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Prn Utilization Review Jobs in Alabama (NOW HIRING)

Prime Healthcare

RN Case Manager

Gadsden, AL · On-site

Per Diem/PRN Hours: 8-hour shift: weekends only Location: Riverview Regional Medical Center ... Utilization Review: monitor the use of hospital resources and services to ensure appropriate care ...

Prime Healthcare

RN Case Manager

Gadsden, AL · On-site

Per Diem/PRN Hours: 8-hour shift: weekends only Location : Riverview Regional Medical Center ... Utilization Review: m onitor the use of hospital resources and services to ensure appropriate care ...

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Prn Utilization Review information

What are the typical daily responsibilities for someone in a prn utilization review role?

A PRN Utilization Review professional typically reviews patient medical records, assesses the appropriateness of hospital admissions and ongoing care, and ensures adherence to established criteria and payer requirements. They often communicate with physicians, nurses, case managers, and insurance representatives to gather information and provide recommendations. The role may involve balancing multiple cases, preparing case summaries, and documenting findings in electronic systems. While the schedule offers flexibility, time management and attention to deadlines are important, especially when working with fast-paced healthcare environments.

What are the key skills and qualifications needed to thrive in the prn utilization review position, and why are they important?

To excel as a PRN Utilization Review professional, you need a background in nursing or a related healthcare field, along with knowledge of medical necessity criteria and insurance guidelines. Familiarity with electronic medical record (EMR) systems and utilization management software, as well as certification such as CCM or URAC, is often required. Strong analytical abilities, attention to detail, and effective communication are valuable soft skills in this role. These skills are crucial for accurately assessing patient care needs, ensuring compliance, and collaborating efficiently with healthcare teams and payers.

What are popular job titles related to Prn Utilization Review jobs in Alabama?

For Prn Utilization Review jobs in Alabama, the most frequently searched job titles are:

What job categories do people searching Prn Utilization Review jobs in Alabama look for?

The top searched job categories for Prn Utilization Review jobs in Alabama are:

Prn Utilization Review jobs near you
Infographic showing various Prn Utilization Review job openings in Alabama as of August 2026, with employment types broken down into 72% Full Time, and 28% Part Time. Highlights an 100% In-person job distribution.

RN - Registered Nurse - Utilization Review - PRN Days

UAB St. Vincent's

Birmingham, AL

Per diem

Medical, PTO

Re-posted 12 days ago

Job description

  • Department: Utilization Review
  • Schedule: PRN Days
  • Work Location: UAB ST Vincent's Birmingham
  • Benefits for eligible positions only include: generous paid time off, paid parental leave, Associate Assistance Program, Tuition Reimbursement Program, and more 

Provide health care services regarding admissions, case management, discharge planning and utilization review.

  • Review admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provide case management and/or consultation for complex cases.
  • Assist departmental staff with issues related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.
  • Assess and coordinate discharge planning needs with healthcare team members.
  • May prepare statistical analysis and utilization review reports as necessary.
  • Oversee and coordinate compliance to federally mandated and third party payer utilization management rules and regulations.

Licensure / Certification / Registration:

  • Licensed Associate Professional Registered Nurse credentialed from the Alabama Board of Nursing
    obtained prior to hire date or job transfer date required.

Education:

  • Diploma from an accredited school/college of nursing and required professional licensure at time of hire.
  • One Year of Experience is required

No additional preferences.


UAB St. Vincent’s, a proud part of UAB Medicine, is a trusted provider of health care, serving Alabama for more than 125 years. With five hospitals and numerous clinics, we're a health care community deeply rooted in compassion, service, and respect for all, guided by the rich legacy of the St. Vincent’s name. We're committed to extending kindness and personalized care to patients, their families, and each other. We address the physical, psychological, social, and spiritual needs of our patients. We believe in the power of teamwork and unity, and foster a collaborative spirit among our more than 4,800 employees. As one of Alabama’s best hospitals as recognized by U.S. News & World Report, improving the health and lives of those we serve is at the heart of our mission. Join us in continuing our legacy of service and healing in central Alabama, where we can make a lasting impact together.

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