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Case Manager Utilization Review Nurse Jobs in Decatur, AL

Case Manager

Cullman, AL · On-site

$17.50 - $22.50/hr

Maintain high-quality client documentation and records management utilization electronic charting ... Review SUN-R 6 months after initial assessment and then at intervals of 12 months thereafter.

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Case Manager Utilization Review Nurse information

See Decatur, AL salary details

$18

$44

$75

How much do case manager utilization review nurse jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for case manager utilization review nurse in Decatur, AL is $44.56, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $53.85 per hour, depending on experience, location, and employer.

What is a case manager utilization review nurse?

A Case Manager Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, coordinate with healthcare providers, and ensure that treatments meet established guidelines and insurance requirements. Their goal is to optimize patient outcomes while controlling healthcare costs and ensuring compliance with regulations. These nurses also help facilitate communication between patients, providers, and payers to support effective care management.

How does a case manager utilization review nurse typically collaborate with physicians and other healthcare providers?

Case Manager Utilization Review Nurses regularly work with physicians, social workers, and other healthcare professionals to ensure patients receive appropriate care while managing resource utilization. They often participate in interdisciplinary team meetings to discuss care plans, review patient progress, and address any barriers to discharge. Building strong communication channels and maintaining up-to-date clinical knowledge are essential, as nurses must advocate for patients while also supporting evidence-based practices and regulatory compliance. This collaborative environment helps streamline patient care and optimize outcomes.

What are the key skills and qualifications needed to thrive as a case manager utilization review nurse, and why are they important?

To excel as a Case Manager Utilization Review Nurse, you need a solid background in nursing, strong clinical assessment skills, and a valid RN license, often with case management certification. Familiarity with utilization review software, electronic health record (EHR) systems, and knowledge of insurance and regulatory guidelines is essential. Exceptional communication, critical thinking, and negotiation abilities set top performers apart in this role. These qualifications ensure effective patient advocacy, cost-effective care, and compliance with healthcare standards.

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

AspectCase Manager Utilization Review NurseCase Manager
CredentialsRN license, certification in utilization review (e.g., URAC)RN license, case management certification (e.g., CCM)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

While both roles involve patient care coordination, the Case Manager Utilization Review Nurse primarily focuses on reviewing medical necessity and insurance approvals, whereas the Case Manager handles broader patient care coordination and discharge planning. Both roles require nursing credentials and are vital in healthcare settings, but their specific responsibilities differ.

What are popular job titles related to Case Manager Utilization Review Nurse jobs in Decatur, AL?

For Case Manager Utilization Review Nurse jobs in Decatur, AL, the most frequently searched job titles are:

What job categories do people searching Case Manager Utilization Review Nurse jobs in Decatur, AL look for?

The top searched job categories for Case Manager Utilization Review Nurse jobs in Decatur, AL are:

What cities near Decatur, AL are hiring for Case Manager Utilization Review Nurse jobs?

Cities near Decatur, AL with the most Case Manager Utilization Review Nurse job openings:

Infographic showing various Case Manager Utilization Review Nurse job openings in Decatur, AL as of August 2026, with employment types broken down into 68% Full Time, 22% Part Time, and 10% Contract. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $92,685 per year, or $44.6 per hour.

Travel RN - Case Management/Utilization Review - Case Management

Decatur, AL • On-site

American Traveler
Recruiting and Staffing Services • 501 - 1,000 employees

Other

Re-posted 8 days ago


Job description

American Traveler is hiring a Travel RN Case Manager for a hospital setting requiring 1+ year of recent case management/utilization review experience and an active FL or compact RN license.
Job Details
Job Requirements
Additional Information
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American Traveler logo

About American Traveler

Sourced by ZipRecruiter

With over 20 years of success in healthcare staffing, American Traveler has established a reputation for outstanding customer service. Our full-service agency has earned top ratings from healthcare professionals in every specialty and setting. We offer travel assignments in the most sought-after locations and facilities in the country. We staff major medical centers, prestigious university teaching facilities, Magnet facilities, regional community hospitals, outpatient centers, rehab centers, skilled nursing facilities and more. With our expert team behind you every step of the way, you can enjoy a rewarding travel career that exceeds your expectations. With over 20 years of experience, American Traveler has established a reputation for outstanding customer service. With our team behind you, you can relax and enjoy a rewarding travel career.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Boca Raton, FL, US

Year founded

1999