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Utilization Manager Jobs in Florida (NOW HIRING)

UHS

DIR - UTILIZATION REVIEW / MGMT

Oakland Park, FL · On-site

The Director of Utilization Management is required to meet Foundations standards of customer service and best practices as well as adhere to UHS Code of Conduct. The person must demonstrate excellent ...

UHS

DIR - UTILIZATION REVIEW / MGMT

Oakland Park, FL · On-site

The Director of Utilization Management is required to meet Foundations standards of customer service and best practices as well as adhere to UHS Code of Conduct. The person must demonstrate excellent ...

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$29.1K

$68K

$125.2K

How much do utilization manager jobs pay per year?

As of Jun 6, 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 does a Utilization Manager do?

A Utilization Manager is responsible for evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. Their primary goal is to ensure that patients receive the right care at the right time while also controlling costs for hospitals, insurance companies, or healthcare organizations. Utilization Managers review patient records, coordinate with healthcare providers, and use clinical guidelines to make informed decisions about treatment approvals or denials. They play a key role in maintaining quality care and regulatory compliance.

What are the key skills and qualifications needed to thrive as a Utilization Manager, and why are they important?

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:
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What job categories do people searching Utilization Manager jobs in Florida look for? The top searched job categories for Utilization Manager 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 May 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $68,012 per year, or $32.7 per hour.
FL408d - Utilization Management Physician

FL408d - Utilization Management Physician

Fcs Co

Naples, FL • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Job Description BIG PAYCHECK. EDGEWATER, FL. OUT BY 5. Utilization Management Physician (UMP) Before we talk mission statements... This pays well. Very well. Strong six figures. Negotiable for the right person. Now that we're all honest adults... THE ROLE: Utilization Management Physician (UMP) Full-time. 40 hours. Remote structure. Based out of Edgewater, Florida. Direct reporting to the CMO. Yes - the actual CMO. Not "someone who reports to someone who reports to." You'll be available for phone & Teams, with occasional in-person meetings (think strategic, not sweatpants-destroying daily commute). WHAT YOU'LL ACTUALLY DO
  • Review cases • Make smart, high-level utilization decisions • Use your clinical judgment • Help guide quality and outcomes
No floor rounding. No 2am calls. No hospital politics. WHAT THEY NEED
  • Minimum 3 years UM experience • Board Certified • Active Florida license • Independent thinker • Comfortable operating without being micromanaged
Translation: seasoned, steady, not chaotic. WHY EDGEWATER? Because some people like:
  • Coastal Florida
  • Executive-level visibility
  • A stable schedule
  • And getting paid appropriately for their expertise
Crazy concept. If you're a UM physician who wants: High pay. High trust. High-level reporting. Low nonsense. Tagged as: Physician How to Apply If you are interested and would like more information, please contact Russell Carter at 800-783-9152 ext. 227 or email us at [email protected] regarding job FL408d - Utilization Management Physician, or apply below.

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