Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization.
... department coordination of utilization, other review activities to ensure payment for services is authorized and an active and effective utilization management program is maintained. Work Style:
... department coordination of utilization, other review activities to ensure payment for services is authorized and an active and effective utilization management program is maintained. Work Style:
... department coordination of utilization, other review activities to ensure payment for services is authorized and an active and effective utilization management program is maintained. Work Style:
... department coordination of utilization, other review activities to ensure payment for services is authorized and an active and effective utilization management program is maintained. Work Style:
... coordination of utilization, other review activities to ensure payment for services is authorized and an active and effective utilization management program is maintained. ???? Work Style: Onsite
... coordination of utilization, other review activities to ensure payment for services is authorized and an active and effective utilization management program is maintained. ???? Work Style: Onsite
Utilization Management Professional Integrated Resources, Inc is a premier staffing firm recognized ... Collaborates with the Care Coordination Team to implement support for transitions in care.
Utilization Management Professional Integrated Resources, Inc is a premier staffing firm recognized ... Collaborates with the Care Coordination Team to implement support for transitions in care.
Utilization Management Nurse
Miami, FL · On-site
This role works with Medical Directors, Authorization Coordinators and Service Coordinators to ... Utilization Management nurse in a managed care payer preferred. * One year experience as a case ...
Utilization Management Nurse
Miami, FL · On-site
This role works with Medical Directors, Authorization Coordinators and Service Coordinators to ... Utilization Management nurse in a managed care payer preferred. * One year experience as a case ...
Utilization Management Nurse
Miami, FL · On-site
$60K - $70K/yr
This role works with Medical Directors, Authorization Coordinators and Service Coordinators to ... Utilization Management nurse in a managed care payer preferred. * One year experience as a case ...
Quick apply
Utilization Management Nurse
Miami, FL · On-site
$60K - $70K/yr
This role works with Medical Directors, Authorization Coordinators and Service Coordinators to ... Utilization Management nurse in a managed care payer preferred. * One year experience as a case ...
Collaborates with the Care Coordination Team to implement support for transitions in care ... utilization management activities, including collaboration with other staff on enrolee cases, and ...
Collaborates with the Care Coordination Team to implement support for transitions in care ... utilization management activities, including collaboration with other staff on enrolee cases, and ...
Coordinates on-site review of medical records with reviewers from third party payers. * Documents ... Reports findings to Utilization Management Manager and completes necessary follow up. * Responds to ...
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Coordinates on-site review of medical records with reviewers from third party payers. * Documents ... Reports findings to Utilization Management Manager and completes necessary follow up. * Responds to ...
The Utilization Management Assistant responsibilities include: * Participating on the Utilization ... Provides assistance with coordination of case management services and various administrative duties.
The Utilization Management Assistant responsibilities include: * Participating on the Utilization ... Provides assistance with coordination of case management services and various administrative duties.
We are seeking a Director, Utilization Management to join our team at Independent Living Systems ... Ensure that assigned deliverables are completed on time, including development and coordination of ...
We are seeking a Director, Utilization Management to join our team at Independent Living Systems ... Ensure that assigned deliverables are completed on time, including development and coordination of ...
Utilization Management Coordinator information
See Florida salary details
$11.86 - $13.95
7% of jobs
$15.86 is the 25th percentile. Wages below this are outliers.
$13.95 - $16.04
19% of jobs
$16.04 - $18.13
22% of jobs
The median wage is $18.34 / hr.
$18.13 - $20.22
11% of jobs
$20.22 - $22.31
4% of jobs
$22.31 - $24.40
5% of jobs
$25.28 is the 75th percentile. Wages above this are outliers.
$24.40 - $26.49
14% of jobs
$26.49 - $28.58
10% of jobs
$28.58 - $30.67
4% of jobs
$30.67 - $32.76
2% of jobs
$32.76 - $34.85
1% of jobs
$11
$22
$34
How much do utilization management coordinator jobs pay per hour?
As of Aug 24, 2026, the average hourly pay for utilization management coordinator in Florida is $22.13, according to ZipRecruiter salary data. Most workers in this role earn between $16.01 and $25.87 per hour, depending on experience, location, and employer.
What does a utilization management coordinator do?
A Utilization Management Coordinator is responsible for reviewing and assessing healthcare services to ensure that patients receive appropriate care while managing costs for healthcare providers or insurance companies. They evaluate medical records, coordinate with healthcare professionals, and help determine if certain treatments or procedures are medically necessary according to established guidelines. Their goal is to optimize the use of healthcare resources, prevent unnecessary treatments, and support quality patient outcomes.
What are the key skills and qualifications needed to thrive as a utilization management coordinator?
To thrive as a Utilization Management Coordinator, you need a background in healthcare or nursing, knowledge of medical terminology, and experience in case management or utilization review, often supported by a relevant degree or certification (such as RN or LPN). Familiarity with utilization management software, electronic health records (EHRs), and insurance authorization platforms is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this role. These capabilities ensure accurate review of medical cases, compliance with regulations, and efficient coordination between providers, payers, and patients.
How does a utilization management coordinator typically collaborate with clinical staff and insurance providers?
A Utilization Management Coordinator serves as a vital link between healthcare providers, clinical staff, and insurance companies. They regularly communicate with physicians and nurses to gather clinical information, review treatment plans, and ensure that proposed services meet medical necessity criteria. Coordinators also interact with insurance providers to obtain pre-authorizations, clarify coverage policies, and appeal denied claims when appropriate. Effective collaboration and strong communication skills are essential, as the role requires balancing the needs of patients, providers, and payers while ensuring timely and cost-effective care.
What degree do you need for utilization management coordinator?
A utilization management coordinator typically needs at least a bachelor's degree in healthcare administration, nursing, or a related field. Relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Strong knowledge of medical terminology, insurance processes, and data analysis tools is also important.
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 are popular job titles related to Utilization Management Coordinator jobs in Florida?
For Utilization Management Coordinator jobs in Florida, the most frequently searched job titles are:
- Prn Utilization Review
- Non Clinical Utilization Review
- Utilization Review Physician
- Part Time Utilization Review Nurse
- Commission Cvs Health Utilization Management
- Non Exempt No Experience Utilization Management Nurse
- Optum Clinical Review Coordinator
- No Experience Utilization Management Nurse
- Therapist Utilization Review Remote
- Full Time Physician Advisor Utilization Review
What job categories do people searching Utilization Management Coordinator jobs in Florida look for?
The top searched job categories for Utilization Management Coordinator jobs in Florida are:
What cities in Florida are hiring for Utilization Management Coordinator jobs?
Cities in Florida with the most Utilization Management Coordinator job openings:
Other
Re-posted 28 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