Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
OPS SENIOR DENTIST - 64858665
Malone, FL · On-site
$91/hr
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
OPS SENIOR DENTIST - 64858665
Malone, FL · On-site
$91/hr
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
OPS SENIOR DENTIST - 64858665
Marianna, FL · On-site
$91/hr
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
OPS SENIOR DENTIST - 64858665
Marianna, FL · On-site
$91/hr
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
OPS SENIOR DENTIST - 64858665
Marianna, FL · On-site
$91/hr
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
OPS SENIOR DENTIST - 64858665
Marianna, FL · On-site
$91/hr
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
OPS SENIOR DENTIST - 64858665
Cottondale, FL · On-site
$91/hr
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
OPS SENIOR DENTIST - 64858665
Cottondale, FL · On-site
$91/hr
Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...
Unit Manager - RN
$35.75 - $47.25/hr
Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
Quick apply
Unit Manager - RN
$35.75 - $47.25/hr
Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
Unit Manager - RN
Ozark, AL · On-site
$35.75 - $47.25/hr
Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
Unit Manager - RN
Ozark, AL · On-site
$35.75 - $47.25/hr
Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
Closely monitor all potential catastrophic events and perform utilization review and tracking. * Submit and implement recommendations for improvements in services and optimal utilization of staff.
Closely monitor all potential catastrophic events and perform utilization review and tracking. * Submit and implement recommendations for improvements in services and optimal utilization of staff.
Clinical Director (PhD Psychologist)
Graceville, FL · On-site
$140K/yr
Closely monitor all potential catastrophic events and perform utilization review and tracking. * Submit and implement recommendations for improvements in services and optimal utilization of staff.
Clinical Director (PhD Psychologist)
Graceville, FL · On-site
$140K/yr
Closely monitor all potential catastrophic events and perform utilization review and tracking. * Submit and implement recommendations for improvements in services and optimal utilization of staff.
Closely monitor all potential catastrophic events and perform utilization review and tracking. * Submit and implement recommendations for improvements in services and optimal utilization of staff.
Closely monitor all potential catastrophic events and perform utilization review and tracking. * Submit and implement recommendations for improvements in services and optimal utilization of staff.
Clinical Director (PhD Psychologist)
Graceville, FL · On-site
$140K/yr
Closely monitor all potential catastrophic events and perform utilization review and tracking. * Submit and implement recommendations for improvements in services and optimal utilization of staff.
Clinical Director (PhD Psychologist)
Graceville, FL · On-site
$140K/yr
Closely monitor all potential catastrophic events and perform utilization review and tracking. * Submit and implement recommendations for improvements in services and optimal utilization of staff.
Clinical Director (PhD Psychologist)
Graceville, FL · On-site
$140K/yr
Closely monitor all potential catastrophic events and perform utilization review and tracking. * Submit and implement recommendations for improvements in services and optimal utilization of staff.
Clinical Director (PhD Psychologist)
Graceville, FL · On-site
$140K/yr
Closely monitor all potential catastrophic events and perform utilization review and tracking. * Submit and implement recommendations for improvements in services and optimal utilization of staff.
Engage actively in the Utilization Review process, ensuring appropriate use of healthcare resources. Key Qualifications * Medical Education: Graduate of an accredited medical school. * Licensure:
Engage actively in the Utilization Review process, ensuring appropriate use of healthcare resources. Key Qualifications * Medical Education: Graduate of an accredited medical school. * Licensure:
Internal Medicine Physician
Clio, AL · On-site
Engage actively in the Utilization Review process, ensuring appropriate use of healthcare resources. Key Qualifications * Medical Education: Graduate of an accredited medical school. * Licensure:
Internal Medicine Physician
Clio, AL · On-site
Engage actively in the Utilization Review process, ensuring appropriate use of healthcare resources. Key Qualifications * Medical Education: Graduate of an accredited medical school. * Licensure:
Engage actively in the Utilization Review process, ensuring appropriate use of healthcare resources. Key Qualifications * Medical Education: Graduate of an accredited medical school. * Licensure:
Engage actively in the Utilization Review process, ensuring appropriate use of healthcare resources. Key Qualifications * Medical Education: Graduate of an accredited medical school. * Licensure:
Case Manager Care Coordination
Webb, AL · On-site
MINIMUM QUALIFICATIONS RN: Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care.
Case Manager Care Coordination
Webb, AL · On-site
MINIMUM QUALIFICATIONS RN: Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care.
Grad Pharmacist
Dothan, AL · On-site
$15.25 - $18.75/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
Dothan, AL · On-site
$15.25 - $18.75/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
... with utilization of resources. CORE FUNCTIONS 1. Performs Clinical Ethics Consultation and advisory services when identified or requested. Assists with reviewing, editing, and educating on local ...
... with utilization of resources. CORE FUNCTIONS 1. Performs Clinical Ethics Consultation and advisory services when identified or requested. Assists with reviewing, editing, and educating on local ...
Utilization Review information
See Dothan, AL salary details
$19.45 - $23.38
2% of jobs
$23.38 - $27.32
9% of jobs
$30.01 is the 25th percentile. Wages below this are outliers.
$27.32 - $31.25
21% of jobs
The median wage is $34.43 / hr.
$31.25 - $35.18
23% of jobs
$35.18 - $39.12
13% of jobs
$42.18 is the 75th percentile. Wages above this are outliers.
$39.12 - $43.05
10% of jobs
$43.05 - $46.98
8% of jobs
$46.98 - $50.92
5% of jobs
$50.92 - $54.85
5% of jobs
$54.85 - $58.78
2% of jobs
$58.78 - $62.72
2% of jobs
$19
$38
$62
How much do utilization review jobs pay per hour?
