Blue Eagle is looking for Pre-Cert Nurse(s) to assist with inpatient and outpatient PA reviews.
Blue Eagle is looking for Pre-Cert Nurse(s) to assist with inpatient and outpatient PA reviews.
Job Title Utilization Management Nurse Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital ...
Job Title Utilization Management Nurse Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital ...
Overview Utilization management is the analysis of the medical necessity, acute care ... Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse ...
Overview Utilization management is the analysis of the medical necessity, acute care ... Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse ...
Overview Utilization management is the analysis of the medical necessity, acute care ... Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse ...
Overview Utilization management is the analysis of the medical necessity, acute care ... Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse ...
Quality Utilization Reviewer I
Birmingham, AL · On-site
... of the UR Manager & Department Director, UR Reviewer 1 with LPN/RN licensure may advance to ... Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL ...
Quality Utilization Reviewer I
Birmingham, AL · On-site
... of the UR Manager & Department Director, UR Reviewer 1 with LPN/RN licensure may advance to ... Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL ...
Quality Utilization Reviewer I
Birmingham, AL · On-site
... of the UR Manager & Department Director, UR Reviewer 1 with LPN/RN licensure may advance to ... Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL ...
Quality Utilization Reviewer I
Birmingham, AL · On-site
... of the UR Manager & Department Director, UR Reviewer 1 with LPN/RN licensure may advance to ... Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL ...
Minimum 2 years experience as an RN * Minimum of at least 2 years as care management and/or utilization management experience preferred. * Minimum of 2 years of Med Surgical experience required;
Minimum 2 years experience as an RN * Minimum of at least 2 years as care management and/or utilization management experience preferred. * Minimum of 2 years of Med Surgical experience required;
Minimum 2 years experience as an RN * Minimum of at least 2 years as care management and/or utilization management experience preferred. * Minimum of 2 years of Med Surgical experience required;
Minimum 2 years experience as an RN * Minimum of at least 2 years as care management and/or utilization management experience preferred. * Minimum of 2 years of Med Surgical experience required;
Utilization Review Care Manager
Tuscaloosa, AL · On-site
$60 - $80/hr
Minimum 2 years experience as an RN * Minimum of at least 2 years as care management and/or utilization management experience preferred. * Minimum of 2 years of Med Surgical experience required;
Utilization Review Care Manager
Tuscaloosa, AL · On-site
$60 - $80/hr
Minimum 2 years experience as an RN * Minimum of at least 2 years as care management and/or utilization management experience preferred. * Minimum of 2 years of Med Surgical experience required;
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Minimum 2 years experience as an RN * Minimum of at least 2 years as care management and/or utilization management experience preferred. * Minimum of 2 years of Med Surgical experience required;
Minimum 2 years experience as an RN * Minimum of at least 2 years as care management and/or utilization management experience preferred. * Minimum of 2 years of Med Surgical experience required;
Utilization Review Technician
Gadsden, AL · On-site
Riverview Regional Medical Center - Gadsden, AL We are seeking an Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...
Utilization Review Technician
Gadsden, AL · On-site
Riverview Regional Medical Center - Gadsden, AL We are seeking an Utilization Review Technician II , sometimes referred to as Utilization Management Technician II or Utilization Review Coordinator ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
... Utilization Review and Discharge Planning. Including but not limited to daily review of medical ... Minimum of three years nursing experience required. Three years' experience in case management or ...
... Utilization Review and Discharge Planning. Including but not limited to daily review of medical ... Minimum of three years nursing experience required. Three years' experience in case management or ...
Alabama Registered Nurse License Experience: Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical ...
Alabama Registered Nurse License Experience: Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical ...
American Traveler is seeking an experienced RN Case Manager for an acute care hospital setting ... Social Workers, Utilization Managers, and Care Management Assistants to address barriers to ...
New
American Traveler is seeking an experienced RN Case Manager for an acute care hospital setting ... Social Workers, Utilization Managers, and Care Management Assistants to address barriers to ...
New
Alabama Registered Nurse License Experience: Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical ...
Alabama Registered Nurse License Experience: Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical ...
Alabama Registered Nurse License Experience: Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical ...
Alabama Registered Nurse License Experience: Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical ...
Three years' experience in case management or utilization management preferred. Highlands Medical ... nursing homes. With over 720 employees, HMC is one of the largest employers in Jackson County.
Three years' experience in case management or utilization management preferred. Highlands Medical ... nursing homes. With over 720 employees, HMC is one of the largest employers in Jackson County.
Entry Level Utilization Management Nurse information
See Alabama salary details
$35.3K - $45.6K
15% of jobs
$45.6K - $55.8K
8% of jobs
$57.2K is the 25th percentile. Wages below this are outliers.
$55.8K - $66K
15% of jobs
The median wage is $72.5K / yr.
