You’ll Be Doing  Outbound &amp; Inbound Calls: Qualify motivated sellers and re-engage past leads  Property Analysis: Gather condition details, run comps, and determine offer prices  Negotiate &amp; Close: Lead seller conversations, frame value, and present offers  Contract Prep: Draft FAR/BAR-approved contracts and other Real Estate documents  Team Collaboration: Share insights in weekly meetings and support overflow inquiries
What We’re Looking For
 Self-Starter: You own your schedule, hit goals, and thrive without needing supervision  Clear Communicator: Professional, persuasive, and empathetic on phone &amp; email  Coachable &amp; Growth-Oriented: You welcome feedback, and seek to continuously improve  Integrity &amp; Reliability: You follow through and uphold the highest ethical standards  Passion for Real Estate: You’re excited about Real Estate Investing and wealth building
We’re Not a Fit If You  Want to work remotely or only part-time  Prefer traditional retail or standard real estate sales  Need constant supervision or aren’t open to feedback  Aren’t willing to hustle in a fast-paced, competitive environment
Apply Now — Email a brief paragraph about yourself and why you’re a fit to <a href="mailto:careers@palladiuminvestments.com" target="_blank">careers@palladiuminvestments.com</a> or apply online at <a href="https://palladiuminvestments.com/career/" target="_blank">https://palladiuminvestments.com/career/</a>
 Palladium Investments is an equal-opportunity employer. We value diversity and welcome all qualified candidates!
Company DescriptionAt Palladium Investments, our dedicated team focuses on delivering highly discounted properties to Real Estate Investors. We take care of all the marketing, sourcing, and acquisition of these properties. But we don't stop there, our commitment revolves around getting to know the goals and aspirations of each of our clients. 
<h3>Company Description</h3>
At Palladium Investments, our dedicated team focuses on delivering highly discounted properties to Real Estate Investors. We take care of all the marketing, sourcing, and acquisition of these properties. But we don't stop there, our commitment revolves around getting to know the goals and aspirations of each of our clients.

Jr Acquisitions Agent

<h3>Job Description</h3>
Job Description
Looking for qualified MDS Coordinator (RN or LPN) to join our team! 
You will have flexibility to build your schedule, a competitive base salary, lucrative employee referral program, opportunity for growth, plus we offer access to your earned but unpaid wages. Interested?
 Perks and Benefits 
<ul>
<li>Get paid in advance with us: We offer access to your earned but unpaid wages, or we pay bi-weekly.</li>
<li>Pay rate: Competitive. Additional holiday pay may apply.</li>
<li>Lucrative referral program: Earn extra cash! </li>
<li>Innovative Purchasing Program: We offer a purchasing program that allows you to buy thousands of products (technology, furniture, clothing, etc.) and pay over time. Zero interest, no credit check, no hidden fees.</li>
<li>Access to online learning 24/7: Our Learning Management System offers over 1,500 courses for senior care, health and human services industry. Use it for free to help satisfy your state specific licensure requirements. Data base includes, MS Office and Leadership/Supervisory content. Available via computer or mobile, and many courses are offered in alternative languages. </li>
<li>Phone and auto discounts: Up to 20% on employee personal wireless accounts and auto rentals through designated vendors.</li>
<li>Employee Assistance Fund: You are always there for others. Let us be there for you. In unexpected catastrophic situations you can confidentially apply for help.</li>
</ul>
Major Responsibilities 
<ul>
<li>Oversee the coordination and participate in the completion of the Resident Assessment Instrument (MDS, CAA's and Care Plan) in accordance with current Federal and State Regulations.</li>
<li>Monitor and document the management of the Medicare and Managed Care residents in collaboration with facility team members. </li>
<li>Provide innovative, responsible healthcare with the creation and implementation of new ideas and concepts that continually improve systems and processes to achieve superior results. </li>
</ul>
Minimum Qualifications
<ul>
<li>Must possess a current, unencumbered, active state license to practice as an (RN or LPN). </li>
<li>Experience in Skilled Nursing/Rehabilitation facilities preferred.</li>
<li>Six (6) months of experience as a MDS Coordinator.</li>
<li>RAC-CT or RNAC preferred.</li>
<li>You must be qualified, compassionate, and dedicated to a job well done.</li>
</ul>
 
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
 Job Posted by ApplicantPro

LPN MDS Coordinator

<h3>Job Description</h3>
Job Description
We are seeking a highly-motivated candidate with a positive attitude who must be Board Certified (ABCP) or eligible with at least 0-5 years of experience as a practicing Clinical Perfusionist for an established heart program in Weston, Florida. New grads may be considered. 
 
