Top 212 Utilization management Jobs in Orlando, Fl

Medical Field Case Manager
Enlyte —Sanford, FL
- $70,600 - $80,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Health savings account
Workers' Compensation Field Case Manager
Enlyte —Orlando, FL
- $71,000 - $88,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Health savings account
Utilization Review Nurse
Cobalt Benefits Group LLC —Orlando, FL
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
9d
Utilization Mgmt RN EX
AdventHealth Corporate —Orlando, FL
- $68,132.50 - $119,520.35 a year
- Part-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
3d
Manager, Utilization Management
AdventHealth Corporate —Altamonte Springs, FL
- $79,402.93 - $147,697.47 a year
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
3d
Utilization Review Care Manager - Registered Nurse - Must have 3-5 years experience
Orlando Health —Orlando, FL
- Full-time
- Hybrid work
- Nursing
- RN License
- Hospital
Care Review Clinician (RN) - Remote in FL
Molina Healthcare —Orlando, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
RN Care management (Days) Orlando
AdventHealth Orlando —Orlando, FL
- $32.76 - $57.47 an hour
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
5d
Lead Care Management Educator
AdventHealth Orlando Support —Altamonte Springs, FL
- $59,652.52 - $110,956.61 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Paid parental leave
- Disability insurance
Consumer Experience Specialist Onsite
AdventHealth Orlando Support —Orlando, FL
- $17.11 - $27.38 an hour
- Full-time
- Background check
- Spanish
- Computer literacy
- Paid parental leave
- Disability insurance
Auditor, Clinical Services
Molina Healthcare —Orlando, FL
- $29.05 - $56.64 an hour
- Full-time
- RN License
- HIPAA
- Mid-level
- Health insurance
Case Manager Optum Oveido
Optum —Oviedo, FL
- $60,200 - $107,400 a year
- Full-time
- Acute care
- Nursing
- Skilled nursing facility
Quick Apply
Case Management Coordinator
Sanitas —Longwood, FL
- Full-time
- Spanish
- CPR Certification
- BLS Certification
Quick Apply
8d
Supervisor, Healthcare Services (Remote in FL - Weekends)
Molina Healthcare —Orlando, FL
- $66,456 - $129,590 a year
- Weekends as needed
- LMFT
- LVN
- RN License
- Health insurance
Representative, Health Plan Provider Relations
Molina Healthcare —Orlando, FL
- $19.84 - $38.69 an hour
- Medical office experience
- Mid-level
- Training & development
- Health insurance
8d
Registered Nurse Care Manager - Care Management
Orlando Health —Orlando, FL
- Full-time
- Nursing
- RN License
- Computer literacy
4d
Director Clinical Denials
AdventHealth Corporate —Altamonte Springs, FL
- $110,702.15 - $205,911.28 a year
- Full-time
- Background check
- Nursing
- Microsoft Excel
- Paid parental leave
- Disability insurance
3d
Utilization Managemt RN Emergency Dept Nights
AdventHealth Corporate —Altamonte Springs, FL
- $32.76 - $57.47 an hour
- Full-time
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
4d
Care Management Social Worker FT Nonexempt
AdventHealth Celebration —Celebration, FL
- $23.71 - $44.09 an hour
- Full-time
- Microsoft Outlook
- Customer service
- Computer literacy
- Paid parental leave
- Disability insurance
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare —Orlando, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance

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utilization management jobs near orlando, fl

Medical Field Case Manager

Enlyte -
Sanford, FL

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Job Details

Full-time
$70,600 - $80,000 a year

Benefits

Travel reimbursement
Health savings account
AD&D insurance
Paid holidays
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Employee assistance program
Vision insurance
Referral program

Qualifications

RN License
Grammar Experience

Full Job Description

Company Overview:

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

Be part of a team that makes a real difference.

Job Description:

This is a full-time, field position, remote when not traveling locally. The candidate must be located in the Sanford, FL area due to regular local travel for in-person patient appointments. Eligible for $2500 sign-on bonus, $2500 retention bonus paid after 1 year of service.

Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers’ compensation case management training.

Join our compassionate team and help make a positive difference in an injured person’s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:

Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
Work with employers and physicians to modify job duties where practical to facilitate early return to work.
Evaluate and modify case goals based on injured/disabled person’s improvement and treatment effectiveness.
Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
Complete other duties, such as attend injured worker’s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.

Qualifications:

Education: Associates Degree or Bachelor’s Degree in Nursing or related field.
Experience: 2+ years clinical practice preferred. Workers’ compensation-related experience preferred.
Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.
Certifications, Licenses, Registrations:
- Active Registered Nurse (RN) license required. Must be in good standing.
- URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC).
Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
Internet: Must have reliable internet.

Benefits:

We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $70,600 - $80,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

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Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager

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Refine Your Search

utilization management jobs in orlando, fl

Medical Field Case Manager

Workers' Compensation Field Case Manager

Utilization Review Nurse

Utilization Mgmt RN EX

Manager, Utilization Management

Utilization Review Care Manager - Registered Nurse - Must have 3-5 years experience

Care Review Clinician (RN) - Remote in FL

RN Care management (Days) Orlando

Lead Care Management Educator

Consumer Experience Specialist Onsite

Auditor, Clinical Services

Case Manager Optum Oveido

Case Management Coordinator

Supervisor, Healthcare Services (Remote in FL - Weekends)

Representative, Health Plan Provider Relations

Registered Nurse Care Manager - Care Management

Director Clinical Denials

Utilization Managemt RN Emergency Dept Nights

Care Management Social Worker FT Nonexempt

Care Review Clinician (BH Licensed) - Remote in FL

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