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Utilization Manager Jobs in New Port Richey, FL (NOW HIRING)

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 ...

New

Molina Healthcare

Auditor, Clinical Services

Tampa, FL · On-site

$29.05 - $56.64/hr

Essential Job Duties Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with ...

Molina Healthcare

Auditor, Clinical Services

Tampa, FL · On-site

$29.05 - $56.64/hr

Essential Job Duties Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with ...

Molina Healthcare

Trainer, Clinical Services

Tampa, FL · Remote

$29.05 - $56.64/hr

Responsible for the development, implementation, and delivery of training curriculum for utilization management, care management, and long-term services and supports (LTSS) staff. Leads classes ...

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

Utilization Manager information

See New Port Richey, FL salary details

$34.7K

$81.1K

$149.2K

How much do utilization manager jobs pay per year?

As of Aug 10, 2026, the average yearly pay for utilization manager in New Port Richey, FL is $81,063.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,000.00 and $97,500.00 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 cities near New Port Richey, FL are hiring for Utilization Manager jobs? Cities near New Port Richey, FL with the most Utilization Manager job openings:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in New Port Richey, FL as of August 2026, with employment types broken down into 81% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $81,063 per year, or $39 per hour.

Registered Nurse - Case Manager

GiaCare

Tampa, FL • On-site

Other

Posted 2 days ago

New

Job description

Case Manager Rn Opportunity At Macdill Air Force Base

GiaCare Inc. is accepting applications from experienced Case 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 a collaborative care team as a Case Manager RN, coordinating care transitions and complex-case management for active-duty service members, retirees, and their families across the 6 MDG system of care.

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
  • Assess, plan, implement, and coordinate individualized case management plans for patients with complex medical or psychosocial needs
  • Coordinate care transitions, referrals, and discharge planning across the interdisciplinary care team
  • Identify and connect patients with appropriate community and military health system resources
  • Monitor high-risk and complex patients to support continuity of care and reduce avoidable utilization
  • Collaborate with providers, utilization management, and behavioral health staff on shared cases
  • Document case management activity accurately 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; case 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 RN case manager, plus one of 8 named case-management certifications
Preferred Qualifications
  • Certified Case Manager (CCM) credential or equivalent
  • Experience in case management within a military treatment facility or TRICARE-network setting
  • Strong care coordination, documentation, and interdisciplinary 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.

Apply