Under general supervision by management, and in collaboration with Medical Directors and other ... utilization information; assists with program processes for transitions across levels of care ...
Under general supervision by management, and in collaboration with Medical Directors and other ... utilization information; assists with program processes for transitions across levels of care ...
Under general supervision by management, and in collaboration with Medical Directors and other ... The manager is looking for 3 years of Inpatient Medical experience, 3 years of Utilization ...
Under general supervision by management, and in collaboration with Medical Directors and other ... The manager is looking for 3 years of Inpatient Medical experience, 3 years of Utilization ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Serve on designated committees, teams, and task groups, as directed. * Represent the Heath Services ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Serve on designated committees, teams, and task groups, as directed. * Represent the Heath Services ...
... direct patient care. Assesses, plans, implements, and evaluates care based on age specific ... Assumes responsibility for the coordination of care focused on patient education, self-management ...
... direct patient care. Assesses, plans, implements, and evaluates care based on age specific ... Assumes responsibility for the coordination of care focused on patient education, self-management ...
The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical ...
The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical ...
The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical ...
The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical ...
The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical ...
The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical ...
The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical ...
The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical ...
Utilization Management Registered Nurse
West Palm Beach, FL · On-site
$69K/yr
C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in ... Utilization Management systematically reviews treatments and interventions for effectiveness and ...
Utilization Management Registered Nurse
West Palm Beach, FL · On-site
$69K/yr
C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in ... Utilization Management systematically reviews treatments and interventions for effectiveness and ...
Utilization Review RN Team Lead
Pinellas Park, FL · On-site
$81K - $122K/yr
The Team Lead collaborates with the Director of Utilization Management, supports client implementation and communication efforts, and serves as a subject matter expert in utilization review processes ...
Utilization Review RN Team Lead
Pinellas Park, FL · On-site
$81K - $122K/yr
The Team Lead collaborates with the Director of Utilization Management, supports client implementation and communication efforts, and serves as a subject matter expert in utilization review processes ...
Utilization Review RN Team Lead
Pinellas Park, FL · On-site
$81K - $122K/yr
The Team Lead collaborates with the Director of Utilization Management, supports client implementation and communication efforts, and serves as a subject matter expert in utilization review processes ...
Utilization Review RN Team Lead
Pinellas Park, FL · On-site
$81K - $122K/yr
The Team Lead collaborates with the Director of Utilization Management, supports client implementation and communication efforts, and serves as a subject matter expert in utilization review processes ...
Utilization Review RN Team Lead
Pinellas Park, FL · On-site
$81K - $122K/yr
The Team Lead collaborates with the Director of Utilization Management, supports client implementation and communication efforts, and serves as a subject matter expert in utilization review processes ...
Utilization Review RN Team Lead
Pinellas Park, FL · On-site
$81K - $122K/yr
The Team Lead collaborates with the Director of Utilization Management, supports client implementation and communication efforts, and serves as a subject matter expert in utilization review processes ...
Remote Utilization Review RN (Hospital-Based Experience Required)
Fort Lauderdale, FL · Remote
$80K - $105K/yr
Payer/insurance-only Utilization Management experience is not eligible * Minimum 3 years of acute ... Direct access to hiring decision-makers * Timely feedback throughout the interview process
Quick apply
Remote Utilization Review RN (Hospital-Based Experience Required)
Fort Lauderdale, FL · Remote
$80K - $105K/yr
Payer/insurance-only Utilization Management experience is not eligible * Minimum 3 years of acute ... Direct access to hiring decision-makers * Timely feedback throughout the interview process
Hematologist-Oncologist Senior Medical Director of Utilization Management (Tampa, FL)
Medical
Dental
Vision
Life
Retirement
PTO
Hematologist-Oncologist Senior Medical Director of Utilization Management needed to join a practice in Tampa, FL. This position is with a group that is committed to providing quality services in ...
Hematologist-Oncologist Senior Medical Director of Utilization Management (Tampa, FL)
Medical
Dental
Vision
Life
Retirement
PTO
Hematologist-Oncologist Senior Medical Director of Utilization Management needed to join a practice in Tampa, FL. This position is with a group that is committed to providing quality services in ...
Utilization Review/Outpatient Care RN
$28 - $32/hr
Initiates and continues direct communication with health care providers involved with the care of ... Determines appropriate utilization management of services requested Qualifications What We Look For:
Utilization Review/Outpatient Care RN
$28 - $32/hr
Initiates and continues direct communication with health care providers involved with the care of ... Determines appropriate utilization management of services requested Qualifications What We Look For:
RN Director Case Management
Orlando, FL · On-site
RN Director of Case Management Lake Nona Area, Florida The RN Director of Case Management serves as ... Partners with Utilization Management on the Utilization Review Committee and day-to-day operations
Quick apply
RN Director Case Management
Orlando, FL · On-site
RN Director of Case Management Lake Nona Area, Florida The RN Director of Case Management serves as ... Partners with Utilization Management on the Utilization Review Committee and day-to-day operations
System Physician Advisor Medical Director Responsibilities and Overview: The Lee Health System ... In collaboration with Utilization Management leadership, develop and maintain effective working ...
System Physician Advisor Medical Director Responsibilities and Overview: The Lee Health System ... In collaboration with Utilization Management leadership, develop and maintain effective working ...
Director of Case Management, Case Management Dept, Full Time, Day Shift, Job ID # 1827958
Hialeah, FL · On-site
Utilization Management supporting medical necessity and denial prevention.Transition Management ... Director of Case Management orientation within 90 days of hire. Primary Information, Tools and ...
