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Contract Utilization Review Jobs in Alabama (NOW HIRING)

Therapy Coordinator

Arab, AL · On-site

$34 - $38/hr

As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... utilization review, quality assurance, resident care conferences, admissions, department head ...

$90 - $150/hr

As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... Participate in interdisciplinary meetings including utilization review, quality assurance, resident ...

New

Relevant experience in financial management and financial operations, including but not limited to labor management, revenue analysis, expense management, contract negotiation, and utilization review.

Relevant experience in financial management and financial operations, including but not limited to labor management, revenue analysis, expense management, contract negotiation, and utilization review.

Case Manager

Phenix City, AL

$18 - $23.25/hr

Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.

Case Manager

Montgomery, AL

$19.75 - $25.50/hr

Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.

Case Manager

Pelham, AL

$18.25 - $23.75/hr

Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.

Case Manager

Birmingham, AL

$18.75 - $24.25/hr

Understand commercial contract levels, exclusions, payor requirements, and recertification needs ... Participate in utilization review process: data collection, trend review, and resolution actions.

$155K - $175K/yr

... contracts and escalate issues as needed to Trade's leadership * Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed * Invoicing Team - Maintain current ...

Showing results 21-40

Contract Utilization Review information

What are the key skills and qualifications needed to thrive in contract utilization review?

To thrive in Contract Utilization Review, you need a solid understanding of medical terminology, insurance policies, and contract compliance, often supported by a healthcare-related degree or certification in utilization management. Familiarity with utilization review software, electronic medical records (EMR), and knowledge of regulatory standards such as CMS guidelines is essential. Strong analytical thinking, attention to detail, and effective communication skills are crucial for collaborating with care teams and insurers. These abilities ensure reviews are accurate, contracts are properly administered, and patient care meets organizational and payer requirements.

What does a contract utilization review do?

A typical day in Contract Utilization Review involves reviewing patient medical records, ensuring adherence to payer contracts and regulatory standards, and communicating with healthcare providers to validate medical necessity of services. Professionals in this role often collaborate with clinical staff, case managers, and insurance representatives to resolve discrepancies or authorization issues. The work is detail-oriented and deadline-driven, making organizational skills vital. This dynamic position offers significant opportunities to learn more about healthcare regulations and may serve as a stepping stone toward more advanced roles in healthcare administration or compliance.

What is a contract utilization review?

A Contract Utilization Review job involves analyzing and evaluating the usage of contracts to ensure compliance, cost-effectiveness, and efficiency. Professionals in this role review contract terms, monitor vendor performance, and assess utilization data to optimize contract value. They may work in industries such as healthcare, government, or procurement, ensuring that agreements are being properly executed. The goal is to identify areas for improvement, reduce waste, and enhance operational efficiency.

What are the most commonly searched types of Utilization Review jobs in Alabama? The most popular types of Utilization Review jobs in Alabama are:
What are popular job titles related to Contract Utilization Review jobs in Alabama? For Contract Utilization Review jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Contract Utilization Review jobs in Alabama look for? The top searched job categories for Contract Utilization Review jobs in Alabama are:
What cities in Alabama are hiring for Contract Utilization Review jobs? Cities in Alabama with the most Contract Utilization Review job openings:
Infographic showing various Contract Utilization Review job openings in Alabama as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

$34 - $38/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago


Reliant Rehabilitation rating

6.3

Company rating: 6.3 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

671st of 887 rated healthcare providers


Job description

Overview
Why Join Reliant Rehabilitation?
Joining Reliant means becoming part of a team that makes a real difference in the lives of patients and residents across a variety of care communities. As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical support, professional development, and growth opportunities.
Our leadership team began their careers as therapists, and we take pride in promoting from within. You'll be supported by a dedicated clinical team that provides ongoing training, proven protocols, and hands-on guidance - ensuring therapy is delivered effectively for patients and in full compliance to support our partners.
With operations in 44 states and more than 900 communities nationwide, Reliant can match your location, schedule, and career goals, wherever your path leads.
What We Offer:
• Competitive compensation packages
• Medical, dental, vision, and company-paid life insurance
• 401(k) with employer match
• PTO Share and Buy-Back Programs
• Maternity and Paternity support program
• Continuing education, mentorship programs and clinical leadership development
• Tuition loan repayment assistance Program
• Flexible scheduling options
Responsibilities
Position Summary:
The Therapy Coordinator (TC) oversees the rehabilitation department to ensure resident needs are met while aligning with company financial goals and adhering to federal and state regulations. This role is responsible for achieving patient care, customer service, and financial objectives through strategic staff scheduling based on patient needs. The Therapy Coordinator maintains professional conduct and fosters positive relationships with clients and facility staff, representing Reliant Rehabilitation's commitment to quality care and service excellence. All duties are performed in accordance with Reliant Rehabilitation's policies and procedures.
Key Responsibilities:
• Assign patient scheduling and delegate responsibilities to staff as appropriate
• Coordinate departmental functions with other services to promote teamwork and operational efficiency
• Communicate effectively with facility administration regarding departmental goals, programs, risks, and achievements
• Participate in interdisciplinary meetings including utilization review, quality assurance, resident care conferences, admissions, department head meetings, and community education planning
• Ensure timely and accurate completion of Minimum Data Set (MDS) reporting
• Oversee accurate billing and documentation of services provided
• Maintain a valid state license (as applicable) and stay informed on professional and healthcare industry developments
• Understand and apply relevant billing models and treatment guidelines to deliver clinically appropriate care with measurable outcomes
• Adhere to infection control and environmental safety protocols within the facility
• Attend all required meetings, training, and assignments as directed
• Comply with the responsibilities outlined in the position description for the licensed discipline
• Demonstrate proficiency in reading, writing, speaking, and understanding English for effective communication and documentation
• Maintaining confidentiality as appropriate and ensuring compliance with the state practice act in the state(s) where you are licensed.
Qualifications
Qualifications/Licenses:
• Must hold a degree in Physical Therapy, Physical Therapist Assistant, Occupational Therapy, Occupational Therapy Assistant or Speech-Language Pathology from an accredited institution.
• (2) years of experience as a Physical Therapist, Physical Therapist Assistant, Occupational Therapist, Occupational Therapy Assistant, Speech-Language Pathologist.
Please note rate range is an estimate and may vary based on skill set and location(s).
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