***Candidate must have graduated from an accredited American school and be American Board certified (CCP) or CCP eligible.​​​***
 
Why Weston, FL?
 
<ol>
<li>Weston's overall average high temperature is 82 degrees Fahrenheit and an average low of 64.</li>
<li>Weston often makes the list of the best beaches and places to live across the globe.</li>
<li>Weston has some of the best dining in the U.S.</li>
<li>Fishing and golf are not hobbies here, they are ways of life.</li>
<li>Weston is a world destination for quality of life on the coast!</li>
</ol>
Candidates should also possess the following:
<ol>
<li>Ability to adapt to a challenging clinical environment.</li>
<li>Must possess good communication and troubleshooting skills.</li>
<li>Must be able to practice evidence based medicine; also to advise and participate in clinical decisions with a team approach.</li>
<li>Experience with blood management is preferred.</li>
<li>Must be willing to relocate to Weston, FL or the immediate surrounding area.</li>
<li>Must enjoy working with fast, talented surgeons.</li>
<li>Part-time perfusionists "may" be considered.</li>
</ol>
Epic Cardiovascular occupies a unique position in the industry, offering ample opportunity for professional growth through its diverse business approach. The candidate would be joining an established heart program in Vero Beach that will be expanding the perfusion team to 6 perfusionists. This account boasts a fast, efficient heart program performing over 400 total cardiac procedures. Liver transplants, HIPEC, ECMO, VAD and Cardiac transplantation. Four surgeons lead this program as one of the busiest on the Atlantic coast.
 
We are interested in a long-term relationship ONLY for this position.
 
Epic Cardiovascular Staffing Benefits:
<ul>
<li>Competitive salaries</li>
<li>Relocation reimbursement</li>
<li>Paid vacation</li>
<li>401K plan with company match</li>
<li>Incentives and bonuses for travel and additional opportunities</li>
<li>Health insurance</li>
<li>Dental insurance</li>
<li>Vision insurance</li>
<li>Life insurance w/ voluntary life option</li>
<li>Short-term and long-term disability insurance</li>
<li>Professional liability insurance</li>
<li>Business Travel Accident Insurance</li>
</ul>
 
 
Contact:&nbsp;
Ben Greenfield, MPS, CCP, LP
Epic Cardiovascular Staffing Group
2250 McGregor Blvd. Suite 300
Fort Myers, FL 33901
(402)432-1437
<a href="mailto:employment@epiccardiovascularstaffing.com" target="_blank">employment@epiccardiovascularstaffing.com</a>
 
Epic Staffing Group 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, genetic information, veteran status, or any other characteristic protected by law. We also consider qualified applicants with criminal histories, consistent with applicable law. If you need assistance or an accommodation during the application process, please contact us.

