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Um Manager Jobs in Florida (NOW HIRING)

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Um Manager information

See Florida salary details

$18.3K

$44.5K

$86.7K

How much do um manager jobs pay per year?

As of Aug 15, 2026, the average yearly pay for um manager in Florida is $44,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $31,400.00 and $51,200.00 per year, depending on experience, location, and employer.

What is a UM manager?

An Um Manager is typically responsible for overseeing and managing business operations, projects, or teams within an organization. The specific duties can vary depending on the industry, but generally include planning, coordinating, and ensuring that goals and objectives are met efficiently. Um Managers often serve as a bridge between upper management and staff, facilitating communication and problem-solving. They may also be involved in budgeting, reporting, and performance evaluation to help drive organizational success.

How does a UM manager typically collaborate with other departments to ensure effective utilization management?

A UM (Utilization Management) Manager plays a key role in coordinating with departments such as case management, quality assurance, and medical staff to ensure that healthcare services are delivered efficiently and meet regulatory standards. They often facilitate interdisciplinary meetings, communicate policy updates, and address utilization trends or issues with both clinical and administrative teams. Building strong relationships across departments is crucial for timely decision-making and maintaining compliance with payer requirements. This collaborative environment helps ensure that patient care remains both cost-effective and high-quality.

What are the key skills and qualifications needed to thrive as a UM manager?

To thrive as a UM Manager, you need a strong background in healthcare management, clinical guidelines, and insurance processes, typically supported by a degree in nursing or healthcare administration and relevant licensure. Familiarity with utilization review software, case management systems, and knowledge of regulatory compliance such as Medicare and Medicaid are essential. Strong leadership, analytical thinking, and communication skills help UM Managers lead teams and coordinate effectively across departments. These skills are vital for ensuring cost-effective, high-quality patient care while maintaining compliance and operational efficiency.

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

The most popular types of Um jobs in Florida are:

What cities in Florida are hiring for Um Manager jobs?

Cities in Florida with the most Um Manager job openings:

Um Manager jobs near you

Utilization Management Nurse - Case Management

HEALTH FIRST CAREERS

Melbourne, FL • On-site

Other

Medical, Vision

Posted 5 days ago

Job description

Job Requirements
POSITION SUMMARY
The Utilization Management (UM) Nurse performs medical necessity reviews on all payer admissions to determine appropriate admission status and documents all information that relates to insurance reimbursement in appropriate reviews for the Health First Integrated Delivery Network (IDN). The UM Nurse utilizes advanced clinical skills to facilitate the provision of care including the appropriate length of stay, patient status management, and resource utilization for all hospital admissions. The UM Nurse effectively and efficiently manages a diverse workload in a fast-paced, rapidly changing regulatory environment and regularly collaborates with the Medical Staff, Physician Advisors, Case Managers, Revenue Cycle and other multi-disciplinary teams.
PRIMARY ACCOUNTABILITIES
  1. Evaluates admissions, continued stays, and services with evidence-based criteria (e.g., InterQual, MCG).
  2. Determines whether care is medically necessary, appropriate, and at the right level of care, and identifies over-utilization and under-utilization.
  3. Verifies compliance with Centers For Medicare and Medicaid Services (CMS) Conditions of Participation, Medicare and Medicaid rules, and Commercial payer requirements.
  4. Maintains accurate, defensible documentation, and supports audits and accreditation standards (e.g., Joint Commission, CMS).
  5. Reviews prior authorizations and concurrent approvals, initiating peer-to-peer reviews when criteria are not met, and manages denials, appeals, and retrospective reviews.
  6. Communicates decisions clearly to providers and stakeholders.
  7. Collaborates closely with licensed practitioners and advanced practice providers, case managers and social workers, coding, billing, and finance teams
  8. Advocates for patients while balancing payer requirements, and promotes efficient, timely progression of care.
  9. Supports appropriate resource utilization without compromising quality.
  10. Identifies opportunities for alternative levels of care (OBS vs IP, SNF, home health, etc.), early discharge planning, while contributing to organizational goals around quality metrics and cost containment.

Work Experience
MINIMUM QUALIFICATIONS
  • Education: Associate's degree in Nursing (ASN), or Nursing Diploma.
  • Work Experience: Five (5) years' experience in acute care (e.g., critical, intermediate, or emergency department) nursing environments.
  • Licensure: Registered Nurse (RN) licensure in the State of Florida, or endorsement.
  • Certification: American Heart Association Basic Life Support (AHA BLS) Healthcare Provider Completion Card prior to start date and maintained.
  • Skills/Knowledge/Abilities:
  1. Strong analytical, data management and computer skills.
  2. Ability to work autonomously and prioritize multiple tasks and role components.
  3. Ability to exercise sound judgment in interactions with physicians, payers, and
  4. other customers.
  5. Must be able to work remotely with adequate technology to support and
  6. maintain productivity.

PREFERRED QUALIFICATIONS
  • Education: BSN or Master's Degree in a healthcare field
  • Certification: Current Case Manager Certification (CCM or ACM)
  • Knowledge/Skills/Abilities: Current working knowledge of care transitions, utilization management, case management and managed care reimbursement
PHYSICAL REQUIREMENTS
  • Majority of time involves sitting or standing; occasional walking, bending, and stooping.
  • Long periods of computer time or at workstation.
  • Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
  • May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise.
  • Communicating with others to exchange information.
  • Visual acuity and hand-eye coordination to perform tasks.
  • Workspace may vary from open to confined.
  • May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle.

Benefits
ABOUT HEALTH FIRST
At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.
Schedule : Full-Time
Shift Times : 830am_500pm
Paygrade : PG-PG-39

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