ZipRecruiter

Log In

1

Utilization Manager Jobs in Florida (NOW HIRING)

UHS

DIR - UTILIZATION REVIEW / MGMT

Jacksonville, FL · On-site

Responsibilities The Utilization Review Director is responsible for directing and overseeing the Utilization Management Department. This includes the implementation of case management scenarios ...

next page

Showing results 1-20

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Florida

Utilization Manager information

See Florida salary details

$29.1K

$68K

$125.2K

How much do utilization manager jobs pay per year?

As of Aug 9, 2026, the average yearly pay for utilization manager in Florida is $68,012.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,500.00 and $81,800.00 per year, depending on experience, location, and employer.

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

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What are some common challenges faced by utilization managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What is a utilization manager?

A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound in similar settings, often working under Utilization Managers

In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.

More about Utilization Manager jobs
What are the most commonly searched types of Utilization jobs in Florida? The most popular types of Utilization jobs in Florida are:
What cities in Florida are hiring for Utilization Manager jobs? Cities in Florida with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in FL? For Utilization Manager jobs in FL, the most frequently searched job titles are:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Florida as of August 2026, with employment types broken down into 86% Full Time, 11% Part Time, 1% Temporary, 1% Contract, and 1% Nights. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $68,012 per year, or $32.7 per hour.

Registered Nurse - Utilization Manager

Giacare Inc

Tampa, FL • On-site

Full-time

Posted yesterday

New

Job description

GiaCare Inc. is accepting applications from experienced Utilization Managers (RN) for a future opportunity supporting MacDill Air Force Base at Tampa, Florida.

This position is being recruited in anticipation of contract award. Qualified candidates will be considered for employment upon contract award.

About the Opportunity

Join the 6 MDG healthcare team as a Utilization Manager RN, applying clinical review criteria to support appropriate, efficient use of care for active-duty service members, retirees, and their families.

Schedule
  • Full-Time
  • Monday–Friday
  • 9-hour shifts, duty hours 0730–1630
  • 60-minute unpaid lunch
  • Not to exceed 40 hours per week
  • No on-call
Responsibilities
  • Conduct utilization review and medical necessity determinations using established clinical criteria
  • Review admissions, continued stay, and level-of-care decisions in coordination with providers
  • Support the facility's utilization management program and related reporting requirements
  • Collaborate with case management, providers, and MTF leadership on utilization trends
  • Accurately and timely report data through required government reporting systems
  • Document review activity within the electronic medical record
Minimum Qualifications
  • U.S. Citizen, U.S. national, lawful permanent resident, or individual otherwise authorized to work in the United States
  • Associate's Degree of Nursing
  • Current, full, active, unrestricted Registered Nurse license in any U.S. state, territory, or the District of Columbia
  • Prior clinical nursing experience; utilization review/utilization management experience strongly preferred
  • Current Basic Life Support (BLS) certification (or willing to obtain)
  • Able to pass a Tier 1 (or higher) background investigation for facility and network access
  • 3 years in last 4 years as a registered nurse in utilization management
Preferred Qualifications
  • Experience applying InterQual, MCG, or comparable utilization review criteria
  • Experience in utilization management within a military treatment facility or managed-care setting
  • Strong analytical, documentation, and cross-team communication skills
Why GiaCare?

GiaCare is dedicated to supporting our nation's military by connecting exceptional healthcare professionals with military treatment facilities throughout the United States. Our team is committed to delivering high-quality patient care while providing meaningful career opportunities for healthcare professionals.

This position is being recruited in anticipation of contract award. Employment is contingent upon contract award and successful completion of all pre-employment requirements.