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Supervisor Utilization Management Jobs in Florida

UHS

DIR - UTILIZATION REVIEW / MGMT

Oakland Park, FL · On-site

The Director supervises all Utilization Management activities, including conducting audits to assure medical necessity criteria is met and is clearly documented in the medical record, immediately ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Jacksonville, FL · On-site

... the Utilization Management Department. This includes the implementation of case management ... Carries out supervisory responsibilities in accordance with the organization's policies and ...

Oscar Health

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 ...

Memorial Healthcare

The Medical Director functions as the primary physician advisor for the hospital and supervises ... Case Management and Utilization Review:Supports the overall enterprise of the Case Management and ...

Molina Healthcare

$66K - $129K/yr

Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in ... Essential Job Duties Assists in implementing health management, care management, utilization ...

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All JobsSupervisor Utilization Management JobsSupervisor Utilization Management Jobs in Florida

Supervisor Utilization Management information

See Florida salary details

$29.1K

$68K

$125.2K

How much do supervisor utilization management jobs pay per year?

As of Aug 10, 2026, the average yearly pay for supervisor utilization management in Florida is $68,012.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,500.00 and $81,800.00 per year, depending on experience, location, and employer.

What is a supervisor utilization management?

A Supervisor Utilization Management oversees the utilization review process to ensure healthcare services are used efficiently and appropriately. They manage a team of utilization review staff, monitor case reviews, and ensure compliance with policies and regulations. Their role includes coordinating with healthcare providers, optimizing resource use, and improving patient care outcomes.

What are the key skills and qualifications needed to thrive in the supervisor utilization management position?

To thrive as a Supervisor Utilization Management, you need in-depth knowledge of healthcare utilization review, case management, and compliance regulations, typically supported by a clinical background and relevant licensure or certification. Familiarity with utilization management software, claims processing systems, and data analysis tools such as Microsoft Excel or SQL is often required. Strong leadership, effective communication, and problem-solving abilities are critical soft skills for leading teams and collaborating with physicians and payers. These capabilities ensure efficient workflow management, regulatory adherence, and improved patient outcomes within healthcare organizations.

What does a supervisor utilization management do?

A Supervisor Utilization Management typically oversees a team of utilization review nurses or specialists, monitors case workloads, and ensures that medical necessity and regulatory standards are met during patient care reviews. On a daily basis, you might review complex cases, coordinate with physicians and insurance companies regarding care determinations, and implement departmental process improvements. Supervisors also provide staff training, audit case files for quality assurance, and manage departmental reporting and metrics. Collaborating with interdisciplinary teams and adapting to changing regulations are essential aspects of the role, offering variety and opportunities to influence patient care delivery.

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 Supervisor Utilization Management jobs in Florida? For Supervisor Utilization Management jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Supervisor Utilization Management jobs in Florida look for? The top searched job categories for Supervisor Utilization Management jobs in Florida are:
Supervisor Utilization Management jobs near you
Infographic showing various Supervisor Utilization Management job openings in Florida as of August 2026, with employment types broken down into 82% Full Time, 13% Part Time, 2% Temporary, 2% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $68,012 per year, or $32.7 per hour.

Utilization Management Reviewer

Mental Health Resource Center

Jacksonville, FL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Mental Health Resource Center rating

7.4

Company rating: 7.4 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

266th of 887 rated healthcare providers

Job description

Benefits/Perks
  • Medical, Dental, and Vision Insurance
  • Life Insurance
  • Disability Insurance
  • 403b
  • PTO
  • Paid Holidays
  • Flexible Spending Account
  • Employee Assistance Program
Company Overview
Mental Health Resource Center is a not-for-profit Florida corporation that provides a wide range of mental health and behavioral health care services to the community such as 24-hour emergency services, inpatient psychiatric services for children, adolescents, and adults as well as outpatient services such as medication management, case management, and counseling.
Job Summary
Mental Health Resource Center is looking for a Utilization Management Reviewer to monitor the utilization of clinical services provided at Mental Health Resource Center (MHRC), using predetermined criteria, review of medical records, and regular participation in treatment team meetings.
The crisis stabilization units provide services for adults, adolescents, and children. Most patients are admitted involuntarily to the facility via the Baker Act, the mental health act of Florida. The normal length of stay on the unit for patients is typically 3-5 days. Due to the types of services provided, crisis stabilization units are a fast paced working environment and present employees with challenging and rewarding opportunities. Employees work together and support one another in a friendly, team oriented atmosphere.
Responsibilities 
  • Reviews medical records and attends treatment team meetings to review utilization of resources and the level of care provided.  Ensures utilization and level of care are appropriate based on the diagnosis, needs, age and culture of the individual.
  • Carries out appropriate telephone and written communication with insurers and third party payers regarding referrals, admissions, medication changes, discharges and changes in level of care.
  • Coordinates on-site review of medical records with reviewers from third party payers.
  • Documents, updates, and manages patient and provider information using internal electronic records system.
  • Coordinates psychiatric consultations between internal and external providers.
  • Investigates complaints, grievances, and medication variances.  Reports findings to Utilization Management Manager and completes necessary follow up.
  • Responds to changing needs of the departments (i.e., program design, forms development, reporting mechanisms, etc).Establishes and maintains effective working relationships with staff members to assure professional interactions.
Qualifications
In order to be considered candidates must have one of the following: 
  • Registered Nurse: Associate Degree in Nursing required.  
  • One year experience in psychiatric nursing required. Valid Florida RN License required.
OR
  • Licensed Practical Nurse: Graduation from an accredited school of Practical Nursing required.
  • Two years experience in psychiatric nursing required. Valid Florida LPN License required.
OR
  • Master’s degree in Psychology or Human Services related field required.  
  • Three years experience in the mental health field required. UM experience preferred. 
Requires telephone and person-to-person interactions with individuals with mental illness on locked inpatient units.
Excellent communication skills are essential and this individual must be able to interact appropriately with internal and external customers, including families, caregivers, community service providers, supervisory staff and other department professionals.
Each employee contributes to the completeness and confidentiality of clinical records by ensuring documentation, paperwork and system entries meet internal and external guidelines for content, accuracy and timeliness.
Position Details
This is a full time position, Monday through Friday, 7:00am to 3:30pm
Renaissance Behavioral Health Systems and Mental Health Resource Center are Equal Opportunity Employers.
Background screening and clearance through the Florida Care Provider Background Screening Clearinghouse is required for all positions: https://info.flclearinghouse.com

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