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 ...
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.
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 ...
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.
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.
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 ...
Senior Business Analyst, Jackson Memorial Hospital, Finance, Days
Miami, FL · On-site
$88K - $114K/yr
Produces standardized complex and comprehensive utilization, cost, ROI, and other utilization analysis and metrics to support the developed dashboard. * Creates companion ad-hoc and drill-down ...
Senior Business Analyst, Jackson Memorial Hospital, Finance, Days
Miami, FL · On-site
$88K - $114K/yr
Produces standardized complex and comprehensive utilization, cost, ROI, and other utilization analysis and metrics to support the developed dashboard. * Creates companion ad-hoc and drill-down ...
GiaCare Inc. is accepting applications from experienced Utilization Managers (RN) for a future ... Strong analytical, documentation, and cross-team communication skills Why GiaCare? GiaCare is ...
Quick apply
GiaCare Inc. is accepting applications from experienced Utilization Managers (RN) for a future ... Strong analytical, documentation, and cross-team communication skills Why GiaCare? GiaCare is ...
Utilization Reviewer 2
$59K - $76K/yr
The ideal candidate performs utilization review on workers' compensation related prospective ... Analytical and critical thinking skills for effective decision-making. * Strong communication and ...
Utilization Reviewer 2
$59K - $76K/yr
The ideal candidate performs utilization review on workers' compensation related prospective ... Analytical and critical thinking skills for effective decision-making. * Strong communication and ...
This position is ideal for an experienced LPN with a strong clinical background who enjoys applying their medical knowledge in an analytical, process-driven environment. Experience in utilization ...
This position is ideal for an experienced LPN with a strong clinical background who enjoys applying their medical knowledge in an analytical, process-driven environment. Experience in utilization ...
Utilization Review Nurse
Bradenton, FL · On-site
This position is ideal for an experienced LPN with a strong clinical background who enjoys applying their medical knowledge in an analytical, process-driven environment. Experience in utilization ...
Utilization Review Nurse
Bradenton, FL · On-site
This position is ideal for an experienced LPN with a strong clinical background who enjoys applying their medical knowledge in an analytical, process-driven environment. Experience in utilization ...
Utilization Review Nurse
Bradenton, FL · On-site
This position is ideal for an experienced LPN with a strong clinical background who enjoys applying their medical knowledge in an analytical, process-driven environment. Experience in utilization ...
Utilization Review Nurse
Bradenton, FL · On-site
This position is ideal for an experienced LPN with a strong clinical background who enjoys applying their medical knowledge in an analytical, process-driven environment. Experience in utilization ...
Utilization Review Coordinator Location: Everwell Port St. Lucie Hospital, Inc Position Summary ... Strong communication, organizational, and analytical skills * Familiarity with DSM criteria and ...
Quick apply
Utilization Review Coordinator Location: Everwell Port St. Lucie Hospital, Inc Position Summary ... Strong communication, organizational, and analytical skills * Familiarity with DSM criteria and ...
Utilization Analyst information
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 does a utilization analyst do?
A utilization analyst monitors and analyzes the use of resources, such as staff or equipment, to ensure efficiency and cost-effectiveness. They often use data analysis tools and reports to identify underutilized assets and recommend improvements to optimize resource allocation.
What are popular job titles related to Utilization Analyst jobs in Florida?
For Utilization Analyst jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Utilization Analyst jobs in Florida look for?
The top searched job categories for Utilization Analyst jobs in Florida are:
What cities in Florida are hiring for Utilization Analyst jobs?
Cities in Florida with the most Utilization Analyst job openings:
Other
Re-posted 29 days ago
Job description
Clinical Team Member
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.
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.
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