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Temporary Utilization Management Jobs in Florida

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Temporary Utilization Management information

What does a temporary utilization management do?

A temporary utilization management professional reviews and approves healthcare services to ensure they are medically necessary and cost-effective. They analyze patient records, coordinate with healthcare providers, and use tools like electronic health records (EHR) systems to make informed decisions within a set schedule or contract period.

Is utilization management a hard job?

Utilization management is a demanding role that requires strong analytical skills, attention to detail, and knowledge of healthcare policies. It often involves reviewing medical records, making decisions on coverage, and working under strict deadlines, which can be challenging for some professionals.

What is the difference between Temporary Utilization Management vs Utilization Review Coordinator?

AspectTemporary Utilization ManagementUtilization Review Coordinator
CredentialsTypically requires healthcare or insurance-related certifications, such as RHIT or RNOften requires similar certifications, including RN or healthcare administration credentials
Work EnvironmentTemporary or contract-based roles within healthcare facilities or insurance companiesUsually office-based, coordinating reviews within healthcare organizations or insurers
Employer & Industry UsageUsed by healthcare providers, insurance companies, and staffing agencies for short-term needsEmployed by healthcare organizations and insurers to evaluate patient care and insurance claims

Temporary Utilization Management and Utilization Review Coordinator roles share similar credentials and work environments, focusing on evaluating healthcare services. The main difference lies in the temporary versus permanent nature of the roles, with Temporary Utilization Management often being short-term or contract-based, while Utilization Review Coordinators tend to have ongoing positions within healthcare organizations.

What are the most commonly searched types of Utilization Management jobs in Florida?

The most popular types of Utilization Management jobs in Florida are:

What cities in Florida are hiring for Temporary Utilization Management jobs?

Cities in Florida with the most Temporary Utilization Management job openings:

Temporary Utilization Management jobs near you

Program Manager

Criminal Investigation & Law Enforcement | IRS Careers

Miami, FL

$125K/yr

Full-time

Posted 10 days ago

Job description

WHAT IS THE LARGE BUSINESS & INTERNATIONAL DIVISION? A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions
  • Position(s) are to be filled in following area(s):
    • LBI - Strategic Programs

REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILSQualifications:

Federal experience is not required. Experience may have been gained in the public sector, private sector or through Volunteer Service. One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/day/year, and indicate number of hours worked per week, on your resume.
SPECIALIZED EXPERIENCE IR-1: To be minimally qualified for this position you must have at least one (1) year of specialized experience equivalent to the next lower-level payband or GS grade in the normal line of progression.
Specialized experience would include one year of substantive supervisory or program management experience at the GS-13 or GS-14 level or equivalent level manager or comparable management or leadership experiences outside of Federal service.
To be qualifying for this position your experience should be sufficient to demonstrate:

  • Experience leading strategic planning initiatives by evaluating legislative proposals, organizational priorities, policy changes, and emerging program issues; developing implementation strategies and long-range plans that support organizational objectives and mission requirements.
  • Experience analyzing program operations, organizational performance, workload data, resource utilization, operational risks, and program outcomes; identifying issues and developing recommendations that improve operational effectiveness, efficiency, and program performance.
  • Experience developing performance measures, evaluation criteria, and accountability processes used to monitor program accomplishments, assess organizational performance, evaluate results, and recommend operational improvements.
  • Experience preparing executive reports, briefing materials, written documentation, analytical studies, and recommendations that communicate complex findings, support organizational planning, and facilitate management decision-making.
  • Experience planning, coordinating, monitoring, and evaluating multiple projects or organizational initiatives involving competing priorities, changing requirements, resource constraints, and cross-functional stakeholders to achieve strategic program objectives.
  • Experience conducting operational research by evaluating program data, identifying organizational trends, assessing the impact of proposed changes, and developing evidence-based recommendations that improve program operations, policy implementation, or organizational performance.
  • Experience interpreting Federal tax laws, regulations, Internal Revenue Service program requirements, compliance guidance, and related policies to evaluate program impacts, resolve technical issues, develop recommendations, and support implementation of organizational initiatives.
  • Experience evaluating financial information, budget data, staffing requirements, workload trends, and resource utilization to develop recommendations that support strategic planning, operational priorities, and effective allocation of organizational resources.

AND

You must also meet the following requirement(s):
  • TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. For this requirement, a competitive appointment is one where you applied to and were appointed from an announcement open to "All US Citizens".

For more information on qualifications please refer to OPM's Qualifications Standards.
Go to Understanding the IRS Paybands for GS/IR conversion.

Education:A college or university degree generally must be from an accredited (or pre-accredited) college or university recognized by the U.S. Department of Education. For a list of schools which meet these criteria, please refer to Department of Education Accreditation page.
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying. Click here (Section 3, Explanation of Terms) or here for Foreign Education Credentialing instructions.
We recommend choosing an evaluator from a member organization of one of the following national associations of credential evaluation services: National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER

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