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Remote Utilization Management Jobs in Alabama (NOW HIRING)

Pharmacy Careers

Appeals Pharmacist (Remote)

Birmingham, AL · On-site +1

$49 - $59.75/hr

Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Mobile, AL · On-site +1

$48.75 - $59.50/hr

Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Aprio

Senior Director, Resource Management

Birmingham, AL · On-site +1

$225K - $300K/yr

Analyze trends in utilization, availability, backlog, pipeline, and seasonal demand to drive timely ... remote and hybrid options What's in it for you: - Working with an industry leader : Be part of a ...

CSAA

... management review * Lead operational governance activities across assigned Clubs, including ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements

Harris

$70K - $80K/yr

Remote (US or Canada) Overview The Manager, Learning & Development (L&D) leads a centralized L&D ... Own and manage Workday Learning (LMS), ensuring effective utilization, reporting, and program ...

Transform9

Account Manager, Enterprise

Birmingham, AL · On-site +1

... utilization * Monitor account health and intervene early on risk signals * Identify expansion ... / 2 remote). Requirements * 3+ years in account management or customer success at a B2B SaaS ...

Transform9

Account Manager, Enterprise

Birmingham, AL · On-site +1

... utilization * Monitor account health and intervene early on risk signals * Identify expansion ... / 2 remote). Requirements * 3+ years in account management or customer success at a B2B SaaS ...

Urology Centers of Alabama

Care Coordinator

Birmingham, AL · Remote

$18 - $24.25/hr

This remote role focuses on managing patients with two or more chronic conditions through ongoing ... utilization. Key Responsibilities · Provide CMS-compliant Chronic Care Management (CCM) services ...

Hewlett Packard Enterprise

Network Systems Engineering Manager (Pre-Sales) This role has been designated as 'Remote/Teleworker ... Resource management & Intra-Region support - Creates presales utilization plans that reflect the ...

Hewlett Packard Enterprise Development LP

Network Systems Engineering Manager (Pre-Sales) This role has been designated as 'Remote/Teleworker ... Resource management & Intra-Region support - Creates presales utilization plans that reflect the ...

Hewlett Packard Enterprise Development LP

Network Systems Engineering Manager (Pre-Sales) This role has been designated as 'Remote/Teleworker ... Resource management & Intra-Region support - Creates presales utilization plans that reflect the ...

AssetWorks

... Management * Manage project budgets and forecast projections * Track project resource utilization ... Flexible remote work arrangements Worker Type: Regular Number of Openings Available: 1

Outokumpu

Legal Counsel - USA & Canada

Calvert, AL · On-site +1

If remote from Atlanta or anywhere else, monthly travel to Calvert, Alabama for 2-3 day stay ... This role is responsible for managing all day-to-day legal matters for Business Area Americas ...

Autocar, LLC

Vice President of Sales

Birmingham, AL · Remote

Implement and manage CRM utilization across the team, ensuring pipeline data quality that supports ... with remote teams. Experience working with both public and private sectors preferred.

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All JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Alabama

Remote Utilization Management information

See Alabama salary details

$19

$38

$62

How much do remote utilization management jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for remote utilization management in Alabama is $38.32, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $43.99 per hour, depending on experience, location, and employer.

How does a Remote Utilization Management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What are the key skills and qualifications needed to thrive as a Remote Utilization Management Nurse, and why are they important?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

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 Remote Utilization Management jobs in Alabama? For Remote Utilization Management jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Alabama look for? The top searched job categories for Remote Utilization Management jobs in Alabama are:
What cities in Alabama are hiring for Remote Utilization Management jobs? Cities in Alabama with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you

RN - Registered Nurse - Utilization Review

UAB St. Vincent's

Birmingham, AL • Remote

Other

Medical, PTO

Posted 10 days ago

Job description

Position Overview
  • Department: Utilization Management
  • Schedule: M-F Days
  • Work Location: Remote
  • Benefits for eligible positions only include: generous paid time off, paid parental leave, Associate Assistance Program, Tuition Reimbursement Program, and more 
What You Will Do

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.
What You Will Need

Licensure / Certification / Registration:

  • Registered Nurse credentialed from the Alabama Board of Nursing obtained prior to hire date or jobtransfer date required.

Education:

  • Diploma from an accredited school/college of nursing and required professional licensure at time of hire.
Additional Preferences

No additional preferences.

About UAB St. Vincent's

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.

Employment Type: OTHER

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