$66K - $76.2K
20% of jobs
$76.2K - $86.4K
11% of jobs
$91.5K is the 75th percentile. Wages above this are outliers.
$86.4K - $96.7K
13% of jobs
$96.7K - $106.9K
5% of jobs
$106.9K - $117.1K
3% of jobs
$117.1K - $127.3K
4% of jobs
$127.3K - $137.5K
3% of jobs
$137.5K - $147.7K
3% of jobs
$35.3K
$81.1K
$147.7K
How much do entry level utilization management nurse jobs pay per year?
As of Sep 7, 2026, the average yearly pay for entry level utilization management nurse in Alabama is $81,106.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,500.00 and $94,700.00 per year, depending on experience, location, and employer.
What is an entry level utilization management nurse?
An Entry Level Utilization Management Nurse is a registered nurse who works within healthcare organizations or insurance companies to review medical cases and ensure that patients receive appropriate, cost-effective care. They assess treatment plans, evaluate the necessity of medical procedures, and help coordinate services to avoid unnecessary hospitalizations. These nurses use clinical guidelines and their medical knowledge to make recommendations, often working closely with physicians, healthcare providers, and insurance representatives. The position is typically suited for nurses who are early in their careers and interested in the intersection of clinical practice and healthcare administration.
What are the key skills and qualifications needed to thrive as an entry level utilization management nurse?
To thrive as an Entry Level Utilization Management Nurse, you need an active RN license, a solid understanding of clinical guidelines, and a basic knowledge of healthcare regulations such as Medicare and Medicaid. Familiarity with utilization review software, electronic health records (EHRs), and clinical documentation systems is typically required. Strong analytical thinking, attention to detail, effective communication, and the ability to collaborate with healthcare teams are essential soft skills in this role. These skills and qualifications ensure accurate patient care reviews, compliance with regulations, and the delivery of cost-effective, quality healthcare.
What are some common challenges faced by entry level utilization management nurses during their first year on the job?
Entry Level Utilization Management Nurses often encounter challenges such as adapting to the fast-paced decision-making required in assessing medical necessity, interpreting insurance policies, and learning to communicate effectively with both providers and insurance representatives. Navigating complex healthcare regulations and documentation requirements can also be overwhelming at first. However, most organizations provide thorough onboarding, mentorship, and ongoing training to help new nurses build confidence and proficiency in these areas.
What is the difference between Entry Level Utilization Management Nurse vs Utilization Review Nurse?
| Aspect | Entry Level Utilization Management Nurse | Utilization Review Nurse |
|---|---|---|
| Certifications | RN license, possibly some utilization management training | RN license, often additional certifications like CCM or URAC |
| Work Environment | Hospitals, insurance companies, healthcare organizations | Insurance companies, healthcare facilities, third-party review organizations |
| Job Focus | Assessing patient needs for appropriate care, initial review | Reviewing medical necessity, approving or denying services |
While both roles involve reviewing healthcare services, the Entry Level Utilization Management Nurse typically focuses on initial assessments and coordinating patient care, whereas the Utilization Review Nurse often concentrates on detailed reviews for approval or denial of services, often requiring additional certifications.
What are the most commonly searched types of Utilization Management Nurse jobs in Alabama?
The most popular types of Utilization Management Nurse jobs in Alabama are:
What are popular job titles related to Entry Level Utilization Management Nurse jobs in Alabama?
For Entry Level Utilization Management Nurse jobs in Alabama, the most frequently searched job titles are:
- Night Utilization Review Nurse
- Remote Utilization Review Nurse
- Prior Authorization Rn
- Utilization Management Nurse
- Non Exempt No Experience Utilization Management Nurse
- Rn Insurance Assessment
- Medical Review Nurse
- Remote Concurrent Review Nurse
- Weekend Physician Advisor Utilization Review
- No Experience Utilization Review Nurse
What job categories do people searching Entry Level Utilization Management Nurse jobs in Alabama look for?
The top searched job categories for Entry Level Utilization Management Nurse jobs in Alabama are:
- Commission Optum Utilization Review
- Weekend Utilization Review
- Entry Level Rn Utilization Review Nurse
- Remote Cigna Utilization Review Nurse
- Remote Utilization Review Nurse Practitioner
- Remote Utilization Review
- Remote Preservice Review Nurse
- Remote Aetna Utilization Review Nurse
- Live In Cigna Utilization Review Nurse
- Remote Dental Utilization Review
What cities in Alabama are hiring for Entry Level Utilization Management Nurse jobs?
Cities in Alabama with the most Entry Level Utilization Management Nurse job openings:
Job description
Blue Eagle is looking for Pre-Cert Nurse(s) to assist with inpatient and outpatient PA reviews.
About Blue Eagle Consulting
Sourced by ZipRecruiter
Industry
It services
Company size
11 - 50 Employees
Headquarters location
Birmingham, AL, US
Year founded
2004