American Traveler is seeking an experienced RN Case Manager for an inpatient acute care hospital ... utilization managers, medical social workers, bedside RNs, interdisciplinary teams, payers, and ...
American Traveler is seeking an experienced RN Case Manager for an inpatient acute care hospital ... utilization managers, medical social workers, bedside RNs, interdisciplinary teams, payers, and ...
American Traveler is seeking an experienced RN Case Manager for an acute care hospital Case ... utilization management and discharge planning required, • Epic EMR experience, • Flu vaccine ...
American Traveler is seeking an experienced RN Case Manager for an acute care hospital Case ... utilization management and discharge planning required, • Epic EMR experience, • Flu vaccine ...
In Utilization Management at Main Campus Lee Building Summary: The UR Reviewer I is responsible for performing inpatient admission, concurrent, and observation reviews based on pre-established ...
In Utilization Management at Main Campus Lee Building Summary: The UR Reviewer I is responsible for performing inpatient admission, concurrent, and observation reviews based on pre-established ...
In Utilization Management at Main Campus Lee Building Summary: The UR Reviewer I is responsible for performing inpatient admission, concurrent, and observation reviews based on pre-established ...
In Utilization Management at Main Campus Lee Building Summary: The UR Reviewer I is responsible for performing inpatient admission, concurrent, and observation reviews based on pre-established ...
Industry/Sector Health Services Specialism Operations Management Level Manager & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising ...
Industry/Sector Health Services Specialism Operations Management Level Manager & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising ...
Computer proficiency to include word processing, spreadsheet, and data collection/management ... the Utilization Management process as required . 10% 7. Demonstrates competence in medical ...
Computer proficiency to include word processing, spreadsheet, and data collection/management ... the Utilization Management process as required . 10% 7. Demonstrates competence in medical ...
Case Manager PRN
Prattville, AL · On-site
The RN - Case Management will be utilized as either Utilization Management or as Discharge Planning. The Case Manager tasked with discharge planning shall coordinate care of an assigned caseload of ...
Case Manager PRN
Prattville, AL · On-site
The RN - Case Management will be utilized as either Utilization Management or as Discharge Planning. The Case Manager tasked with discharge planning shall coordinate care of an assigned caseload of ...
The RN - Case Management will be utilized as either Utilization Management or as Discharge Planning. The Case Manager tasked with discharge planning shall coordinate care of an assigned caseload of ...
The RN - Case Management will be utilized as either Utilization Management or as Discharge Planning. The Case Manager tasked with discharge planning shall coordinate care of an assigned caseload of ...
Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not ...
Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not ...
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 ...
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 ...
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 ...
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 ...
Payer Utilization Management & Business Integration, Senior Associate
Birmingham, AL · On-site
$77K - $202K/yr
Industry/Sector Health Services Specialism Operations Management Level Senior Associate & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising ...
Payer Utilization Management & Business Integration, Senior Associate
Birmingham, AL · On-site
$77K - $202K/yr
Industry/Sector Health Services Specialism Operations Management Level Senior Associate & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising ...
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 ...
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 ...
Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not ...
Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not ...
Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not ...
Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not ...
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 ...
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 ...
The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to ...
The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to ...
RN Case Manager
Montgomery, AL · On-site
... Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and implementation of a discharge plan for an assigned group of ...
RN Case Manager
Montgomery, AL · On-site
... Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and implementation of a discharge plan for an assigned group of ...
Director of Case Management
Mobile, AL · On-site
The Case Management Director provides strategic and operational leadership for length of stay management, utilization review, and discharge planning in an acute care hospital. This role requires ...
Director of Case Management
Mobile, AL · On-site
The Case Management Director provides strategic and operational leadership for length of stay management, utilization review, and discharge planning in an acute care hospital. This role requires ...
Director of Case Management
Mobile, AL · On-site
The Case Management Director provides strategic and operational leadership for length of stay management, utilization review, and discharge planning in an acute care hospital. This role requires ...