Staff Perfusionist

<h3>Job Description</h3>
Job DescriptionBenefits: 
<ul>
<li>401(k) matching</li>
<li>Competitive salary</li>
<li>Training &amp; development</li>
<li>Paid time off</li>
</ul>
 Job Summary: By joining Anling Health Primary Care as a full-time autonomous Family Nurse Practitioner you will enjoy a fulfilling career unlike any other and will play a vital role in changing the lives of our patients. We are looking for a Nurse Practitioner to diagnose and treat health conditions, as well as promote good health practices. As autonomous Family Nurse Practitioner, youll be our go-to person for ensuring the best patient care possible. Responsibilities: 
<ul>
<li>Examine patients and their medical records</li>
<li>Order and study diagnostic tests (blood tests, X-rays etc.)</li>
<li>Diagnose health conditions and illnesses</li>
<li>Propose treatments for chronic and infectious diseases</li>
<li>Prescribe medications</li>
<li>Maintain accurate records and schedules</li>
<li>Inform patients about their health conditions and prescribed medications</li>
<li>Educate patients and their family members on diseases, epidemics and prevention</li>
<li>Oversee patients overall health</li>
<li>Promote good health practices</li>
<li>Advance professional knowledge and conduct research</li>
<li>Must be able to work on Weekend</li>
</ul>
Skills: 
<ul>
<li>Must be fluent in bilingual, preferred Chinese or Spanish besides English, will also consider other language skills.</li>
<li>Strong phlebotomy skills</li>
<li>Proven experience as Nurse Practitioner in a primary care clinic, hospital, ER or other setting</li>
<li>Expertise in primary care, acute care and chronic care practices</li>
<li>Knowledge of health and patient care regulations</li>
<li>Excellent communication skills</li>
<li>Strong working ethics</li>
<li>Team spirit with a positive attitude</li>
<li>Patience and cool-headedness</li>
<li>Willingness to continue gaining knowledge and clinical experience</li>
</ul>
Qualifications: 
<ul>
<li>Must have autonomous APRN license in Florida</li>
<li>Must have Family Nurse Practitioner certification by ANCC or APRN</li>
<li>Must have Master in Nursing degree; DNP is a plus</li>
</ul>
Compensation/benefits 
<ul>
<li>Competitive Hourly Pay: We offer market-competitive compensation that reflects the value, expertise, and autonomy of Family Nurse Practitioners, based on experience and clinical expertise.</li>
<li>No House Calls or On-Call Duties: Enjoy a healthy worklife balance with no house calls and no on-call requirements.</li>
<li>Holidays and Paid Time Off: We offer paid time off so you can take time away to recharge while maintaining worklife balance.</li>
<li>Retirement Plan Eligibility: Qualified employees have access to a retirement plan to support long-term financial security.</li>
<li>Highly Efficient, Supportive Team: Work alongside a skilled, collaborative team with transparent communication and streamlined workflows that allow you to focus on patient care.</li>
<li>Nurse PractitionerFriendly Environment: Anling Health values NP autonomy, clinical judgment, and professional growth in a supportive practice setting.</li>
<li>Highly Respected Professional Role: Nurse Practitioners at Anling Health are respected as essential healthcare leaders and trusted providers within the organization and community.</li>
</ul>

