ZipRecruiter

Log In

1

Utilization Management Jobs in Altamonte Springs, FL

MedWatch

Medical Review Specialist / RN

Lake Mary, FL · Remote

$61K - $68K/yr

Upon request, the patient, facility, provider or other health care professionals are informed of specific utilization management requirements or procedures. * Perform preadmission review for medical ...

New

MedWatch, LLC

Medical Review Specialist / RN

Lake Mary, FL · On-site +1

$61K - $68K/yr

Upon request, the patient, facility, provider or other health care professionals are informed of specific utilization management requirements or procedures. * Perform preadmission review for medical ...

Akerman

Manager of Paralegal Services

Orlando, FL · Hybrid

Partner with Human Resources on employee relations, performance management, and talent development. * Monitor utilization, workload, productivity, and staffing across offices and practice groups.

MRIoA

Child & Adolescent Psychiatrist

Orlando, FL · On-site +1

... utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently ...

previous pagenext page

Showing results 21-40

All JobsUtilization Management JobsUtilization Management Jobs in Altamonte Springs, FL

Utilization Management information

See Altamonte Springs, FL salary details

$36.7K

$84.2K

$153.4K

How much do utilization management jobs pay per year?

As of Sep 7, 2026, the average yearly pay for utilization management in Altamonte Springs, FL is $84,201.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,700.00 and $98,300.00 per year, depending on experience, location, and employer.

What is utilization management?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a utilization management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

What are the key skills and qualifications needed to thrive in utilization management, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What degree is needed for utilization management?

Utilization management professionals typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Some roles may require a master's degree or professional certifications such as Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Experience in healthcare settings and knowledge of medical terminology and insurance processes are also important.

What job categories do people searching Utilization Management jobs in Altamonte Springs, FL look for?

The top searched job categories for Utilization Management jobs in Altamonte Springs, FL are:

What cities near Altamonte Springs, FL are hiring for Utilization Management jobs?

Cities near Altamonte Springs, FL with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Altamonte Springs, FL as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 21% Part Time, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $84,201 per year, or $40.5 per hour.

UTILIZATION REV SPEC I

Aspire Health Partners

Orlando, FL • On-site

Other

Re-posted 22 days ago

Aspire Health Partners rating

4.8

Company rating: 4.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Behavioral Health Utilization Review Specialist I

Aspire Health Partners, Inc.

Make a Difference in Behavioral Health Care

At Aspire Health Partners, we are dedicated to transforming lives through compassionate, high-quality behavioral healthcare. As Florida’s largest nonprofit behavioral health provider, we serve diverse populations across Central Florida and are committed to clinical excellence and meaningful impact.

We are currently seeking a Utilization Review Specialist to join our team and play a key role in ensuring our clients receive the care they need while supporting effective coordination with insurance providers.

Position Summary

In this role, you will coordinate and manage insurance utilization review activities for hospitalized clients. You’ll work closely with clinical teams, insurance representatives, and internal departments to ensure timely authorizations, support treatment planning, and contribute to high-quality patient outcomes.

Key Responsibilities

  • Partner daily with the Access Center and/or Crisis Response Center (CRC) to identify clients needing utilization review
  • Communicate clinical information to insurance reviewers to secure authorizations and extended lengths of stay
  • Collaborate with attending psychiatrists on clinical assessments and treatment recommendations
  • Participate in interdisciplinary treatment team meetings to support care for managed care clients
  • Provide constructive clinical feedback to enhance service delivery and patient care
  • Ensure accurate authorization details are submitted to Patient Accounts for billing
  • Review client charts for potential denial issues and support appeal processes when needed
  • Maintain strict adherence to ethical standards, confidentiality, and organizational policies

Qualifications

Required:

  • High School Diploma or equivalent
  • Level II Background clearance- All Aspire Health Partners Internships and Careers require Level 2 clearance, with Aspire covering fingerprinting costs. Click https://info.flclearinghouse.c... to learn more.
  • Valid driver’s license with an acceptable driving record per organizational guidelines

Preferred:

  • Experience in behavioral health, utilization review, or managed care environments
  • LPN or RN experience
  • Strong communication, documentation, and organizational skills

Why Join Aspire?

  • Mission-driven organization making a real impact in your community
  • Collaborative, team-focused work environment
  • Opportunities for growth and professional development
  • A role where your work directly supports quality care and patient outcomes

Equal Opportunity Employer

Aspire Health Partners is a drug-free workplace and an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will be considered without regard to race, color, religion, national origin, sex, age, disability, or veteran status.


PIac5d3e132d66-37820-32331851

What Aspire Health Partners employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply