The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Registered Nurse/Case Manager Affinity Hospice is one of the fastest growing, privately held hospice organizations in the country. We are passionate about giving exceptional care to our hospice ...
Registered Nurse/Case Manager Affinity Hospice is one of the fastest growing, privately held hospice organizations in the country. We are passionate about giving exceptional care to our hospice ...
As an International Case Manager, your duties will include the following, but are not limited to ... Develop, review, and execute FMS case actions including Pricing and Availability (P&A) Sheets ...
As an International Case Manager, your duties will include the following, but are not limited to ... Develop, review, and execute FMS case actions including Pricing and Availability (P&A) Sheets ...
As an International Case Manager, your duties will include the following, but are not limited to ... Develop, review, and execute FMS case actions including Pricing and Availability (P&A) Sheets ...
As an International Case Manager, your duties will include the following, but are not limited to ... Develop, review, and execute FMS case actions including Pricing and Availability (P&A) Sheets ...
Case Manager Utilization Review Nurse information
See Decatur, AL salary details
$18.03 - $23.21
3% of jobs
$23.21 - $28.39
6% of jobs
$33.09 is the 25th percentile. Wages below this are outliers.
$28.39 - $33.58
17% of jobs
$33.58 - $38.76
20% of jobs
The median wage is $39.80 / hr.
$38.76 - $43.94
16% of jobs
$43.94 - $49.13
11% of jobs
$50.24 is the 75th percentile. Wages above this are outliers.
$49.13 - $54.31
7% of jobs
$54.31 - $59.49
6% of jobs
$59.49 - $64.68
5% of jobs
$64.68 - $69.86
4% of jobs
$69.86 - $75.04
3% of jobs
$18
$44
$75
How much do case manager utilization review nurse jobs pay per hour?
As of Sep 11, 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?
| Aspect | Case Manager Utilization Review Nurse | Case Manager |
|---|---|---|
| Credentials | RN license, certification in utilization review (e.g., URAC) | RN license, case management certification (e.g., CCM) |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community health, insurance providers |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating 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 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:
RN Case Mgr - Case Management - FT - 1st Shift
Huntsville, AL • On-site
Huntsville Hospital Health System
• Hospitals
Full-time
Medical, Dental, Vision, Life, Retirement
Re-posted 19 days ago
Huntsville Hospital Health System rating
6.2
Based on 209 frontline employees who took The Breakroom Quiz
Job description
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient use of resources.
Education:
Minimum of A.S.N. from an accredited college or university (BSN Preferred) and current Alabama licensure.
Experience:
Three years acute care experience required.
Additional Skills/Abilities:
Excellent interpersonal communication and negotiation skills; strong organizational and time management skills as evidenced by capacity to prioritize multiple tasks and role components; ability to work independently and exercise sound judgment in interactions with physicians, patients and their families, and payers.
Highlights of our hospitals
Huntsville Hospital was recently named Best Regional Hospital and #2 in Alabama by U.S. News & World Report. With 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We are a certified Primary Stroke Center and named "One of the Top 100 Hospitals in the Nation with Great Heart Programs." From six cath labs and four EP labs to multiple medical and step-down units, you can continually grow your skillset! We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse. We care about you and your well-being by offering an excellent benefits package, childcare, health and wellness programs, an onsite employee pharmacy, a free health clinic, tuition assistance, and much more. We are committed to creating a diverse environment and proud to be an equal opportunity employer. We are a partner to the U.S. Army’s Partnership for Your Success (PaYS) program.
Ask us about incentives and additional opportunities.
Huntsville Hospital Benefits:
We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!
Learn more about Huntsville Hospital Health System:
- Careers: https://careers.hhsys.org/careers-home
- Benefits: https://careers.hhsys.org/us/en/benefits
- Education & Professional Development: https://www.huntsvillehospital.org/education
- Life In Huntsville: https://www.huntsvillehospital.org/about-huntsville-al
What Huntsville Hospital Health System employees say
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About Huntsville Hospital Health System
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