FT bilingual Autonomous Family Nurse Practitioner

<h3>Job Description</h3>
Job Description
We are currently recruiting for a Detail Inspector job in Miami Florida.
You’ll be working with a company that performs full CFM56 performance restorations, special repairs, piece parts and module repairs as well as engine exchanges and field service support globally. They are a high-performance FAA 145 / EASA Certified Repair Station and a CASE registered organization. They specialize in offering creative and cost-effective solutions for the CFM56 (-7B, -5B, -3) Engine Series by maintaining its 3 cornerstones – Custom Tailored Solutions, Extraordinary Responsiveness and World Class EGT Margins.
What Is In It For You
Salary: $30-$40 hour (depending on relevant experience)
Benefits: Health, Dental and Vision insurance; Life insurance; Short term and long-term disability; Aflac supplemental insurance; Paid vacation and sick days; Paid holidays; 401k with employer match
OUR CLIENTS STORY
Our client has been established since 2009 and has had a breakthrough in the jet engine maintenance industry serving airlines, lessors, and aviation organizations worldwide. Being part of this company means having opportunities to make a difference. They are committed to Quality and continually invest in people, processes and technology in support of this.
They place great priority in their employees and building up their team members. They are committed to building their employees and growing them to become great leaders. This adds tremendous value not only to their organization, but also to their community and to everyone that is touched by the passion their workforce has to offer.
JOB DESCRIPTION 
The Inspector will follow articles in accordance with the current technical data provided in the manufacturer’s instructions for continued airworthiness service bulletins, service letters for performing preliminary hidden damage, in process and final inspections on civil aviation on aviation airworthiness directives, government and industry standard practices and other data acceptable to or approved by the FAA.
ESSENTIAL JOB FUNCTIONS FOR THE DETAIL INSPECTOR POSITION IN MIAMI,FL:
A Day In The Life of a Detail Inspector:
<ul>
<li>Ensuring that they are thoroughly familiar with the inspection methods, techniques, aids, tools and equipment used within their assigned area of responsibility.</li>
</ul>
<ul>
<li>Maintaining proficiency in using the inspection aids in their assigned area of responsibility Understanding the current specifications involving inspection aids, used to perform inspections are in proper working order and the proper calibration information is affixed.</li>
<li>Ensuring that the inspection tools and equipment, including inspection aids, used to perform inspections are in proper working order and the proper calibration information is affixed.</li>
</ul>
<ul>
<li>Understand the current specifications involving inspection tolerances, limitations and procedures established by the manufacturer of the article being inspected and must understand, speak and write the English language.</li>
</ul>
<ul>
<li>Ensure all inspections are properly performed and recorded, and all records are properly executed before final approval for return to service of articles maintained or altered by this repair station.</li>
</ul>
<ul>
<li>Successfully replace failed sub-assembly, part, or component to bring failed device to working order</li>
</ul>
<ul>
<li>Perform scripted repair procedure to repair and functionally test part or product</li>
</ul>
<ul>
<li>Assist Repair technicians/Engineers/Technical Services as required</li>
</ul>
<ul>
<li>Maintain constant adherence to inventory control practices and procedures</li>
</ul>
<ul>
<li>Interpret OEM manuals and routers instructions</li>
</ul>
Qualifications
Required
<ul>
<li>Powerplant License required</li>
<li>Good written and verbal communication skills</li>
<li>Knowledge of troubleshooting and repair of parts and concepts preferred</li>
<li>Proficiency working with all hand tools and pneumatic tools essential</li>
<li>Some knowledge of troubleshooting concepts</li>
<li>Ability to isolate failures within and complete rework of parts and assemblies</li>
<li>Ability to perform within company quality standard</li>
<li>Ability to complete pre-defined testing and repair procedures</li>
<li>Ability to learn and perform basic repairs</li>
<li>Ability to read and understand routers and OEM manuals</li>
<li>Language – English, business proficiency</li>
<li>Experience with borescope </li>
</ul>
Preferred
<ul>
<li>CFM56 experience</li>
<li>Quantum aviation software experience</li>
<li>Language – Spanish, business proficiency</li>
</ul>
If you are interested in the Detail Inspector job in Miami, Florida apply today!
This vacancy is being advertised by Total Aviation Staffing, LLC. The services advertised by Total Aviation Staffing; LLC are those of an Employment Agency

