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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 ...

Solis Health Plans

Utilization Management Nurse

Miami, FL · On-site

$60K - $70K/yr

Under the supervision of the Health Services Director, the Utilization Management Nurse (LPN or RN) ... One year experience as a case manager in a payer or facility setting highly preferred. * Discharge ...

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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 11, 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 are popular job titles related to Utilization Manager jobs in Florida? For Utilization Manager jobs in Florida, the most frequently searched job titles are:
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 August 2026, with employment types broken down into 33% Full Time, and 67% Contract. Highlights an 100% In-person job distribution, with an average salary of $68,012 per year, or $32.7 per hour.

RN, Utilization Management | Utilization Management| Day| Full Time

UF Health

Saint Augustine, FL • On-site

Full-time

Posted 26 days ago

Job description

Overview
The RN Utilization Management plays a critical role in evaluating patient medical records to ensure the necessity and appropriateness of healthcare services. Involves coordinating with healthcare providers to maintain compliance with utilization management guidelines and optimizing treatment plans for effective patient care and resource utilization. Requires clear communication of authorization decisions and ongoing monitoring to support timely discharge planning. Analyzes utilization data to identify trends and collaborates with interdisciplinary teams to enhance care coordination while ensuring accurate documentation and regulatory compliance
Hybrid:
2 days a week at home and 3 days a week in the office. Occasional weekends and one holiday.
⌚Hours: 0800-1630
Responsibilities
An incumbent in this position will
• Evaluates patient medical records to ensure necessity and appropriateness of healthcare services.
• Coordinates with healthcare providers to maintain compliance with utilization management guidelines.
• Optimizes treatment plans for effective patient care and resource utilization.
• Communicates authorization decisions clearly and supports timely discharge planning.
• Analyzes utilization data to identify trends and improve care coordination.
• Collaborates with interdisciplinary teams to ensure accurate documentation and regulatory compliance.
Qualifications
Required: Registered Nurse (RN) with a current Florida license required.
• 3+ years experience in utilization review or case management
• Knowledge of healthcare utilization guidelines and compliance
• Experience evaluating medical necessity and treatment plans
• Strong communication skills for authorization decisions
• Ability to analyze utilization data and support care coordination
Licensure/Certification/Registration:
  • Registered Nurse (RN) with a current Florida license required.

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