Top 246 Claims manager Jobs in Miami, Fl

Manager Social Work & Care Management, Case Management, FT,9A-5:30P
Baptist Health South Florida —Miami, FL
- $91,132.84 - $118,472.69 a year
- Full-time
- Hospital
- 5 years
- Licensed Clinical Social Worker
- Wellness program
- Health insurance
General Maintenance Manager (Multi-Family Housing)
Pratum Companies —Fort Lauderdale, FL
- $85,000 - $90,000 a year
- Overtime
- Microsoft Excel
- Schematics
- Customer service
- Paid holidays
Healthcare Claims and Fee for Service Supervisor
Provider Network Solutions LLC —Miami, FL
- $63,000 - $65,000 a year
- Full-time
- 5 years
- HIPAA
- Bachelor's degree
Quick Apply
Personal Injury Case Manager
Alex Hanna Law, PA —Miami, FL
- From $23 an hour
- Full-time
- Spanish
- Customer service
- English
- Disability insurance
- Health insurance
Quick Apply
Automotive Service Manager
South Florida Auto Jobs —South Florida, FL
- $120,000 - $175,000 a year
- 8 hour shift
- Dealership
- Mid-level
- High school diploma or GED
- Paid training
- Dental insurance
Quick Apply
Commercial Lines Account Manager
Fortitude Insurance Solutions —Davie, FL
- $60,000 - $75,000 a year
- Monday to Friday
- Background check
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
11d
Healthcare Configuration and Data Integrity Manager
Provider Network Solutions LLC —Miami, FL
- $60,000 - $70,000 a year
- Full-time
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
Quick Apply
Human Resources Manager
Confidential —Fort Lauderdale, FL
- $75,000 - $85,000 a year
- Full-time
- Background check
- Microsoft Excel
- Oracle
- Health insurance
- Dental insurance
Quick Apply
7d
Employee Relations Manager
City of Fort Lauderdale —Fort Lauderdale, FL
- $105,207.85 - $163,037.26 a year
- Full-time
- Pass drug screening
- Office
- Bachelor's degree
- Disability insurance
- Health insurance
21h
Property Manager for shopping centers
Commodore Realty, Inc. —Miami, FL
- $83,951.60 - $92,976.66 a year
- Full-time
- Background check
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
PERSONAL INJURY Legal Assistant, Paralegal, Intake & Case Managers
Law Offices of Anidjar & Levine, P.A. —Fort Lauderdale, FL
- $21 - $40 an hour
- Full-time
- Microsoft Outlook
- Customer service
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
9d
Account Manager - State Farm Agent Team Member
Ellie Mills - State Farm Agent —Cutler Bay, FL
- $35,000 - $85,000 a year
- Full-time
- Spanish
- Office
- Communication skills
- Profit sharing
- Health insurance
Quick Apply
5d
Risk Manager
Crescent Heights —Miami, FL
- Full-time
- Construction site
- Data analysis skills
- Office
- Wellness program
- Health insurance
Quick Apply
Distribution Center Assistant Manager | Miami
Albert Uster Imports —Miami, FL
- $50,000 - $55,000 a year
- Overtime
- Spanish
- Customer service
- English
Quick Apply
9d
Claims Manager, Risk Management
AutoNation —Fort Lauderdale, FL
- Full-time
- Microsoft Excel
- Customer service
- 5 years
- Dental insurance
- Vision insurance
Quick Apply
Benefit Configuration Manager - Remote
Sentara Health Administration, Inc. —Doral, FL
- $106,080.00 - $176,820.80 a year
- Full-time
- Remote
- System design
- 3 years
- SQL
- 403(b) matching
- Paid parental leave
Quick Apply
6d
Manager Social Work & Care Management, Case Management
West Kendall Baptist Hospital —Miami, FL
- $91,132.84 - $118,472.69 a year
- Hospital
- 5 years
- Licensed Clinical Social Worker
- Wellness program
- Health insurance
Claims Manager
Moss.com —Fort Lauderdale, FL
- Full-time
- 5 years
- Office
- Residential
2d
ABA Therapy Operations Manager
House of Hearts Florida —Hollywood, FL
- $45,000 - $60,000 a year
- Full-time
- Remote
- Google Workspace
- Applied behavior analysis
- Management
- Paid holidays
- Health insurance
Quick Apply
1d
RN Risk Manager
North Dade Nursing & Rehabilitation Center —North Miami, FL
- Full-time
- Background check
- Skilled nursing facility
- RN License
Quick Apply

