Chiropractor
$72K - $88K/yr
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams
$72K - $88K/yr
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams
$72K - $88K/yr
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams
Belleair, FL · On-site
$31 - $39.50/hr
Familiarity with ICD-10 coding standards, DRG assignment, and utilization review processes. * Background in medical office administration or health information management with a focus on medical ...
Belleair, FL · On-site
$31 - $39.50/hr
Familiarity with ICD-10 coding standards, DRG assignment, and utilization review processes. * Background in medical office administration or health information management with a focus on medical ...
Tampa, FL · On-site
$72K - $88K/yr
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams
Quick apply
Tampa, FL · On-site
$72K - $88K/yr
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams
Clearwater, FL · On-site
$31.50 - $40.25/hr
Familiarity with ICD-10 coding standards, DRG assignment, and utilization review processes. * Background in medical office administration or health information management with a focus on medical ...
Clearwater, FL · On-site
$31.50 - $40.25/hr
Familiarity with ICD-10 coding standards, DRG assignment, and utilization review processes. * Background in medical office administration or health information management with a focus on medical ...
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 ...
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 ...
$31.50 - $40.25/hr
Familiarity with ICD-10 coding standards, DRG assignment, and utilization review processes. * Background in medical office administration or health information management with a focus on medical ...
$31.50 - $40.25/hr
Familiarity with ICD-10 coding standards, DRG assignment, and utilization review processes. * Background in medical office administration or health information management with a focus on medical ...
Tampa, FL · On-site
$69K - $85K/yr
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams
Tampa, FL · On-site
$69K - $85K/yr
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams
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 ...
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 ...
Tampa, FL · Remote
$81K/yr
Strong knowledge of utilization management and appeals processes. * Working knowledge of NCQA standards, Medicaid regulations, and medical necessity review guidelines. * Ability to review and ...
Tampa, FL · Remote
$81K/yr
Strong knowledge of utilization management and appeals processes. * Working knowledge of NCQA standards, Medicaid regulations, and medical necessity review guidelines. * Ability to review and ...
Clearwater Beach, FL · On-site
$31.50 - $40.25/hr
Familiarity with ICD-10 coding standards, DRG assignment, and utilization review processes. * Background in medical office administration or health information management with a focus on medical ...
Clearwater Beach, FL · On-site
$31.50 - $40.25/hr
Familiarity with ICD-10 coding standards, DRG assignment, and utilization review processes. * Background in medical office administration or health information management with a focus on medical ...
Clearwater, 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 ...
Clearwater, 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 ...
Tarpon Springs, 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 ...
Tarpon Springs, 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 ...
Clearwater, 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 ...
Clearwater, 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 ...
Largo, 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 ...
Largo, 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 ...
Largo, 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 ...
Largo, 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 ...
New Port Richey, 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 ...
New Port Richey, 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 ...
Port Richey, 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 ...
Port Richey, 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 ...
Tampa, 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 ...
Tampa, 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 ...
Largo, 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 ...
Largo, 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 ...
Tampa, 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 ...
Tampa, 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 ...
$19.06 - $22.91
2% of jobs
$22.91 - $26.76
9% of jobs
$29.40 is the 25th percentile. Wages below this are outliers.
$26.76 - $30.62
21% of jobs
The median wage is $33.74 / hr.
$30.62 - $34.47
23% of jobs
$34.47 - $38.33
13% of jobs
$41.32 is the 75th percentile. Wages above this are outliers.
$38.33 - $42.18
10% of jobs
$42.18 - $46.03
8% of jobs
$46.03 - $49.89
5% of jobs
$49.89 - $53.74
5% of jobs
$53.74 - $57.60
2% of jobs
$57.60 - $61.45
2% of jobs
$19
$37
$61
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.
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.
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.
The most popular types of Utilization Review jobs in New Port Richey, FL are:
For Utilization Review jobs in New Port Richey, FL, the most frequently searched job titles are:
The top searched job categories for Utilization Review jobs in New Port Richey, FL are:
Cities near New Port Richey, FL with the most Utilization Review job openings:

Tampa, FL
$72K - $88K/yr
Full-time
Re-posted 20 days ago
Dane Street is expanding our physician panel! We are seeking a skilled and board-certified Chiropractor in Tampa to join our team for Independent Medical Examinations (IMEs). This role offers flexible scheduling, allowing you to select or decline assignments based on your availability. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.
Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations.
Key Responsibilities:
Benefits
Qualifications:
If you are a dedicated Chiropractor looking for a flexible opportunity to apply your expertise in an IME capacity, we encourage you to apply.
Sourced by ZipRecruiter
Insurance actuarial and claim adjusting services
51 - 200 Employees
Boston, MA, US