Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Utilization Review Nurse
Cooper City, FL · On-site
Data Analysis : Analyze clinical and financial data to identify trends, opportunities for ... in Utilization Review · Strong understanding of revenue cycle management and healthcare ...
Utilization Review Nurse
Cooper City, FL · On-site
Data Analysis : Analyze clinical and financial data to identify trends, opportunities for ... in Utilization Review · Strong understanding of revenue cycle management and healthcare ...
Data Analysis : Analyze clinical and financial data to identify trends, opportunities for ... in Utilization Review · Strong understanding of revenue cycle management and healthcare ...
Data Analysis : Analyze clinical and financial data to identify trends, opportunities for ... in Utilization Review · Strong understanding of revenue cycle management and healthcare ...
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Ability to analyze utilization data and support effective care coordination. * Strong organizational skills with the ability to manage multiple priorities simultaneously. * Ability to work ...
Job Summary We are seeking a highly motivated and detail-oriented Utilization Reviewer to join our ... Excellent analytical skills combined with a thorough understanding of anatomy physiology and ...
Job Summary We are seeking a highly motivated and detail-oriented Utilization Reviewer to join our ... Excellent analytical skills combined with a thorough understanding of anatomy physiology and ...
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
Demonstrated ability to analyze utilization data, identify trends, and support patient care and discharge planning initiatives.
... Analyze data and metrics to identify areas for improvement in care coordination processes. 4. ... resource utilization. 5. Staff Development: • Provide ongoing training and education to ...
... Analyze data and metrics to identify areas for improvement in care coordination processes. 4. ... resource utilization. 5. Staff Development: • Provide ongoing training and education to ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Review and analyze clinical records, including received documentation from payors, to ensure ...
Quick apply
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Review and analyze clinical records, including received documentation from payors, to ensure ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Review and analyze clinical records, including received documentation from payors, to ensure ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Review and analyze clinical records, including received documentation from payors, to ensure ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Review and analyze clinical records, including received documentation from payors, to ensure ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... Review and analyze clinical records, including received documentation from payors, to ensure ...
Utilization Analyst information
What jobs make $3,000 a day?
What jobs will boom in 2026?
What is the difference between Utilization Analyst vs Data Analyst?
| Aspect | Utilization Analyst | Data Analyst |
|---|---|---|
| Required Credentials | Bachelor's in healthcare, business, or related field; certifications like CPC or HCISPP | Bachelor's in statistics, computer science, or related field; certifications like CAP or Microsoft Certified Data Analyst |
| Work Environment | Healthcare facilities, insurance companies, or healthcare consulting firms | Various industries including finance, marketing, healthcare, and technology |
| Employer & Industry Usage | Used primarily in healthcare and insurance sectors to optimize resource utilization | Used across multiple industries to analyze data trends and support decision-making |
While both roles involve analyzing data, a Utilization Analyst focuses on healthcare resource management and efficiency, whereas a Data Analyst has a broader scope across industries, analyzing diverse data sets to inform strategic decisions.
What jobs pay 4000 a week without a degree?
What does a utilization analyst do?

Full-time
Re-posted 19 days ago
Job description
Join an onsite clinical team focused on ensuring the right care at the right time for every patient.
Work Style: Onsite
Location: The Villages, FL
FTE: Full-Time (1.0 FTE)
Schedule: Monday - Friday (occasional weekends required)
Evaluates patient medical records to determine the medical necessity and appropriateness of healthcare services in alignment with utilization management guidelines. Collaborates with healthcare providers to support compliance, optimize treatment plans, and promote efficient resource utilization.
Communicates authorization decisions clearly and monitors patient progress to support timely discharge planning. Analyzes utilization data to identify trends and opportunities for process improvement.
Partners with interdisciplinary teams to enhance care coordination, ensure accurate documentation, and maintain compliance with regulatory and organizational standards.
Responsibilities
Key Responsibilities
- Evaluates patient medical records to ensure the necessity and appropriateness of healthcare services.
- Coordinates with healthcare providers to ensure compliance with utilization management guidelines.
- Supports the optimization of treatment plans to promote effective patient care and appropriate resource utilization.
- Communicates authorization decisions clearly and supports timely discharge planning.
- Analyzes utilization data to identify trends and opportunities to improve care coordination.
- Collaborates with interdisciplinary teams to ensure accurate documentation and regulatory compliance.
Qualifications
Education & Experience:
Registered Nurse (RN) with a current Florida license required.
- Three (3) years of critical care nursing experience, or
- Five (5) years of medical-surgical nursing experience, or
- Three (3) years of utilization review, case management, or third-party payer experience.
Qualifications
- Active Registered Nurse (RN) license with 3+ years of experience in utilization review or case management.
- Strong knowledge of healthcare utilization management guidelines and regulatory compliance.
- Experience evaluating medical necessity and optimizing treatment plans.
- Excellent communication skills with the ability to clearly convey authorization decisions.
- Ability to analyze utilization data and support effective care coordination.
- Strong organizational skills with the ability to manage multiple priorities simultaneously.
- Ability to work independently and collaboratively with multidisciplinary teams.
- Strong attention to detail and innovative problem-solving skills.
- Flexibility to adjust work hours and days based on departmental needs.
Motor Vehicle Operator Designation:
Employees in this position will not operate vehicles for an assigned business purpose.
Note: Please indicate the appropriate operator designation on the Request for Personnel (RFP) form at the time of submission.
Licensure/Certification/Registration:
- Registered Nurse (RN) with a current Florida license required.
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958