Detail Inspector

<h3>Job Description</h3>
Job DescriptionQuality Control Inspector Immediate need for a Quality Control Inspector for a manufacturing and construction company in Miami, FL to join our team. The ideal candidate will play a crucial role in ensuring that our products meet or exceed industry standards and customer expectations. RESPONSIBILITIES:
<ul>
<li>Ensure all products and processes comply with AISC, company, and industry quality standards.</li>
<li>Inspect raw materials, in-process components, and finished steel products through visual checks, measurements, and NDT methods to verify conformance to specifications.</li>
<li>Perform inspections on fabricated and erected steel structures to confirm compliance with design and detailing requirements.</li>
<li>Document and report inspection findings, nonconformities, and root cause analyses; collaborate with production and engineering teams to implement corrective and preventive actions.</li>
<li>Participate in design and scope reviews, validation, and final product approval processes.</li>
<li>Maintain quality documentation, inspection records, and provide data for management review meetings.</li>
<li>Support continuous improvement initiatives to enhance product quality, process efficiency, and safety compliance.</li>
<li>Ensure adherence to all AISC quality assurance procedures, regulatory requirements, and company safety policies.</li>
<li>Contribute to training, audits, and professional development activities as needed.</li>
</ul>
 QUALIFICATIONS:
<ul>
<li>2+ years’ experience with Structural Steel required.</li>
<li>Knowledge of AISC Process.</li>
<li>Detail oriented with ability to multi-task in a fast-moving environment with shifting priorities and changing requirements.</li>
<li>Fluent in the English language, in both oral and written form, required, bilingual in the Spanish language preferred.</li>
<li>Leadership abilities and able to identify and resolve problems.</li>
<li>Strong proficiency with Microsoft Office tools required.</li>
<li>Proficient in the ability to read and interpret drawings and technical documentation; and</li>
<li>Ability to work well under pressure and be able to assist in expediting shipments when necessary, working in conjunction with Production and Shipping schedules.</li>
<li>Ability to foster and promote a positive work environment.</li>
</ul>
 EDUCATION/TRAINING/EXPERIENCE:
<ul>
<li>3+ years of responsibility in quality management required; within a manufacturing environment preferred.</li>
<li>Experience working in a manufacturing environment preferred.</li>
<li>Must have experience using various mechanical inspection tools, such as computers, micrometers, height gauge, radius gauge, pin gauges, protractors, and calipers.</li>
<li>Experience working with machined parts, assemblies, and/or sub-assemblies preferred.</li>
<li>Civil or Industrial Engineer preferred.</li>
</ul>
 BENEFITS:
<ul>
<li>401(k) with matching contributions</li>
<li>Health insurance (medical, dental &amp; vision)</li>
<li>Paid time off</li>
</ul>
Summit Federal Services, LLC is an equal opportunity employer regardless of race, color, religion, creed, sex, marital status, national origin, disability, age, veteran status, on-the-job injury, sexual orientation, political affiliation or belief. Employment decisions are made without consideration of these or any other factors that employers are prohibited by law from considering. Any discriminatory action can be a cause for disciplinary action. Summit Federal Services, LLC also prohibits discrimination against individuals with disabilities and will reasonably accommodate applicants with a disability, upon request, and will also ensure reasonable accommodation for employees with a disability.
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XgSwigA3Ps

Quality Control Inspector

<h3>Job Description</h3>
Job DescriptionAbout us:
Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked and each employee is valued. Please check out our company website at <a href="http://www.solishealthplans.com" target="_blank">www.solishealthplans.com</a> to learn more about us!
 
Position is FULLY ONSITE Monday-Friday.
**BILINGUAL IN ENGLISH AND SPANISH IS REQUIRED**
Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match!
Our company has doubled size, and we have experienced exponential growth in membership from 2,000 members to over 10,000 members!
Join our winning Solis Team! 
 
Position Summary:
The UM Care Coordinators are instrumental in helping patients receive great care with the attention and follow-up they need for optimal healthcare experiences. This requires a flexible attitude, quick thinking and a caring disposition.
 