Director of Case Management
Mobile, AL · On-site
The Case Management Director provides strategic and operational leadership for length of stay management, utilization review, and discharge planning in an acute care hospital. This role requires ...
Manager Utilization Management information
See Alabama salary details
$35.3K - $45.9K
9% of jobs
$53.8K is the 25th percentile. Wages below this are outliers.
$45.9K - $56.5K
22% of jobs
$56.5K - $67.1K
11% of jobs
The median wage is $73.6K / yr.
$67.1K - $77.7K
14% of jobs
$77.7K - $88.3K
12% of jobs
$94.9K is the 75th percentile. Wages above this are outliers.
$88.3K - $98.9K
13% of jobs
$98.9K - $109.5K
13% of jobs
$109.5K - $120.1K
5% of jobs
$120.1K - $130.6K
2% of jobs
$130.6K - $141.2K
0% of jobs
$141.2K - $151.8K
0% of jobs
$35.3K
$82.5K
$151.8K
How much do manager utilization management jobs pay per year?
As of May 28, 2026, the average yearly pay for manager utilization management in Alabama is $82,492.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,900.00 and $99,200.00 per year, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a Manager Utilization Management, and why are they important?
To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.
What are some common challenges faced by a Manager in Utilization Management, and how can they effectively address them?
Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.
What does a Manager of Utilization Management do?
A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.
What is the difference between Manager Utilization Management vs Utilization Review Nurse?
| Aspect | Manager Utilization Management | Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or utilization review certifications | RN, with certifications in utilization review or case management |
| Work Environment | Supervises teams, manages policies, oversees utilization review processes | Performs patient chart reviews, assesses medical necessity, collaborates with providers |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare organizations |
| Search & Comparison Intent | Yes | Yes |
While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.
What are the most commonly searched types of Utilization Management jobs in Alabama? The most popular types of Utilization Management jobs in Alabama are:
What are popular job titles related to Manager Utilization Management jobs in Alabama? For Manager Utilization Management jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Alabama look for? The top searched job categories for Manager Utilization Management jobs in Alabama are:
What cities in Alabama are hiring for Manager Utilization Management jobs? Cities in Alabama with the most Manager Utilization Management job openings:
Travel RN - Case Management/Utilization Review - Case Management
American TravelerMadison, AL • On-site
Full-time
This job post has expired today. Applications are no longer accepted.
Job description
American Traveler is seeking an experienced RN Case Manager for an inpatient acute care hospital position requiring a CA RN license and a minimum of 5 years of RN Case Management experience.
Job Details
• Day shift schedule, 5x8-hour shifts (8:00-16:30),
• Every other weekend required,
• Inpatient acute care hospital setting,
• Case Management unit focused on care coordination and care transitions across the acute care continuum,
• Collaborates with physicians, utilization managers, medical social workers, bedside RNs, interdisciplinary teams, payers, and community resources,
• Responsibilities include utilization management, care transitions planning, and discharge planning for complex patient populations,
• May include assignments covering the Emergency Department for complex clinical and social situations,
Job Requirements
• Active CA RN license required,
• Current BLS certification required,
• Minimum 5 years of RN Case Management experience required,
• Inpatient acute care hospital Case Management experience required,
• 2 supervisor references obtained within the past year required for consideration,
• Must reside more than 50 miles from the facility to qualify for travel pay rates,
Additional Information
• Coordinates care across the continuum including utilization management, LOC determination, transition planning, and post-acute referrals,
• Screens 30-day readmissions and develops effective transition plans in collaboration with the interdisciplinary team,
• Ensures compliance with CMS, Joint Commission Transitions of Care requirements, COPs, and other regulatory standards,
• Monitors LOS, identifies barriers to care progression, and works with the multidisciplinary team to resolve them in a timely manner,
• Former employees of this health system must have been away for at least 1 year before returning as a traveler,
• Only 1 holiday RTO request will be approved for this assignment