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Remote Utilization Review Jobs in Mobile, AL (NOW HIRING)

ABB

Utility Sales Support

AL · Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

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Remote Utilization Review information

See Mobile, AL salary details

$21

$41

$68

How much do remote utilization review jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for remote utilization review in Mobile, AL is $41.96, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.17 per hour, depending on experience, location, and employer.

What is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What are the most commonly searched types of Utilization Review jobs in Mobile, AL?

The most popular types of Utilization Review jobs in Mobile, AL are:

What are popular job titles related to Remote Utilization Review jobs in Mobile, AL?

For Remote Utilization Review jobs in Mobile, AL, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Mobile, AL look for?

The top searched job categories for Remote Utilization Review jobs in Mobile, AL are:

What cities near Mobile, AL are hiring for Remote Utilization Review jobs?

Cities near Mobile, AL with the most Remote Utilization Review job openings:

Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Mobile, AL as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,272 per year, or $42 per hour.

LPN Care Manager (Hybrid Remote) (Baldwin, Mobile & Washington Counties, AL)

AltaPointe Health

AL • On-site, Remote

Full-time

Re-posted 21 days ago

AltaPointe Health rating

7.0

Company rating: 7.0 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

Responsibilities
Primary Job Functions:
Clinical:
  • Chart Review and Documentation
    • Conduct structured reviews of clinical records to assess service utilization, client engagement, and treatment plan compliance.
    • Document all findings and coordination efforts in the electronic health record using the Care Manager System.
    • Identify gaps in care, missed services, or follow-up needs and take appropriate action.
  • Care Coordination
    • Coordinate physical, behavioral, and social health services across internal programs and external providers.
    • Facilitate client access to community-based services such as housing, benefits, employment supports, and substance use care.
    • Ensure referrals are generated, tracked, and closed with appropriate documentation.
  • Hospital Discharge and Transition Support
    • Conduct follow-up calls within 24 hours of psychiatric or medical hospital discharges.
    • Confirm follow-up appointments are scheduled, and discharge instructions are supported and understood.
    • Notify care team members of transitions and facilitate continuity of care.
  • Service Monitoring and Engagement
    • Monitor client attendance at therapy, psychiatry, and medical appointments.
    • Address patterns of disengagement, such as missed appointments, and initiate outreach or peer support referrals.
    • Review PHQ-9 and other screening tools to track clinical progress and inform care needs.
  • Referral and Linkage Management
    • Create, follow up, and close referrals in the Care Manager System.
    • Communicate with service providers to confirm that referrals were completed and appointments attended.
    • Resolve barriers such as transportation, insurance, or documentation needs.
  • Risk Identification and Response
    • Monitor client risk levels and report any significant changes to the treatment team.
    • Support crisis response planning by facilitating communication across care team members and community resources.
  • Treatment Plan Support
    • Assist with treatment plan implementation by ensuring services align with identified goals and timelines.
    • Coordinate updates to the treatment plan as client needs or engagement levels change.
  • Ongoing Caseload Management
    • Manage assigned client caseloads, respond to alerts, and complete scheduled reviews as outlined in care protocols.
    • Participate in team huddles and interdisciplinary case discussions.
  • Compliance and Reporting
    • Ensure documentation meets agency, Medicaid, and CCBHC standards.
    • Maintain timely and accurate entries in line with quality assurance requirements.
  • Productivity Standard
    • Care Managers are expected to review an average of 8-10 charts per day as they build familiarity with the process and complete full chart reviews.
    • Once training is completed and review skills are developed, productivity will increase to 15-20 chart reviews per day, depending on chart complexity, and new patient chart reviews.
    • Documentation of reviews must be completed daily to ensure timely follow-up and coordination of care.

Supervision and Consultation:
  • Seeks supervision and consultation as needed.
  • Accepts and employs suggestions for improvement.
  • Actively works to enhance care management skills

Clinical Record Keeping:
  • Documents interactions with patients and chart reviews.
  • Documents within Care Manager appropriate follow up and provision of linkage to services.

Courteous and respectful attitudes towards patients, visitors, and co-workers:
  • Treats patients with care, dignity, and compassion.
  • Respects patient's privacy and confidentiality.
  • Is pleasant and cooperative with others.
  • Personal values don't inhibit ability to relate and care for others.
  • Is sensitive to the patient's needs, expectations, and individual differences.

Caseload Management:
  • Effectively manages caseload based on patient needs and staffs with supervisor regularly.

Administrative and Other Related Duties as Assigned:
  • Actively participates in Performance Improvement activities.
  • Actively participates in AltaPointe committees as required.
  • Follows AltaPointe policies and procedures
  • Attends required in-service training and other workshops, trainings.

Qualifications
Minimum Qualifications:
Education:
Bachelor's degree in a behavioral health, human services, nursing, public health, or related field is preferred -or- High School diploma or equivalent and 4 years of experience in behavioral health, care coordination, case management, or related healthcare service delivery.
Experience:
Minimum of 2 years of experience in behavioral health, care coordination, case management, or related healthcare service delivery. Experience with high-need populations (SMI, SED, SUD) strongly preferred.
Skills and Competencies:
  • Strong knowledge of behavioral health systems, including mental health, substance use, and social determinants of health.
  • Proficiency in navigating and documenting within electronic health records (EHR), including coordination systems like Avatar or equivalent.
  • Experience with treatment planning, interagency coordination, and client engagement.
  • Strong organizational and communication skills, including ability to document accurately and follow up on tasks.
  • Ability to work independently and as part of an interdisciplinary team.

Other Requirements:
  • Valid driver's license and reliable transportation may be required based on program location.
  • Ability to pass background checks and credentialing per agency standards.

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