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Manager Utilization Management Jobs in Birmingham, AL

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Manager Utilization Management information

See Birmingham, AL salary details

$36.5K

$85.3K

$157K

How much do manager utilization management jobs pay per year?

As of May 28, 2026, the average yearly pay for manager utilization management in Birmingham, AL is $85,295.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,800.00 and $102,600.00 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?

AspectManager Utilization ManagementUtilization Review Nurse
CredentialsRN, often with management or utilization review certificationsRN, with certifications in utilization review or case management
Work EnvironmentSupervises teams, manages policies, oversees utilization review processesPerforms patient chart reviews, assesses medical necessity, collaborates with providers
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations
Search & Comparison IntentYesYes

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 Birmingham, AL? The most popular types of Utilization Management jobs in Birmingham, AL are:
What are popular job titles related to Manager Utilization Management jobs in Birmingham, AL? For Manager Utilization Management jobs in Birmingham, AL, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Birmingham, AL look for? The top searched job categories for Manager Utilization Management jobs in Birmingham, AL are:
What cities near Birmingham, AL are hiring for Manager Utilization Management jobs? Cities near Birmingham, AL with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Birmingham, AL as of May 2026, with employment types broken down into 82% Full Time, 15% Part Time, and 3% Contract. Highlights an 38% Physical, 9% Hybrid, and 53% Remote job distribution, with an average salary of $85,295 per year, or $41 per hour.
Manager Utilization Management

Manager Utilization Management

Children's of Alabama

Birmingham, AL • On-site

Full-time

Posted 21 days ago

Children's Of Alabama rating

6.4

Company rating: 6.4 out of 10

Based on 40 frontline employees who took The Breakroom Quiz

705th of 989 rated hospitals

Job description

In Utilization Management at Main Campus Lee Building
Work schedule will be Full-time on the Day Shift, Monday - Friday 8:00am - 4:30pm.
Summary:
Responsible for the day to day functions of the Utilization Management department inclusive of supervising Nurse Reviewers, and collaborating with Revenue Cycle and Business Office.
Credentials with Equivalent Qualifications:
Essential:
* Registered Nurse AL Single State or any of the following equivalent qualifications below:
- Registered Nurse AL NLC Multi State
- Registered Nurse Non-AL NLC Multi State
Education with Equivalent Qualifications:
Essential:
* Bachelor of Science Nursing in Nursing
Experience with Equivalent Qualifications:
Essential:
* 5 Years Staff Level

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About Children's of Alabama

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Since 1911, Children’s of Alabama has provided specialized medical care for ill and injured children. Ranked among the best children’s hospitals in the nation by U.S. News & World Report, Children’s serves patients from every county in Alabama and nearly every state. With more than 3.5 million square feet, it is one of the largest pediatric medical facilities in the United States. Children’s offers inpatient and outpatient services at its Russell Campus on Birmingham’s historic Southside with additional specialty services provided at Children’s South, Children’s on 3rd and in Huntsville and Montgomery. Primary medical care is provided in more than a dozen communities across central Alabama. Children’s is the only health system in Alabama dedicated solely to the care and treatment of children. It is a private, not-for-profit medical center that serves as the teaching hospital for the University of Alabama at Birmingham (UAB) pediatric medicine, surgery, psychiatry, research and residency programs. The medical staff consists of UAB faculty and Children’s full-time physicians as well as private practicing community physicians. Our staff is committed to providing the finest pediatric healthcare to all children. We built our legacy on our core values of trust, teamwork, compassion, innovation and commitment. We know that every time we come through these doors we will live up to our high standards as we work to make a difference in children's lives. You've chosen a career that’s all about care. If you want to make a difference the life of children and their families, if you want to advance in your profession, if you appreciate good benefits, and want to work with outstanding medical professionals in a variety of areas, then Children’s of Alabama is where you belong.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Birmingham, AL, US

Year founded

1911

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