What jobs make $3,000 a day?
What jobs pay 4000 a week without a degree?
What does a typical day look like for someone working in Utilization Review?
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
What skills do you need for utilization review?
What is a Utilization Review job?
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
What are the key skills and qualifications needed to thrive in the Utilization Review position, and why are they important?
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
How do I get into a utilization review?

State Of Florida rating
6.6
Based on 186 frontline employees who took The Breakroom Quiz
46th of 50 rated states
Job description
Requisition No: 877222
Agency: Department of Health
Working Title: OPS SENIOR DENTIST - 64858665
Pay Plan: Temp
Position Number: 64858665
Salary: $91.00 hourly
Posting Closing Date: 08/04/2026
Total Compensation Estimator Tool
Department of Health
Division of Medical Quality Assurance
Bureau of Enforcement
Investigative Services Unit - TBA
Open Competitive Opportunity
Part-Time OPS Position
Your Specific Responsibilities:
Incumbent serves under the direction of the Investigations/Consumer Services Administrator. This is work examining, evaluating, inspecting, monitoring and/or investigating eligibility and/or conformity with laws and regulations governing legal compliance of licenses, licensees, permits, and permit holders, examining various business entities and financial records, and other compliance and enforcement activities not classified elsewhere.
- Conducts onsite inspections prior to approval for permitting new dental sedation permits and change of location requests to determine compliance with applicable rules and regulations. Ensures procedures are adequate and adhere to policies and procedures established for the facility.
- Conducts dental sedation inspections and specialized cases involving dentistry. Investigates violations discovered during the inspection process.
- Conducts trainings and gives presentations regarding dental sedation and dentistry related investigations to investigative staff and licensees.
- Provides technical assistance to MQA investigators in specialized cases involving dentistry investigations. Reviews sedation procedures to ensure compliance with rules and regulations pursuant to written policy and procedure for the facility.
- Provides technical expertise in rule making and statutory review as requested. Works with Department enforcement programs.
- Prepares investigative reports, audit reports and probation reports.
- Testifies at hearings, provides professional assistance to the legal staff, investigative staff and other regulatory agencies.
- Serves subpoenas and administrative complaints.
- Answers public inquiries, makes referrals, make public speaking engagements, make professional contacts, and promote the goals and mission of the Department including participation in Sterling related activities and events.
- Performs other related duties as required including providing assistance as needed in response to and recovery following natural or man-made disasters.
Required Knowledge, Skills, and Abilities:
Proficient computer skills to include Word, Excel, PowerPoint and Outlook; knowledge of computer data bases; knowledge and use of the compliance management system and licensing system used by the Agency; knowledge of laws, legal codes, court procedures and government rules & regulations; knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar; understanding written sentences and paragraphs in work related documents; communicating effectively with others in writing; talking to others to effectively convey information; ability to establish and maintain effective working relationships with others. Ability to review medical records for components of patient assessments and treatment plans in relation to a medical diagnosis in accordance with the Dental Practice Act; ability to understand and apply applicable rules, regulations, policies and procedures relating to the inspection of operational and 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 and lift up to 20 pounds on a regular basis; ability to plan, organize and prioritize work assignments; ability to travel as necessary, providing own transportation; ability to work independently. Skill in reading and writing; investigating and researching; knowing how to find information and identifying essential information; finding ways to structure or classify multiple pieces of information; inspecting and evaluating the quality of products; ability to maintain a high degree of accuracy and close attention to detail; ability to maintain strict confidentiality.
This occupation requires licensure as a Dentist in accordance with Chapter 466, Florida Statutes.
Minimum Qualifications:
- Clear and active Florida Dentist license with no disciplinary action taken within the last five (5) years.
- Currently hold a Florida Sedation Permit for General Anesthesia.
- Two (2) years of experience in a dental sedation setting, both assisting during dental sedation and recovery.
- Two (2) years of medical/dental records utilization review experience.
- Must be willing to physically in the office to perform duties and responsibilities of this position.
Additional Requirement:
- Must have a valid driver's license, satisfactorily complete a background investigation, fingerprinting, and participation in direct deposit are requirements for employment.
Florida Department of Health Mission, Vision, and Values:
Mission:
To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.
Vision:
To be the Healthiest State in the Nation.
Values:
I nnovation: We search for creative solutions and manage resources wisely.
C ollaboration: We use teamwork to achieve common goals & solve problems.
A ccountability: We perform with integrity & respect.
R esponsiveness: We achieve our mission by serving our customers & engaging our partners.
E xcellence: We promote quality outcomes through learning & continuous performance improvement.
Where You Will Work:
Office location - Statewide
Main counties covered by office - Statewide
The Benefits of Working for the State of Florida:
Working for the State of Florida is more than a paycheck. As an OPS employee, the benefits below are available:
- State of Florida 401(a) FICA Alternative Plan (mandatory)
- Participation in state group insurance (upon meeting eligibility requirements. Consult with People First and/or the serving HR office)
- Workers' Compensation (mandatory, if needed)
- Reemployment Assistance (Unemployment Compensation) (mandatory, if needed)
- Deferred Compensation (voluntary)
- Employee Assistance Program (voluntary)
- And more!
For a more complete list of benefits, including monthly costs, visit www.mybenefits.myflorida.com.
Please be advised:
Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.
This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.
Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: http://www.sss.gov
If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement.
The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.
Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.
All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace.
Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women. The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise. Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
What State Of Florida employees say
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About State of Florida
Sourced by ZipRecruiter
Industry
Public administration
Company size
10,000+ Employees
Headquarters location
Tallahassee, FL, US