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Manager Utilization Management Jobs in Seminole, FL

Enlyte

Utilization Reviewer 2

Tampa, FL · On-site

$59K - $76K/yr

The ideal candidate performs utilization review on workers' compensation related prospective ... Detail-oriented with strong organizational skills to manage multiple cases efficiently.

Enlyte

Utilization Reviewer 2

Tampa, FL

$59K - $76K/yr

The ideal candidate performs utilization review on workers' compensation related prospective ... Detail-oriented with strong organizational skills to manage multiple cases efficiently.

Accenture

Clinical Management Manager

Tampa, FL · On-site

$94K - $293K/yr

Design and implement care delivery models, workflows, and utilization management solutions * Drive measurable improvements in patient flow, capacity, LOS, and avoidable utilization * Partner with ...

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All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Seminole, FL

Manager Utilization Management information

See Seminole, FL salary details

$36.2K

$84.5K

$155.6K

How much do manager utilization management jobs pay per year?

As of Aug 24, 2026, the average yearly pay for manager utilization management in Seminole, FL is $84,523.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,300.00 and $101,700.00 per year, depending on experience, location, and employer.

What does a manager utilization management do?

A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.

What are the key skills and qualifications needed to thrive as a manager utilization management?

To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.

What are some common challenges faced by a manager utilization management, and how can they effectively address them?

Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.

What is the difference between Manager Utilization Management vs Utilization Review Nurse?

AspectManager Utilization ManagementUtilization Review Nurse
CredentialsRN, often with management or utilization review certificationsRN, with certifications in utilization review or case management
Work EnvironmentSupervises teams, manages policies, oversees utilization review processesPerforms patient chart reviews, assesses medical necessity, collaborates with providers
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations
Search & Comparison IntentYesYes

While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.

What are the most commonly searched types of Utilization Management jobs in Seminole, FL?

The most popular types of Utilization Management jobs in Seminole, FL are:

What are popular job titles related to Manager Utilization Management jobs in Seminole, FL?

For Manager Utilization Management jobs in Seminole, FL, the most frequently searched job titles are:

What job categories do people searching Manager Utilization Management jobs in Seminole, FL look for?

The top searched job categories for Manager Utilization Management jobs in Seminole, FL are:

What cities near Seminole, FL are hiring for Manager Utilization Management jobs?

Cities near Seminole, FL with the most Manager Utilization Management job openings:

Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Seminole, FL as of August 2026, with employment types broken down into 85% Full Time, and 15% Contract. Highlights an 100% In-person job distribution, with an average salary of $84,523 per year, or $40.6 per hour.

Utilization Management Assistant

BayCare Health System

Clearwater, FL • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago

BayCare Health System rating

7.4

Company rating: 7.4 out of 10

Based on 404 frontline employees who took The Breakroom Quiz

268th of 893 rated healthcare providers

Job description

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
The Utilization Management Assistant responsibilities include:
  • Participating on the Utilization Management Team (UMT), serving as a Utilization Management liaison with managed care organizations, collaborating with Medical Staff, Business Office, Medical Records and other hospital staff.
  • Provides support services to the staff of the UM department.
  • Provides assistance with coordination of case management services and various administrative duties.

Position details:
  • Location: Hybrid - Morton Plant Hospital - Clearwater, FL
  • Status: Full Time, 40 hours per week
  • Schedule: Monday - Friday 8:00 AM - 4:30 PM
  • Weekend Requirement: Every 3rd
  • On Call: No

Education:
  • Required High School Diploma or Equivalent

Experience:
  • Required 2 years in Case Management
  • Or 2 years in Medical Billing
  • Or 2 years in Registration

Benefits:
  • Benefits (Health, Dental, Vision)
  • Paid time off
  • Tuition reimbursement
  • 401k match and additional yearly contribution
  • Yearly performance appraisals and team award bonus
  • Community discounts and more

Equal Opportunity Employer Veterans/Disabled

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