{"schemaVersion":"jobsearcher.job.v1","id":"2e6e50155157463188e39f3f","url":"https://jobsearcher.com/jobs/2e6e50155157463188e39f3f","canonicalUrl":"https://jobsearcher.com/jobs/2e6e50155157463188e39f3f","title":"Utilization Specialist","description":"Utilization Specialist 2 Openings Part time 20 hours a week then will go to a Full Time Opportunity Location: Central Florida; must be willing to travel to Orlando or Villages from time to time (remote, but available for onsite meetings) Key Responsibilities: Review any new Medicare patients from last 3 monthsWhether new patient is seen or not, this person would:Review each new patient's HCCsReview their ADTsReview eCW/Prisma for documents available from hospitalsIf new patient is already seen, this person will also do the following:Review charts and diagnosticsSpecialist visits and referrals we've sentOther issues (Smoking, alcohol, SDOH)Produces a member-level report outlining KPIsRequired Skills/Experience:RequiredModerate clinical backgroundMS Excel, Word, PowerPointPreferrableStrong clinical backgroundeCW experience","company":"Enterprise Engineering","rawCompany":"enterprise engineering","state":"FL","isRemote":false,"isActive":false,"createdAt":"2026-05-03T08:50:25.966Z","occupations":[{"code":"29-1141.04","title":"Clinical Nurse Specialists","slug":"clinical-nurse-specialists"},{"code":"15-1211.01","title":"Health Informatics Specialists","slug":"health-informatics-specialists"},{"code":"29-2072.00","title":"Medical Records Specialists","slug":"medical-records-specialists"}],"industries":[{"code":"621498","title":"All Other Outpatient Care Centers","slug":"all-other-outpatient-care-centers"},{"code":"621111","title":"Offices of Physicians (except Mental Health Specialists)","slug":"offices-of-physicians-except-mental-health-specialists"},{"code":"621999","title":"All Other Miscellaneous Ambulatory Health Care Services","slug":"all-other-miscellaneous-ambulatory-health-care-services"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Utilization Specialist","description":"Utilization Specialist 2 Openings Part time 20 hours a week then will go to a Full Time Opportunity Location: Central Florida; must be willing to travel to Orlando or Villages from time to time (remote, but available for onsite meetings) Key Responsibilities: Review any new Medicare patients from last 3 monthsWhether new patient is seen or not, this person would:Review each new patient's HCCsReview their ADTsReview eCW/Prisma for documents available from hospitalsIf new patient is already seen, this person will also do the following:Review charts and diagnosticsSpecialist visits and referrals we've sentOther issues (Smoking, alcohol, SDOH)Produces a member-level report outlining KPIsRequired Skills/Experience:RequiredModerate clinical backgroundMS Excel, Word, PowerPointPreferrableStrong clinical backgroundeCW experience","datePosted":"2026-05-03T08:50:25.966Z","dateModified":"2026-05-03T08:50:25.966Z","hiringOrganization":{"@type":"Organization","name":"Enterprise Engineering","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressRegion":"FL","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"2e6e50155157463188e39f3f"},"url":"https://jobsearcher.com/jobs/2e6e50155157463188e39f3f"}}