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Utilization Case Manager Jobs in Bunnell, FL (NOW HIRING)

Halifax Health

Nurse Case Manager

Daytona Beach, FL · On-site

The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance ...

Halifax Health

Nurse Case Manager

Daytona Beach, FL

The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance ...

Halifax Health

Nurse Case Manager

Daytona Beach, FL

The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance ...

Halifax Health

Nurse Case Manager

Daytona Beach, FL · On-site

The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance ...

Halifax Health

Nurse Case Manager

Daytona Beach, FL · On-site

The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance ...

Sequel Employment Center

Case Manager

Saint Augustine, FL · On-site

$17.50 - $22.50/hr

Case Manager Positions Supervised: None Typical Work Week: Typically M-F 8:00 AM - 5:00 PM with ... Provides utilization review reports to referral source and sponsoring agencies. * Initiates family ...

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Utilization Case Manager information

See Bunnell, FL salary details

$13

$30

$49

How much do utilization case manager jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for utilization case manager in Bunnell, FL is $30.12, according to ZipRecruiter salary data. Most workers in this role earn between $24.42 and $31.73 per hour, depending on experience, location, and employer.

What is a utilization case manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

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

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

How does a utilization case manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

What is the difference between Utilization Case Manager vs Utilization Review Nurse?

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What degree do I need for utilization case manager?

Utilization case managers typically need at least a bachelor's degree in healthcare, social work, nursing, or a related field. Some positions may prefer or require a master's degree or relevant certifications, such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ).

What job categories do people searching Utilization Case Manager jobs in Bunnell, FL look for?

The top searched job categories for Utilization Case Manager jobs in Bunnell, FL are:

What cities near Bunnell, FL are hiring for Utilization Case Manager jobs?

Cities near Bunnell, FL with the most Utilization Case Manager job openings:

Utilization Case Manager jobs near you
Infographic showing various Utilization Case Manager job openings in Bunnell, FL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 86% In-person, and 14% Hybrid job distribution, with an average salary of $62,649 per year, or $30.1 per hour.

Nurse Case Manager

Daytona Beach, FL • On-site

Halifax Health
Hospitals • 1 - 5K employees

6.0

Company rating: 6.0 out of 10

Based on 66 frontline employees who took The Breakroom Quiz

751st of 895 rated healthcare providers

People enjoy working here

Recommended by students

Recommended by parents

Learn more about Halifax Healthexternal

Full-time

Re-posted 4 days ago

Job description

Day (United States of America)
Nurse Case Manager
The purpose of the Nurse Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance improvement in needed (e.g., day to day workflow, education, process improvements, patient satisfaction).
- Completion of an accredited LPN or RN nursing program
- Three years acute care experience in a hospital setting; one year as a utilization review nurse preferred
- Licensed Nurse in the State of Florida
- Demonstrates effective interpersonal and communication skills
- Demonstrates flexibility via an ability to adapt to changing priorities
- Demonstrates good customer relations
- Ability to prioritize assignments and effective time-management skills
- Basic knowledge of clinical and psychosocial aspects of patient care
- Must be detail oriented, flexible, and committed to patient advocacy
- Demonstrates skills in planning, organizing, and managing multiple functions and complex processes
- Excellent verbal and written communication skills required
- Knowledge of basic computer software programs
- Knowledge of area community resources and referrals

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