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Utilization Manager Jobs in Deltona, FL (NOW HIRING)

Halifax Health

Nurse Case Manager

Daytona Beach, FL

The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance ...

Halifax Health

Nurse Case Manager

Daytona Beach, FL · On-site

The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance ...

Halifax Health

Nurse Case Manager

Daytona Beach, FL · On-site

The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance ...

Halifax Health

Nurse Case Manager

Daytona Beach, FL · On-site

The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Deltona, FL

Utilization Manager information

See Deltona, FL salary details

$33.6K

$78.4K

$144.3K

How much do utilization manager jobs pay per year?

As of Aug 25, 2026, the average yearly pay for utilization manager in Deltona, FL is $78,416.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,300.00 and $94,300.00 per year, depending on experience, location, and employer.

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 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 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 cities near Deltona, FL are hiring for Utilization Manager jobs?

Cities near Deltona, FL with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Deltona, FL as of August 2026, with employment types broken down into 85% Full Time, 14% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $78,416 per year, or $37.7 per hour.

Utilization Management Physician needed in Daytona Beach, FL (Remote)

HealthPlus Staffing

Daytona Beach, FL • Remote

Full-time

Medical, Retirement, PTO

Re-posted 16 days ago

Job description

Utilization Management Physician (UMP)

Remote | Full-Time | Florida

Compensation: $240,000 base + bonus
Schedule: 40 hours/week
Work Model: Remote (on-site meetings in Daytona Beach, FL)

Overview
Seeking an experienced Utilization Management Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical determinations using evidence-based criteria.

Responsibilities

  • Review pre-auths, concurrent reviews, claims, and appeals

  • Make medical necessity determinations using MCG/InterQual/CMS criteria

  • Conduct peer-to-peer reviews and support UM staff

  • Participate in committees and provider education as needed

Requirements

  • MD or DO with active, unrestricted Florida license

  • 3+ years UM Physician experience

  • 3–7 years clinical experience

  • Managed care experience required

  • Available via phone, email, and Teams

Benefits

  • Bonus opportunity

  • 401(k)

  • Health benefits

  • Malpractice coverage

  • PTO + CME

  • Licenses, fees, travel, and relocation reimbursed

About Us:

HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates.

Our Promise:

  • We will put you in front of the decision makers.
  • We will provide feedback on your application.
  • We will work on your behalf to obtain as much info as you need to make a well-informed decision.

If interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We look forward to finding your next position!

The HealthPlus Team.