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Utilization Review Manager Jobs in New Port Richey, FL

GQR Healthcare

Travel RN Case Management

Largo, FL · On-site

$1.8K - $1.9K/wk

Case Management/Utilization Review Shift: Day Shift Details: null Day Job Type: Travel *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible ...

GQR Healthcare

Travel Case Management RN

Largo, FL · On-site

$1.8K - $1.9K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Largo, Florida Start Date: September 15, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

paradigm

Clinical Navigator

Tampa, FL · Remote

$61K - $84K/yr

Experience with DME, utilization review, EMRs, care management platforms, and Microsoft Office applications is strongly preferred. This role is well-suited for a forward-thinking clinical ...

paradigm

Clinical Navigator

Tampa, FL · Remote

$61K - $84K/yr

Experience with DME, utilization review, EMRs, care management platforms, and Microsoft Office applications is strongly preferred. This role is well-suited for a forward-thinking clinical ...

Prime Staffing

Travel Case Management RN

Largo, FL · On-site

Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with ...

Paradigm

Clinical Navigator

Tampa, FL · On-site

$73K - $88K/yr

Experience with DME, utilization review, EMRs, care management platforms, and Microsoft Office applications is strongly preferred. This role is well-suited for a forward-thinking clinical ...

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Showing results 21-40

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

Utilization Review Manager information

See New Port Richey, FL salary details

$34.7K

$81.1K

$149.2K

How much do utilization review manager jobs pay per year?

As of Sep 6, 2026, the average yearly pay for utilization review 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 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 the most commonly searched types of Utilization Review jobs in New Port Richey, FL?

The most popular types of Utilization Review jobs in New Port Richey, FL are:

What are popular job titles related to Utilization Review Manager jobs in New Port Richey, FL?

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

What job categories do people searching Utilization Review Manager jobs in New Port Richey, FL look for?

The top searched job categories for Utilization Review Manager jobs in New Port Richey, FL are:

What cities near New Port Richey, FL are hiring for Utilization Review Manager jobs?

Cities near New Port Richey, FL with the most Utilization Review Manager job openings:

Utilization Review Manager jobs near you
Infographic showing various Utilization Review Manager job openings in New Port Richey, FL as of August 2026, with employment types broken down into 90% Full Time, 9% Part Time, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $81,063 per year, or $39 per hour.

Physician Family Practice-Geriatrics - Competitive Salary

ChenMed

Clearwater, FL

Other

Posted 6 days ago

ChenMed rating

8.4

Company rating: 8.4 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

1st of 247 rated social care providers

Job description

Are you a dynamic leader with a passion for improving patient care? At ChenMed, we're more than just a healthcare provider – we’re revolutionizing senior care. Join our rapidly expanding team and play a pivotal role in transforming lives.

About the Role:

As a Center Clinical Director you'll lead our care team while also engaging in various market-specific duties. Your key responsibilities include:

  • Patient Care: Serve as a primary care physician for some patients.
  • Leadership: Guide and coach physicians and clinicians, deliver training, and develop clinical training materials.
  • Quality Improvement: Focus on utilization review, manage care transitions, and participate in targeted coverage time.
  • Market Engagement: Contribute to team meetings, clinical discussions, and quality management programs.

Key Qualifications:

  • Education: MD or DO in Internal Medicine, Family Medicine, Geriatrics, or a related specialty. Board certification preferred.
  • Experience: Minimum of 3 years post-residency, with at least 2 years in a clinical leadership role. Experience in quality improvement and interdisciplinary teams is a plus.
  • Skills: Strong clinical, leadership, and communication skills. Ability to manage complex cases and lead teams effectively.

What We Offer:

  • Impactful Work: Lead the charge in enhancing senior care and improving patient outcomes.
  • Career Growth: Access to comprehensive training, career development, and advancement opportunities.
  • Supportive Environment: Enjoy excellent compensation, benefits, and a work-life balance.

Ready to make a difference? Apply now to join a team dedicated to transforming healthcare and improving lives.

ChenMed – Where Compassion Meets Innovation.

What ChenMed employees say

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About ChenMed

Sourced by ZipRecruiter

We're expanding healthcare equity across America. We're already in 15 states with 100+ medical centers. As a rapidly growing, physician-led organization, we have one central focus: rescue any and every senior from a healthcare system that has failed them. Our family of brands include Chen Senior Medical Center, JenCare Senior Medical Center, and Dedicated Senior Medical Center. Recently named a 2021 Best Places To Work and one of the only healthcare companies recognized in Fortune's 2020 "Change The World" list, ChenMed prides itself on creating a culture that enables career growth and promotes inclusion for all.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Miami, FL, US

Year founded

1985

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