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Behavioral Utilization Review Jobs in Alabama (NOW HIRING)

CULLMAN REGIONAL

CASE MANAGER FT (13195)

Cullman, AL

Demonstrate and encourage team behavior and exceptional patient/guest experiences. * Uphold and ... One year experience in Utilization Review with JIVA, Interqual, Cerner, Medicare, HMOs, and other ...

Prime Healthcare

RN Case Manager

Gadsden, AL · On-site

Utilization Review: m onitor the use of hospital resources and services to ensure appropriate care ... Behavioral Violence Prevention Training within 3 months of hire and maintain current Additional ...

NHS Management, LLC

RN Weekend Supervisor

Northport, AL · On-site

... utilization review activities. * Receives physicians' instructions regarding resident care and ... Makes regular patient rounds to observe and assess residents' physical conditions and behaviors ...

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Behavioral Utilization Review information

What is the difference between Behavioral Utilization Review vs Behavioral Case Manager?

AspectBehavioral Utilization ReviewBehavioral Case Manager
CredentialsLicensed mental health professionals, certifications varyLicensed clinical social workers, counselors, or therapists
Work EnvironmentReview settings, insurance companies, healthcare facilitiesDirect patient interaction, hospitals, outpatient clinics
Employer & IndustryInsurance companies, healthcare organizationsHospitals, mental health agencies, managed care
Primary FocusAssessing medical necessity, reviewing treatment plansCoordinating care, supporting treatment adherence

Behavioral Utilization Review primarily involves evaluating the necessity of mental health services through review processes, while Behavioral Case Managers focus on coordinating patient care and supporting treatment plans. Both roles require mental health credentials but differ in daily tasks and work settings.

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Infographic showing various Behavioral Utilization Review job openings in Alabama as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% In-person job distribution.

CASE MANAGER FT (13195)

CULLMAN REGIONAL

Cullman, AL

Full-time

Re-posted 2 days ago

Cullman Regional Medical Center rating

5.7

Company rating: 5.7 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

913th of 1,055 rated hospitals

Job description

Job Summary:  

  • Coordinate with physicians, nurses, social workers and other health team members to expedite medically appropriate, cost-effective care.      
  • Support physician provision of patient care with accountability for designated patient case load.   
  • Facilitate precertification and payor authorization processes and facilitate collaborative management of patient care across the continuum, intervening as necessary.    
  • Promote effective utilization and monitoring of healthcare resources and assumes a leadership role with the multidisciplinary team to achieve optimal clinical and resource outcomes.    
  • Apply process improvement methodologies in evaluating outcomes of care.    
  • Maintain and ensure adherence to clinical guidelines, tools and protocols based on evidence-based medicine related to quality measure indicators.  
  • Assume leadership role in coordinating quality improvement activities related to quality measure initiatives.    
  • Demonstrate and encourage team behavior and exceptional patient/guest experiences.      
  • Uphold and promote patient safety and quality.     

Education:                
Associate's degree in nursing or higher degree is required. Currently licensed by the state of Alabama. BSN preferred.                

Experience:                
Five years' clinical experience in acute care setting i.e., medical surgery critical care, ER, OR required.

One year experience in Utilization Review with JIVA, Interqual, Cerner, Medicare, HMOs, and other payors.           

Additional Skills/Abilities:                
Skill and proficiency in applying highly technical principles, concepts and techniques that are central to case management. Advanced communication and interpersonal skills with all levels of internal and external customers. Must be proficient in Microsoft Word and Excel. Excellent organizational skills are required. Must be able to set priorities appropriately and handle multiple issues concurrently.                

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