Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Coordinates with healthcare providers to ensure compliance with utilization management guidelines. * Supports the optimization of treatment plans to promote effective patient care and appropriate ...
Overview Make an impact by supporting the right care at the right time through utilization management excellence. Work Style: Onsite Location: Leesburg, FL FTE: PRN (.10 FTE) ⏰ Schedule: Variable ...
Overview Make an impact by supporting the right care at the right time through utilization management excellence. Work Style: Onsite Location: Leesburg, FL FTE: PRN (.10 FTE) ⏰ Schedule: Variable ...
Overview Make an impact by supporting the right care at the right time through utilization management excellence. ???? Work Style: Onsite ???? Location: Leesburg, FL ???? FTE: PRN (.10 FTE) ⏰ ...
Overview Make an impact by supporting the right care at the right time through utilization management excellence. ???? Work Style: Onsite ???? Location: Leesburg, FL ???? FTE: PRN (.10 FTE) ⏰ ...
Previous experience in utilization management is strongly preferred. ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct ...
Previous experience in utilization management is strongly preferred. ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct ...
Utilization Specialist
Ocklawaha, FL · On-site
$20/hr
Previous experience in utilization management is strongly preferred. Responsibilities ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical ...
Utilization Specialist
Ocklawaha, FL · On-site
$20/hr
Previous experience in utilization management is strongly preferred. Responsibilities ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical ...
Previous experience in utilization management is strongly preferred. Responsibilities ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical ...
Previous experience in utilization management is strongly preferred. Responsibilities ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record ...
The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record ...
Oncology Nurse Advocate
Inverness, FL · On-site
Experience in case management, discharge planning, eligibility or membership, utilization management. Certifications: Oncology Certified Nurse (OCN) Licensure: Current Florida RN or NP Preferred: BSN ...
Oncology Nurse Advocate
Inverness, FL · On-site
Experience in case management, discharge planning, eligibility or membership, utilization management. Certifications: Oncology Certified Nurse (OCN) Licensure: Current Florida RN or NP Preferred: BSN ...
Oncology Nurse Advocate
Inverness, FL · On-site
Experience in case management, discharge planning, eligibility or membership, utilization management. Certifications: Oncology Certified Nurse (OCN) Licensure: Current Florida RN or NP Preferred: BSN ...
Oncology Nurse Advocate
Inverness, FL · On-site
Experience in case management, discharge planning, eligibility or membership, utilization management. Certifications: Oncology Certified Nurse (OCN) Licensure: Current Florida RN or NP Preferred: BSN ...
Partner with operations to improve utilization and efficiency. * Assist in resolving billing ... The Account Manager does not run the crews, but ensures alignment between promise and execution.
Partner with operations to improve utilization and efficiency. * Assist in resolving billing ... The Account Manager does not run the crews, but ensures alignment between promise and execution.
Account Manager
Ocala, FL · On-site
Partner with operations to improve utilization and efficiency. * Assist in resolving billing ... The Account Manager does not run the crews, but ensures alignment between promise and execution.
Account Manager
Ocala, FL · On-site
Partner with operations to improve utilization and efficiency. * Assist in resolving billing ... The Account Manager does not run the crews, but ensures alignment between promise and execution.
Case Manager| Case Management| Variable| PRN
Leesburg, FL · On-site
$17.75 - $22.75/hr
The key goals of the Case Manager include proactive, individualized planning for patients progress that optimizes quality of care, utilization, cost and patient satisfaction. Qualifications Education:
Case Manager| Case Management| Variable| PRN
Leesburg, FL · On-site
$17.75 - $22.75/hr
The key goals of the Case Manager include proactive, individualized planning for patients progress that optimizes quality of care, utilization, cost and patient satisfaction. Qualifications Education:
Case Manager| Case Management| Variable| PRN
Leesburg, FL · On-site
$17.75 - $22.75/hr
The key goals of the Case Manager include proactive, individualized planning for patients progress that optimizes quality of care, utilization, cost and patient satisfaction. Qualifications Education:
Case Manager| Case Management| Variable| PRN
Leesburg, FL · On-site
$17.75 - $22.75/hr
The key goals of the Case Manager include proactive, individualized planning for patients progress that optimizes quality of care, utilization, cost and patient satisfaction. Qualifications Education:
The key goals of the Case Manager include proactive, individualized planning for patients progress that optimizes quality of care, utilization, cost and patient satisfaction. Qualifications Education ...
The key goals of the Case Manager include proactive, individualized planning for patients progress that optimizes quality of care, utilization, cost and patient satisfaction. Qualifications Education ...