Key Responsibilities:
<ul>
<li>Scheduling UM Authorization and Determination tasks</li>
<li>Refers all services requiring prior authorization to UM Nurse or BH UM Nurse as appropriate Manage determination placement</li>
<li>Communicate with nurses and physicians</li>
<li>Receives and responds to telephonic inquiries from providers regarding status of authorization requests and other questions or concerns</li>
<li>Guides practitioners to appropriate referral resources</li>
<li>Handle inbound calls and answer member and provider questions</li>
<li>Connect with new members via phone and email as requested</li>
<li>Communicate with members to determine and confirm their needs</li>
<li>Arrange and coordinate special equipment or therapy for at-home care</li>
<li>Maintain files and company information as required</li>
<li>Provide timely data entry referrals for continuing care as necessary</li>
<li>Perform benefit approvals on services, procedures, and tests that are listed on the UM Coordinator’s approval list. (These services do not require clinical judgment nor are reviewed for medical necessity. This list is reviewed as needed and at least annually for continued use by the UM Coordinator)</li>
<li>Process routine referral services that do not require a Prior Authorization</li>
<li>Ensures timely printing and mailing of pre-certification, authorization and denial letters</li>
<li>Appropriately documents interactions and activities into the UM electronic system</li>
<li>Produces reports from UM electronic system for review and analysis by appropriate Leadership team member</li>
<li>Assist the company care team with goal setting</li>
<li>Ensures compliance with all federal, state, and local regulations.</li>
<li>Help with member data collection including medical records, HRA, etc.</li>
<li>Maintain patient confidentiality</li>
<li>Related duties as needed</li>
</ul>
Qualifications:
<ul>
<li>Post High School graduate courses or equivalent with significant experience in healthcare related customer service position; or equivalent combination of education and experience</li>
<li>Insurance experience in the Medicare and managed care field is preferred</li>
<li>Knowledge of CMS guidelines and InterQual is preferred</li>
<li>Excellent computer knowledge is required, including proficient knowledge of Microsoft Office</li>
<li>Strong decision-making and organizational skills</li>
<li>Excellent listening, interpersonal, verbal and written communication skills with individuals at all levels of the organization</li>
<li>Must be able to work with little or no supervision</li>
<li>Willingness and ability to function independently and as a team member</li>
<li>Working Knowledge of medical terminology</li>
<li>Ability to handle multiple functions and prioritize appropriately</li>
<li>Ability to meet strict deadlines</li>
<li>Must be patient in dealing with an elderly population and sympathetic to hearing or vision deficiencies</li>
<li>Ability to read, analyze, and interpret technical procedures or governmental regulations</li>
<li>Ability to define problems, collect data, establish facts, and draw valid conclusions</li>
<li>Strong decision-making, analytical skills</li>
<li>Must be self-motivated, organized and have excellent prioritization skills</li>
<li>Must be able to work well under stressful conditions</li>
<li>Must be able to work in fast paced environment </li>
</ul>
What Sets Us Apart:
Join Solis Health Plans as a Utilization Management Coordinator and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!

Utilization Management Care Coordinator

<h3>Job Description</h3>
Job Description
We are seeking an Utilization Management Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.
About the Role:
The Utilization Management Coordinator plays a critical role in ensuring that healthcare services are delivered efficiently and effectively by overseeing the review and authorization of medical treatments and procedures. This position is responsible for coordinating utilization management activities to optimize member care while controlling costs and adhering to regulatory requirements. The role involves collaborating with healthcare providers, insurance companies, and internal teams to evaluate the necessity and appropriateness of medical services. The Coordinator will analyze clinical data and documentation to support decision-making processes and ensure compliance with organizational policies and healthcare standards. Ultimately, this position contributes to improving member outcomes by facilitating timely access to necessary care and preventing unnecessary or redundant services.
Minimum Qualifications:
<ul>
<li>Associate degree in Health Administration, or a related healthcare field</li>
<li>Minimum of 2 years of experience in utilization management, case management, or a related healthcare coordination role.</li>
<li>Strong knowledge of healthcare regulations, insurance processes, and medical terminology.</li>
<li>Proficiency in electronic health records (EHR) systems and utilization management software.</li>
<li>Relevant experience may substitute for the educational requirement on a year-for-year basis.</li>
</ul>
Preferred Qualifications:
<ul>
<li>Bachelor’s degree in Nursing, Health Administration, or a related healthcare field.</li>
<li>Certification in Utilization Review (e.g., Certified Professional in Utilization Review - CPUR) or Case Management (e.g., CCM).</li>
<li>Experience working within managed care organizations or health insurance companies.</li>
<li>Advanced knowledge of clinical guidelines and healthcare quality improvement methodologies.</li>
<li>Familiarity with regulatory requirements such as HIPAA, URAC, and NCQA standards.</li>
<li>Demonstrated ability to lead or participate in cross-functional teams focused on utilization management initiatives.</li>
</ul>
Responsibilities:
<ul>
<li>Conduct thorough reviews of medical records and treatment plans to determine the medical necessity and appropriateness of requested services.</li>
<li>Coordinate communication between healthcare providers, insurance representatives, and internal departments to facilitate timely authorization and appeals processes.</li>
<li>Maintain accurate documentation of utilization management activities and decisions in compliance with regulatory and organizational standards.</li>
<li>Monitor and analyze utilization data to identify trends, potential issues, and opportunities for process improvement.</li>
<li>Assist in developing and implementing utilization management policies and procedures to enhance operational efficiency and member care quality.</li>
</ul>

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