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Manager Social Work & Care Management, Case Management, FT,9A-5:30P

Baptist Health South Florida -
Miami, FL

Apply Now

Job Details

Full-time
$91,132.84 - $118,472.69 a year

Benefits

Wellness program
Health insurance
Tuition reimbursement

Qualifications

Master's degree in social work
Case assessment
Individual crisis management
Licensed Clinical Social Worker
Master's degree
Utilization management
Quality improvement
Resource utilization in healthcare
Health services social work
Hospital experience

Full Job Description

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors.

What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels our commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we're all in.

At Baptist Health, we're committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:

Career growth and development opportunities, with clear pathways and ongoing support
Comprehensive health and wellness resources that go beyond traditional benefits
A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
Tuition reimbursement to support continued learning and advancement
And so much more

Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.

Description:

The Manager of the Social Work & Case Management Services Department is responsible, under the general supervision of the Department Director, for the daily planning, development and implementation of the utilization review, case management and social work functions in accordance with Baptist health and departmental policies, legal and regulatory agencies guidelines. This includes but is not limited to staffing issues and activities related to referral and prior insurance authorizations, concurrent reviews, discharge planning issues, retrospective claims reviews, report generation and state and federal regulatory and accreditation program compliance. Assumes overall responsibility of assuring cost effective utilization of hospital resources and ancillary services, including the appropriateness of IP/OP admissions, continued stay and discharge. Provides support and problem solving interventions to department staff and is available for consultation to the health care team. The Manager will support the Director in the development of long range strategic initiatives for the Department and will support interventions dedicated to team development, cross training and the continuous development of caring and compassionate professionals.

Estimated salary range for this position is $91132.84 - $118472.69 / year depending on experience.

For seasoned case management leaders ready to make a measurable impact, West Kendall Baptist Hospital offers a leadership opportunity at the forefront of complex care coordination within an innovative, high-performing health system.

Take your career to the next level as you lead complex discharge strategy, influence hospital throughput, and shape patient outcomes across the continuum of care.

Join a mission-driven organization where case management plays a central role in operational performance—driving length of stay, reducing avoidable days, and ensuring efficient, high-quality transitions of care in a fast-paced, collaborative environment.

Why West Kendall Baptist Hospital:

Strong leadership support and career growth within one of Florida’s largest and most respected healthcare systems
Highly engaged interdisciplinary collaboration in a culture that values teamwork, professional development, and mutual respect
A true voice at the leadership table, where case management directly influences hospital performance and patient flow
Robust post-acute partnerships across South Florida, enabling smoother, faster transitions for even the most complex patients
An integrated, patient-focused operating model that supports proactive discharge planning and real-time escalation of barriers

Qualifications:

Degrees:

Masters.

Licenses & Certifications:

Licensed Clinical Social Worker.

Additional Qualifications:

Masters degree in Social Work from a program accredited by the Council on Social Work Education.
Must have five years or more of previous experience in a hospital or health care setting; knowledge of crisis intervention and treatment skills, clinical assessment skills, utilization review criteria and utilization management.
Must be familiar with performance improvement and quality initiatives.
Must demonstrate ability to communicate effectively both verbally and in written work.
Certified in Case Management or Interqual criteria.

Minimum Required Experience: 5 Years

EOE, including disability/vets

Apply Now

Refine Your Search

claims manager jobs in miami, fl

Manager Social Work & Care Management, Case Management, FT,9A-5:30P

General Maintenance Manager (Multi-Family Housing)

Healthcare Claims and Fee for Service Supervisor

Personal Injury Case Manager

Automotive Service Manager

Commercial Lines Account Manager

Healthcare Configuration and Data Integrity Manager

Human Resources Manager

Employee Relations Manager

Property Manager for shopping centers

PERSONAL INJURY Legal Assistant, Paralegal, Intake & Case Managers

Account Manager - State Farm Agent Team Member

Risk Manager

Distribution Center Assistant Manager | Miami

Claims Manager, Risk Management

Benefit Configuration Manager - Remote

Manager Social Work & Care Management, Case Management

Claims Manager

ABA Therapy Operations Manager

RN Risk Manager

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