The key goals of the Case Manager include proactive, individualized planning for patients progress that optimizes quality of care, utilization, cost and patient satisfaction. Qualifications Education ...
The key goals of the Case Manager include proactive, individualized planning for patients progress that optimizes quality of care, utilization, cost and patient satisfaction. Qualifications Education ...
The key goals of the Case Manager include proactive, individualized planning for patients progress that optimizes quality of care, utilization, cost and patient satisfaction. Qualifications Education ...
The key goals of the Case Manager include proactive, individualized planning for patients progress that optimizes quality of care, utilization, cost and patient satisfaction. Qualifications Education ...
The key goals of the Case Manager include proactive, individualized planning for patients progress that optimizes quality of care, utilization, cost and patient satisfaction. Qualifications Education ...
The key goals of the Case Manager include proactive, individualized planning for patients progress that optimizes quality of care, utilization, cost and patient satisfaction. Qualifications Education ...
Utilization Manager information
See Ocala, FL salary details
$36.2K - $47.1K
9% of jobs
$55.1K is the 25th percentile. Wages below this are outliers.
$47.1K - $58K
22% of jobs
$58K - $68.8K
11% of jobs
The median wage is $75.5K / yr.
$68.8K - $79.7K
14% of jobs
$79.7K - $90.5K
12% of jobs
$97.3K is the 75th percentile. Wages above this are outliers.
$90.5K - $101.4K
13% of jobs
$101.4K - $112.2K
13% of jobs
$112.2K - $123.1K
5% of jobs
$123.1K - $134K
2% of jobs
$134K - $144.8K
0% of jobs
$144.8K - $155.7K
0% of jobs
$36.2K
$84.6K
$155.7K
How much do utilization manager jobs pay per year?
As of Aug 22, 2026, the average yearly pay for utilization manager in Ocala, FL is $84,585.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,300.00 and $101,800.00 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?
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found 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 Ocala, FL?
The most popular types of Utilization jobs in Ocala, FL are:
What job categories do people searching Utilization Manager jobs in Ocala, FL look for?
The top searched job categories for Utilization Manager jobs in Ocala, FL are:
What cities near Ocala, FL are hiring for Utilization Manager jobs?
Cities near Ocala, FL with the most Utilization Manager job openings:
Other
Re-posted 27 days ago
Job description
Clinical Team Member
Join an onsite clinical team focused on ensuring the right care at the right time for every patient.
Work Style: Onsite Location: The Villages, FL FTE: Full-Time (1.0 FTE) Schedule: Monday – Friday (occasional weekends required)
Evaluates patient medical records to determine the medical necessity and appropriateness of healthcare services in alignment with utilization management guidelines. Collaborates with healthcare providers to support compliance, optimize treatment plans, and promote efficient resource utilization.
Communicates authorization decisions clearly and monitors patient progress to support timely discharge planning. Analyzes utilization data to identify trends and opportunities for process improvement.
Partners with interdisciplinary teams to enhance care coordination, ensure accurate documentation, and maintain compliance with regulatory and organizational standards.
Key Responsibilities- Evaluates patient medical records to ensure the necessity and appropriateness of healthcare services.
- Coordinates with healthcare providers to ensure compliance with utilization management guidelines.
- Supports the optimization of treatment plans to promote effective patient care and appropriate resource utilization.
- Communicates authorization decisions clearly and supports timely discharge planning.
- Analyzes utilization data to identify trends and opportunities to improve care coordination.
- Collaborates with interdisciplinary teams to ensure accurate documentation and regulatory compliance.
Education & Experience:
Registered Nurse (RN) with a current Florida license required.
- Three (3) years of critical care nursing experience, or
- Five (5) years of medical-surgical nursing experience, or
- Three (3) years of utilization review, case management, or third-party payer experience.
Qualifications
- Active Registered Nurse (RN) license with 3+ years of experience in utilization review or case management.
- Strong knowledge of healthcare utilization management guidelines and regulatory compliance.
- Experience evaluating medical necessity and optimizing treatment plans.
- Excellent communication skills with the ability to clearly convey authorization decisions.
- Ability to analyze utilization data and support effective care coordination.
- Strong organizational skills with the ability to manage multiple priorities simultaneously.
- Ability to work independently and collaboratively with multidisciplinary teams.
- Strong attention to detail and innovative problem-solving skills.
- Flexibility to adjust work hours and days based on departmental needs.
Motor Vehicle Operator Designation: Employees in this position will not operate vehicles for an assigned business purpose.
Note: Please indicate the appropriate operator designation on the Request for Personnel (RFP) form at the time of submission.
Licensure/Certification/Registration:
- Registered Nurse (RN) with a current Florida license required.
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958