Manager of Paralegal Services
Orlando, FL · On-site
Partner with Human Resources on employee relations, performance management, and talent development. * Monitor utilization, workload, productivity, and staffing across offices and practice groups.
Orlando, FL · On-site
Partner with Human Resources on employee relations, performance management, and talent development. * Monitor utilization, workload, productivity, and staffing across offices and practice groups.
Orlando, FL · On-site
Partner with Human Resources on employee relations, performance management, and talent development. * Monitor utilization, workload, productivity, and staffing across offices and practice groups.
$18 - $24.25/hr
Identifies and removes barriers to appropriate utilization of resources for patients leverages health system solutions, including effective communication with management, to remove barriers as they ...
New
$18 - $24.25/hr
Identifies and removes barriers to appropriate utilization of resources for patients leverages health system solutions, including effective communication with management, to remove barriers as they ...
New
Orlando, FL · On-site
$18 - $24.25/hr
Identifies and removes barriers to appropriate utilization of resources for patients leverages health system solutions, including effective communication with management, to remove barriers as they ...
New
Orlando, FL · On-site
$18 - $24.25/hr
Identifies and removes barriers to appropriate utilization of resources for patients leverages health system solutions, including effective communication with management, to remove barriers as they ...
New
Orlando, FL · On-site
$200 - $250/hr
Job Details Job Location: FL, Lake Butler - Reception & Medical Center Main - Lake Butler, FL 32054 Position Type: Full-Time Travel Percentage: None Job Shift: Day Job Category: Medical Physician ...
Orlando, FL · On-site
$200 - $250/hr
Job Details Job Location: FL, Lake Butler - Reception & Medical Center Main - Lake Butler, FL 32054 Position Type: Full-Time Travel Percentage: None Job Shift: Day Job Category: Medical Physician ...
Perform utilization management reviews to determine medical necessity and appropriateness of care, using nationally recognized criteria (e.g., MCG, InterQual, CMS guidelines). * Collaborate with UM ...
New
Perform utilization management reviews to determine medical necessity and appropriateness of care, using nationally recognized criteria (e.g., MCG, InterQual, CMS guidelines). * Collaborate with UM ...
New
The Medical Director is responsible for utilization management, medical necessity clinical reviews of both inpatient and outpatient authorizations, appeals medical necessity reviews, and peer to peer ...
New
The Medical Director is responsible for utilization management, medical necessity clinical reviews of both inpatient and outpatient authorizations, appeals medical necessity reviews, and peer to peer ...
New
Orlando, FL · On-site
Communicate and collaborate with Utilization Management regarding patient status, changes in plan of care, and risk for denials * Identifies high risk patients through the initial admission ...
Orlando, FL · On-site
Communicate and collaborate with Utilization Management regarding patient status, changes in plan of care, and risk for denials * Identifies high risk patients through the initial admission ...
Orlando, FL · On-site
Communicate and collaborate with Utilization Management regarding patient status, changes in plan of care, and risk for denials * Identifies high risk patients through the initial admission ...
Orlando, FL · On-site
Communicate and collaborate with Utilization Management regarding patient status, changes in plan of care, and risk for denials * Identifies high risk patients through the initial admission ...
Orlando, FL · On-site
Communicate and collaborate with Utilization Management regarding patient status, changes in plan of care, and risk for denials * Identifies high risk patients through the initial admission ...
Orlando, FL · On-site
Communicate and collaborate with Utilization Management regarding patient status, changes in plan of care, and risk for denials * Identifies high risk patients through the initial admission ...
Minimum 5 years' experience in medical management (Case Management, Utilization Management) * Training experience preferred PROFESSIONAL COMPETENCIES (List professional knowledge, attitude, and ...
Minimum 5 years' experience in medical management (Case Management, Utilization Management) * Training experience preferred PROFESSIONAL COMPETENCIES (List professional knowledge, attitude, and ...
Orlando, FL · On-site
Communicate and collaborate with Utilization Management regarding patient status, changes in plan of care, and risk for denials * Identifies high risk patients through the initial admission ...
Orlando, FL · On-site
Communicate and collaborate with Utilization Management regarding patient status, changes in plan of care, and risk for denials * Identifies high risk patients through the initial admission ...
Mount Dora, FL · On-site
Experience with care or utilization management a plus but not required. * Computer skills and proficiency required Full-Time/Part-Time Full-Time Tags Pay Rate This position is currently accepting ...
Mount Dora, FL · On-site
Experience with care or utilization management a plus but not required. * Computer skills and proficiency required Full-Time/Part-Time Full-Time Tags Pay Rate This position is currently accepting ...
Mount Dora, FL · On-site
Experience with care or utilization management a plus but not required. * Computer skills and proficiency required Full-Time/Part-Time Full-Time Tags Pay Rate This position is currently accepting ...
Mount Dora, FL · On-site
Experience with care or utilization management a plus but not required. * Computer skills and proficiency required Full-Time/Part-Time Full-Time Tags Pay Rate This position is currently accepting ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Maitland, FL · On-site
$51K/yr
Ensure services and treatment are delivered from a strength-based framework and customized in order to meet individualized needs of consumers and are culturally competent. 3. Utilization Management ...
Maitland, FL · On-site
$51K/yr
Ensure services and treatment are delivered from a strength-based framework and customized in order to meet individualized needs of consumers and are culturally competent. 3. Utilization Management ...
Ensure services and treatment are delivered from a strength-based framework and customized in order to meet individualized needs of consumers and are culturally competent. 3. Utilization Management ...
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Ensure services and treatment are delivered from a strength-based framework and customized in order to meet individualized needs of consumers and are culturally competent. 3. Utilization Management ...
Maitland, FL · On-site
$51K/yr
Ensure services and treatment are delivered from a strength-based framework and customized in order to meet individualized needs of consumers and are culturally competent. 3. Utilization Management ...
New
Maitland, FL · On-site
$51K/yr
Ensure services and treatment are delivered from a strength-based framework and customized in order to meet individualized needs of consumers and are culturally competent. 3. Utilization Management ...
New
Maitland, FL · On-site
$51K/yr
Ensure services and treatment are delivered from a strength-based framework and customized in order to meet individualized needs of consumers and are culturally competent. 3. Utilization Management ...
Maitland, FL · On-site
$51K/yr
Ensure services and treatment are delivered from a strength-based framework and customized in order to meet individualized needs of consumers and are culturally competent. 3. Utilization Management ...
$36.7K - $47.3K
15% of jobs
$47.3K - $57.9K
8% of jobs
$59.4K is the 25th percentile. Wages below this are outliers.
$57.9K - $68.5K
15% of jobs
The median wage is $75.2K / yr.
$68.5K - $79.1K
20% of jobs
$79.1K - $89.7K
11% of jobs
$95K is the 75th percentile. Wages above this are outliers.
$89.7K - $100.3K
13% of jobs
$100.3K - $110.9K
5% of jobs
$110.9K - $121.6K
3% of jobs
$121.6K - $132.2K
4% of jobs
$132.2K - $142.8K
3% of jobs
$142.8K - $153.4K
3% of jobs
$36.7K
$84.2K
$153.4K
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.
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.
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.
The top searched job categories for Utilization Management jobs in Altamonte Springs, FL are:
Cities near Altamonte Springs, FL with the most Utilization Management job openings:

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Law firms
1,001 - 5,000 Employees
Miami, FL, US
1920