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Remote Supervisor Utilization Management Jobs in Florida

Utilization Review Nurse

Miami, FL · Remote

$35 - $45.94/hr

You will report into the Supervisor, Utilization Review. Work Location: This is a remote position ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...

Senior Staff Dentist

Tampa, FL · Remote

$175K - $185K/yr

What You'll Do Clinical Review & Utilization Management * Perform clinical reviews of dental claims ... Remote role with collaboration across national teams * High-impact role shaping clinical standards ...

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Remote Supervisor Utilization Management information

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 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:

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

HealthPlus Staffing

Daytona Beach, FL • Remote

Full-time

Medical, Retirement, PTO

Re-posted yesterday


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.