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Utilization Review Manager Jobs in Destin, FL (NOW HIRING)

Case Manager

Navarre, FL ยท On-site

$18.50 - $23.75/hr

Twelve Oaks is seeking a compassionate and organized Case Manager to coordinate patient care ... utilization review preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: โ€ข Current license required ...

Case Manager

Navarre, FL

$18.50 - $23.75/hr

Previous experience in case management and/or utilization review preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: Current license required within the state the facility is operating in if required.

Case Manager

Navarre, FL

$18.50 - $23.75/hr

Twelve Oaks is seeking a compassionate and organized Case Manager to coordinate patient care ... utilization review preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: ยท Current license required ...

... management analysis activities. Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend ...

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... management analysis activities. Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend ...

New

... management analysis activities. Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend ...

New

... management analysis activities. Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend ...

New

... management analysis activities. Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend ...

New

... management analysis activities. Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend ...

New

... management analysis activities. Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend ...

New

... management analysis activities. Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend ...

New

... management analysis activities. Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend ...

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Showing results 1-20

Utilization Review Manager information

See Destin, FL salary details

$35.4K

$82.6K

$152K

How much do utilization review manager jobs pay per year?

As of Aug 31, 2026, the average yearly pay for utilization review manager in Destin, FL is $82,578.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $99,400.00 per year, depending on experience, location, and employer.

What does a utilization review manager do?

A Utilization Review Manager oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that patient care adheres to established guidelines and that healthcare resources are used effectively. Their duties typically include leading a team of reviewers, collaborating with healthcare providers, ensuring compliance with regulations, and making recommendations on care authorization. The goal is to balance quality patient care with cost-effective resource management.

What are the key skills and qualifications needed to thrive as a utilization review manager?

To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.

What are some common challenges faced by utilization review managers in balancing patient care and cost efficiency?

Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.

What is the difference between Utilization Review Manager vs Utilization Review Coordinator?

AspectUtilization Review ManagerUtilization Review Coordinator
CertificationsTypically requires certifications like CCM or ACUMay require similar certifications but often less advanced
Work EnvironmentSupervises review teams, manages processes in healthcare or insurance settingsPerforms case reviews, supports the review process under supervision
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare providers, third-party administrators

The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.

How much does a utilization review manager make?

A utilization review manager typically earns between $70,000 and $110,000 annually, depending on experience, location, and the size of the organization. They often require knowledge of healthcare policies, insurance processes, and may hold certifications such as URAC or CCM.

Is utilization review manager a stressful job?

Utilization review managers often work in a fast-paced healthcare environment, which can be stressful due to the need to meet strict deadlines, ensure accurate assessments, and handle complex cases. The role requires strong organizational skills and attention to detail, and some individuals may find the responsibility and workload challenging, especially during high-volume periods.

What are popular job titles related to Utilization Review Manager jobs in Destin, FL?

For Utilization Review Manager jobs in Destin, FL, the most frequently searched job titles are:

What cities near Destin, FL are hiring for Utilization Review Manager jobs?

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

Infographic showing various Utilization Review Manager job openings in Destin, FL as of August 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $82,578 per year, or $39.7 per hour.

Travel RN Case Manager

Fort Walton Beach, FL โ€ข On-site

American Traveler
Recruiting and Staffing Servicesย โ€ขย 501 - 1,000 employees

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 4 days ago


Job description

American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Fort Walton Beach, Florida.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel
Assignment Overview
  • Shift: Days, 5x8hrs
  • Hours: 40 hrs/wk
  • Start Date: Jun 18, 2026
  • Length: 13 weeks
  • Openings: 3
Description

American Traveler is seeking an experienced RN Case Manager for a 13-week acute hospital assignment requiring prior Case Management experience and knowledge of Meditech, Midas, and Interqual.

Details
  • Hospital-based Case Management department
  • 13-week assignment with a schedule of 8:00 AM to 4:30 PM
  • Every other weekend required
Requirements
  • Active FL or Compact RN license required
  • BLS certification required
  • Minimum 1 year of recent Case Management experience required
  • Acute (hospital) Case Management experience required
  • Knowledge of Meditech, Midas, and Interqual required
  • No gaps in work history exceeding 90 days within the past 12 months
Additional Information
  • Provide case management and utilization review services within an acute care hospital setting
  • Must reside more than 50 miles from the facility to be eligible for consideration
  • Local candidates will not be considered

American Traveler Job ID #P-697507. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Case Management

About American Traveler

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.

With our team behind you, you can relax and enjoy a rewarding travel career.


American Traveler logo

About American Traveler

Sourced by ZipRecruiter

With over 20 years of success in healthcare staffing, American Traveler has established a reputation for outstanding customer service. Our full-service agency has earned top ratings from healthcare professionals in every specialty and setting. We offer travel assignments in the most sought-after locations and facilities in the country. We staff major medical centers, prestigious university teaching facilities, Magnet facilities, regional community hospitals, outpatient centers, rehab centers, skilled nursing facilities and more. With our expert team behind you every step of the way, you can enjoy a rewarding travel career that exceeds your expectations. With over 20 years of experience, American Traveler has established a reputation for outstanding customer service. With our team behind you, you can relax and enjoy a rewarding travel career.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Boca Raton, FL, US

Year founded

1999