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Supervisor Utilization Management Jobs in Florida

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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 May 28, 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 job?

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, and why are they important?

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 are the typical daily responsibilities of a Supervisor Utilization Management?

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:
Infographic showing various Supervisor Utilization Management job openings in Florida as of May 2026, with employment types broken down into 1% As Needed, 56% Full Time, 41% Part Time, 1% Contract, and 1% Nights. Highlights an 95% Physical, and 5% Hybrid job distribution, with an average salary of $68,012 per year, or $32.7 per hour.
Intermediate Care Utilization Review Nurse

Intermediate Care Utilization Review Nurse

Florida Health Care Plans, Inc.

Daytona Beach, FL โ€ข On-site

Full-time

Posted 10 days ago


Florida Health Care Plans rating

5.5

Company rating: 5.5 out of 10

Based on 6 frontline employees who took The Breakroom Quiz


Job description

POSITION SUMMARY:

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Under the direction and oversight of the Nurse Supervisor Utilization Review, the Intermediate Care Utilization Review Nurse is responsible for coordination of services for members of Florida Healthcare Plans admitted to and/or discharged from a skilled nursing facility or home healthcare agency as well as sub-acute inpatient and outpatient services as delegated. The Intermediate Care Utilization Review Nurse coordinates all services needed for an organized, multidisciplinary, member focused team approach. This includes but is not limited to durable medical equipment requests, appropriate discharge from SNF or home health care and follow-up with providers to coordinate movement to the next level of care. The Intermediate Care Utilization Review Nurse follows and manages the course of treatment for patients while coordinating care with physicians, nurses, case managers, and other staff from outside as well as within the company to ensure quality care and safe outcomes. The Intermediate Care Utilization Review Nurse conducts initial and ongoing assessments and ensures continuity of care through discharge planning and utilization of resources. Care should be approached in a cost-effective manner as this position bears risk for financial impact to the organization.

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QUALIFICATIONS:

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Education, skills and experience:
โ€ขย ย  ย Graduate of an accredited school of nursing
โ€ขย ย  ย Florida residency required upon employment. Must live within Volusia or Flagler County.ย 
โ€ขย ย  ย Current active and unrestricted licensure in Florida as a Licensed Practical Nurse (LPN)
โ€ขย ย  ย Minimum of two (2) years post-licensure clinical experience as a practicing LPN. Acceptable areas include but not limited to: Home Health Care, Skilled Nursing Facility Care, or Hospice Care
โ€ขย ย  ย Previous experience with utilization management, utilization review, prior authorization, or case management strongly preferred.
โ€ขย ย  ย Knowledge of Medicare criteria, DRGโ€™s, InterQual, and/or MCG Care Guidelines required.
โ€ขย ย  ย Knowledge of levels of hospitalization, inpatient rehabilitation, skilled nursing facility, home health care, behavioral health, community resources, and FHCP networks preferred.
โ€ขย ย  ย Excellent communication skills, including both oral and written.
โ€ขย ย  ย Strong telephone and customer service skills required. Must be able to diffuse difficult situations.
โ€ขย ย  ย Strong organizational and time management skills. Must be capable of multitasking.
โ€ขย ย  ย Proficiency with computer skills including Microsoft Word, Outlook, and Office Suite
โ€ขย ย  ย Must be able to type at a fast speed with high accuracy.
โ€ขย ย  ย Reliable transportation, home internet, and smart device for secondary identification required