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Remote Supervisor Utilization Management Jobs in Florida

Molina Healthcare

$66K - $129K/yr

Essential Job Duties Assists in implementing health management, care management, utilization ... Functions as a 'hands-on' supervisor, assisting with assessing and evaluation of systems, day-to ...

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Remote Supervisor Utilization Management information

What is the highest paying job in healthcare management?

In healthcare management, executive roles such as Chief Executive Officer (CEO), Chief Operating Officer (COO), and Chief Medical Officer (CMO) tend to be the highest paying positions, often earning six-figure salaries. These roles require extensive experience, leadership skills, and often advanced degrees or certifications, and they oversee large healthcare organizations or systems.

How to make 2000 a week working from home?

A Remote Supervisor Utilization Management can earn $2,000 or more weekly by working full-time, managing multiple cases efficiently, and possessing relevant certifications such as CCM or ANCC. Increasing experience, demonstrating strong organizational skills, and working for organizations with higher pay scales can also help achieve this income level.

Is a utilization manager the same as a risk manager?

A utilization management supervisor focuses on evaluating healthcare services to ensure appropriate and efficient use of resources, often within insurance or healthcare organizations. A risk manager, on the other hand, identifies and mitigates potential risks to an organization, which can include financial, legal, or safety concerns. While both roles involve assessment and decision-making, they serve different functions and require distinct skill sets.

How to make $1000 a week remotely?

A Remote Supervisor Utilization Management role can pay around $1,000 or more per week depending on experience, certifications, and workload. Earning this amount typically involves managing a high volume of cases, utilizing strong organizational skills, and working full-time hours, often with overtime or bonuses for productivity. Building expertise in utilization review and maintaining relevant credentials can help increase earning potential in remote management positions.

What is the difference between Remote Supervisor Utilization Management vs Remote Utilization Review Nurse?

AspectRemote Supervisor Utilization ManagementRemote Utilization Review Nurse
CredentialsRN, often with management or supervisor certificationsRN, with clinical review certifications
Work EnvironmentSupervises teams, manages utilization processes remotelyPerforms clinical reviews, assesses patient necessity remotely
Employer & Industry UsageHealth insurance companies, managed care organizationsInsurance companies, third-party administrators
Primary FocusOverseeing utilization management operationsConducting clinical utilization reviews

Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.

What are the most commonly searched types of Supervisor Utilization Management jobs in Florida? The most popular types of Supervisor Utilization Management jobs in Florida are:
What are popular job titles related to Remote Supervisor Utilization Management jobs in Florida? For Remote Supervisor Utilization Management jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Supervisor Utilization Management jobs in Florida look for? The top searched job categories for Remote Supervisor Utilization Management jobs in Florida are:
What cities in Florida are hiring for Remote Supervisor Utilization Management jobs? Cities in Florida with the most Remote Supervisor Utilization Management job openings:
Remote Supervisor Utilization Management jobs near you
Utilization Management Physician needed in Daytona Beach, FL (Remote)

Utilization Management Physician needed in Daytona Beach, FL (Remote)

HealthPlus Staffing

Daytona Beach, FL • Remote

Full-time

Medical, Retirement, PTO

Re-posted 6 days ago

Job description

Utilization Management Physician (UMP)

Remote | Full-Time | Florida

Compensation: $240,000 base + bonus
Schedule: 40 hours/week
Work Model: Remote (on-site meetings in Daytona Beach, FL)

Overview
Seeking an experienced Utilization Management Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical determinations using evidence-based criteria.

Responsibilities

  • Review pre-auths, concurrent reviews, claims, and appeals

  • Make medical necessity determinations using MCG/InterQual/CMS criteria

  • Conduct peer-to-peer reviews and support UM staff

  • Participate in committees and provider education as needed

Requirements

  • MD or DO with active, unrestricted Florida license

  • 3+ years UM Physician experience

  • 3–7 years clinical experience

  • Managed care experience required

  • Available via phone, email, and Teams

Benefits

  • Bonus opportunity

  • 401(k)

  • Health benefits

  • Malpractice coverage

  • PTO + CME

  • Licenses, fees, travel, and relocation reimbursed

About Us:

HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates.

Our Promise:

  • We will put you in front of the decision makers.
  • We will provide feedback on your application.
  • We will work on your behalf to obtain as much info as you need to make a well-informed decision.

If interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We look forward to finding your next position!

The HealthPlus Team.