Quick apply
Director of Case Management, Case Management Dept, Full Time, Day Shift, Job ID # 1827958
Hialeah, FL · On-site
Utilization Management supporting medical necessity and denial prevention.Transition Management ... Director of Case Management orientation within 90 days of hire. Primary Information, Tools and ...
Concurrent Review RN
Sunrise, FL · On-site
... management systems Direct care to participating network providers Participate in utilization management committees and work on special projects related to utilization management as needed ...
Concurrent Review RN
Sunrise, FL · On-site
... management systems Direct care to participating network providers Participate in utilization management committees and work on special projects related to utilization management as needed ...
Director of Case Management, Case Management Dept, Full Time, Day Shift, Job ID # 1827958
Hialeah, FL · On-site
Utilization Management supporting medical necessity and denial prevention. * Transition Management ... Director of Case Management orientation within 90 days of hire. Primary Information, Tools and ...
Director of Case Management, Case Management Dept, Full Time, Day Shift, Job ID # 1827958
Hialeah, FL · On-site
Utilization Management supporting medical necessity and denial prevention. * Transition Management ... Director of Case Management orientation within 90 days of hire. Primary Information, Tools and ...
Director Utilization Management information
See Florida salary details
$13.5K - $17.9K
1% of jobs
$17.9K - $22.4K
3% of jobs
$22.4K - $26.9K
11% of jobs
$29.8K is the 25th percentile. Wages below this are outliers.
$26.9K - $31.4K
16% of jobs
$31.4K - $35.9K
15% of jobs
The median wage is $37.2K / yr.
$35.9K - $40.4K
16% of jobs
$44.1K is the 75th percentile. Wages above this are outliers.
$40.4K - $44.8K
17% of jobs
$44.8K - $49.3K
9% of jobs
$49.3K - $53.8K
7% of jobs
$53.8K - $58.3K
3% of jobs
$58.3K - $62.8K
2% of jobs
$13.5K
$39.1K
$62.8K
How much do director utilization management jobs pay per year?
As of Aug 14, 2026, the average yearly pay for director utilization management in Florida is $39,100.00, according to ZipRecruiter salary data. Most workers in this role earn between $29,900.00 and $44,800.00 per year, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive in the director utilization management position, and why are they important?
To thrive as a Director Utilization Management, you need a strong background in healthcare administration, case management, and data-driven decision-making, often supported by a clinical degree and several years of management experience. Familiarity with utilization management software, electronic health records (EHRs), and certifications such as CCM or ACM are typically valued. Exceptional leadership, communication, and problem-solving skills distinguish top performers in this role. These competencies are vital for optimizing resource use, ensuring regulatory compliance, and leading teams to meet quality care standards.
What is a director utilization management?
A Director of Utilization Management oversees the review and approval of medical services to ensure they are necessary, efficient, and cost-effective. They develop strategies to improve care quality while managing healthcare costs, working closely with providers, payers, and regulatory bodies. Their responsibilities include policy development, compliance with healthcare regulations, and leading a team of utilization review professionals. This role is common in hospitals, insurance companies, and managed care organizations.
What are the typical daily responsibilities of a director utilization management?
A Director Utilization Management generally oversees a team responsible for reviewing patient care to ensure appropriate resource use and compliance with payer requirements. Daily tasks may include analyzing utilization data, developing policy and process improvements, collaborating with clinical and administrative staff, and addressing escalated cases or issues. Directors frequently attend strategy meetings, conduct staff training, and engage with external partners like insurance providers. This role requires balancing administrative oversight with hands-on problem solving to support both cost efficiency and quality patient care.
What are the most commonly searched types of Utilization Management jobs in Florida?
The most popular types of Utilization Management jobs in Florida are:
What are popular job titles related to Director Utilization Management jobs in Florida?
For Director Utilization Management jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Director Utilization Management jobs in Florida look for?
The top searched job categories for Director Utilization Management jobs in Florida are:
- Director Of Nursing Education
- Registered Nurse Director Of Nursing
- Freelance International Utilization Review Nurse
- Director Threat Assessment
- Assistant To The Treasurer
- Lpn Director Of Nursing
- Executive Msn Leadership
- Medical Director Utilization Review
- Lpn Utilization Management
- Director Of Utilization Review
What cities in Florida are hiring for Director Utilization Management jobs?
Cities in Florida with the most Director Utilization Management job openings:
Contractor
Re-posted 29 days ago
Job description
Company Description
Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
Job Description
Under general supervision by management, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical information in order to authorize services. Reviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria; collects and analyzes utilization information; assists with program processes for transitions across levels of care including discharge planning and ambulatory follow up activity. Serves as an expert resource on coverage policies, covered benefits, and medical necessity criteria.
Qualifications
Hours of operation for the Department: M- F 8:00am - 7:00pm.
This positon is 98% telephonic.
At least 3-5 years of experience in a Psychiatric Inpatient Setting or
3-5 years of Health Plan or 3-5 years of Managed Behavioral Health experience Utilization Reviews experience.
There will be rounds with a Doctor for 15 mins every day. Travel maybe required to a local hospital with a mileage rate of $0.54/mile.
Training will be 3 - 4 weeks long that will include Code of Conduct, Systems App and Shadowing.
Credentialing Paperwork will be completed during training.
Required License: LCSW, LCMFC, LMHC, LMFT, LCPC or RN. OR RN, then a Bachelor Degree is required.
The Master Degree is required for all other licensing.
Additional Information
Kind Regards,
Kavita Kumari
Clinical Recruiter
Integrated Resources, Inc.
IT Life Sciences Allied Healthcare CRO
DIRECT # - 732-844-8726
About Integrated Resources
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Edison, NJ, US
Year founded
1996