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Utilization Management Jobs in New Port Richey, FL

Healthcare Support Staffing

RN Case Manager

Tampa, FL

$27 - $32/hr

Disease Management Experience / Asthma exp preferred 1-2 years of telephonic case management 1-2 years of managed care and or Utilization Management exp Knowledge of coding, medical terminology and ...

GiaCare

Registered Nurse - Case Manager

Tampa, FL · On-site

Collaborate with providers, utilization management, and behavioral health staff on shared cases * Document case management activity accurately within the electronic medical record Minimum ...

Elevance Health

Nurse Reviewer 1

Tampa, FL · On-site

Familiarity with Utilization Management Guidelines, ICD-10 and CPT-4 coding, and managed health care including HMO, PO and POS plans strongly preferred. * Previous utilization and/or quality ...

Elevance Health

Nurse Reviewer 1

Tampa, FL · On-site

Familiarity with Utilization Management Guidelines, ICD-10 and CPT-4 coding, and managed health care including HMO, PO and POS plans strongly preferred. * Previous utilization and/or quality ...

TJM Properties

LPN Charge Nurse/MDS Coordinator

Belleair, FL · On-site

$31 - $39.50/hr

Conduct ongoing education for staff on documentation improvement strategies, utilization management, and coding updates related to ICD coding systems. * Monitor quality metrics related to clinical ...

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All JobsUtilization Management JobsUtilization Management Jobs in New Port Richey, FL

Utilization Management information

See New Port Richey, FL salary details

$34.7K

$79.7K

$145.2K

How much do utilization management jobs pay per year?

As of Aug 17, 2026, the average yearly pay for utilization management in New Port Richey, FL is $79,701.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,400.00 and $93,100.00 per year, depending on experience, location, and employer.

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 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 popular job titles related to Utilization Management jobs in New Port Richey, FL?

For Utilization Management jobs in New Port Richey, FL, the most frequently searched job titles are:

What job categories do people searching Utilization Management jobs in New Port Richey, FL look for?

The top searched job categories for Utilization Management jobs in New Port Richey, FL are:

What cities near New Port Richey, FL are hiring for Utilization Management jobs?

Cities near New Port Richey, FL with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in New Port Richey, FL as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, and 7% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $79,701 per year, or $38.3 per hour.

RN Case Manager

Healthcare Support Staffing

Tampa, FL

$27 - $32/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 days ago

Job description

Company Description

Are you an experienced Administrative Assistant looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!

Job Description
  • Calling on patients to review and advise on care planning. May also be speaking with providers to work out any issues with plan. Must be very strong on the phone and have solid case management exp.
Qualifications

Must have valid RN License in FL

2 - 5 years of solid Case/Care management exp.

Disease Management Experience / Asthma exp preferred

1-2 years of telephonic case management

1-2 years of managed care and or Utilization Management exp

Knowledge of coding, medical terminology and care planning a must.

Graduate of an accredited college or university with at least an Associate's in Science degree, Bachelor's degree in health-related field

Preferred Bilingual, English Spanish


Additional Information

 Hours for this Position:

M-F 8:00-5:00

Advantages of this Opportunity: 

Competitive salary $27 - $32 per hr. 

Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO 

Growth potential 

Fun and positive work environment


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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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