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Senior Rn Utilization Review Nurse Jobs in Mobile, AL

NHS Management, LLC

RN Unit Manager (8a-5p)

Mobile, AL

$32.50 - $43/hr

... utilization review activities. * Receives physicians' instructions regarding resident care and ... Current R.N. license by State required with experience in the long term care or working with the ...

NHS Management, LLC

RN Unit Manager (8a-5p)

Mobile, AL

$32.50 - $43/hr

... utilization review activities. * Receives physicians' instructions regarding resident care and ... Current R.N. license by State required with experience in the long term care or working with the ...

NHS Management Services

RN Unit Manager (8a-5p)

Mobile, AL · On-site

$39.50 - $52/hr

... utilization review activities. * Receives physicians' instructions regarding resident care and ... Current R.N. license by State required with experience in the long term care or working with the ...

VITAS Healthcare

Registered Nurse (RN)

Daphne, AL · On-site

Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and ...

VITAS Healthcare

Registered Nurse (RN)

Daphne, AL

$38 - $40/hr

Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and ...

VITAS Healthcare

Registered Nurse (RN)

Mobile, AL

$38 - $40/hr

Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and ...

VITAS Healthcare

Registered Nurse (RN)

Mobile, AL · On-site

$38 - $40/hr

Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and ...

VITAS Healthcare

Registered Nurse (RN)

Mobile, AL · On-site

$38 - $40/hr

Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and ...

VITAS Healthcare

Registered Nurse (RN)

Daphne, AL

Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and ...

VITAS Healthcare

Registered Nurse (RN)

Daphne, AL · On-site

$38 - $40/hr

Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews * Registered Nurse, RN, responsible for attending orientation and ...

VITAS Healthcare

Registered Nurse (RN)

Daphne, AL · On-site

$38 - $40/hr

Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and ...

VITAS Healthcare

Registered Nurse (RN)

Mobile, AL

$38 - $40/hr

Registered Nurse, RN, develops and achieves professional growth goals and objectives personally and per Team Manager reviews b. Registered Nurse, RN, responsible for attending orientation and ...

VITAS Healthcare

Registered Nurse (RN)

Mobile, AL · On-site

$38 - $40/hr

The Registered Nurse, RN, is designated to provide coordination of care, ensure continuous ... Manager reviews * Responsible for attending orientation and regularly scheduled in-services ...

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Senior Rn Utilization Review Nurse information

See Mobile, AL salary details

$21

$41

$68

How much do senior rn utilization review nurse jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for senior rn utilization review nurse 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 does a Senior RN Utilization Review Nurse do?

A Senior RN Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, apply clinical guidelines, and collaborate with healthcare providers to ensure that treatments are cost-effective and meet established standards of care. Additionally, they often mentor junior staff, participate in policy development, and help optimize resource utilization within healthcare organizations. Their work supports quality patient care while managing healthcare costs.

What are some typical challenges faced by a Senior RN Utilization Review Nurse when coordinating with multidisciplinary teams?

Senior RN Utilization Review Nurses often collaborate with physicians, case managers, and insurance representatives to ensure patients receive appropriate, cost-effective care. A common challenge is balancing clinical guidelines with payer requirements, which can sometimes lead to differing opinions on the necessity of certain treatments or services. Effective communication, strong negotiation skills, and up-to-date knowledge of regulatory standards are essential to navigate these situations successfully. Being proactive and maintaining strong professional relationships helps facilitate smoother approvals and promotes patient-centered care.

What are the key skills and qualifications needed to thrive as a Senior RN Utilization Review Nurse, and why are they important?

To thrive as a Senior RN Utilization Review Nurse, you need a strong clinical nursing background, active RN licensure, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and certifications like CCM (Certified Case Manager) or URAC are highly beneficial. Exceptional critical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These skills ensure accurate case evaluations, compliance with regulations, and optimized patient care while controlling healthcare costs.

What is the difference between Senior Rn Utilization Review Nurse vs Rn Case Manager?

AspectSenior Rn Utilization Review NurseRn Case Manager
CertificationsRN license, possibly UR or case management certificationRN license, often case management certification
Work EnvironmentHospitals, insurance companies, healthcare organizationsHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and utilization of servicesCoordinating patient care and discharge planning
Common UsageUsed in insurance and healthcare review settingsUsed in patient care coordination and discharge planning

The Senior Rn Utilization Review Nurse primarily focuses on evaluating the necessity and appropriateness of healthcare services, often working within insurance companies or healthcare organizations. In contrast, Rn Case Managers concentrate on coordinating patient care, discharge planning, and ensuring smooth healthcare delivery. Both roles require RN licensure and relevant certifications, but their daily responsibilities and work environments differ slightly.

What are popular job titles related to Senior Rn Utilization Review Nurse jobs in Mobile, AL?

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

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

The top searched job categories for Senior Rn Utilization Review Nurse jobs in Mobile, AL are:

Senior Rn Utilization Review Nurse jobs near you
Infographic showing various Senior Rn Utilization Review Nurse job openings in Mobile, AL as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,272 per year, or $42 per hour.

MDS Coordinator RN

Camellia Health and Rehabilitation Center

Mobile, AL • On-site

$30.50 - $36.75/hr

Full-time

Re-posted 28 days ago

Job description

MDS Coordinator (RN)

Mobile, Alabama

Join the team at Camellia Health & Rehabilitation Center and become part of a skilled nursing and rehabilitation team that truly works together to provide outstanding care and support to our residents.

We are seeking an experienced and motivated Registered Nurse (RN) to join our team as an MDS Coordinator. This is an excellent opportunity for an RN with MDS, Medicare, case management, or skilled nursing experience who is looking for a supportive environment, strong leadership, and a team-first culture.

At Camellia Health & Rehab, we believe great outcomes start with great teamwork. You will work alongside clinical leaders who value communication, collaboration, and quality care while helping drive strong clinical and reimbursement outcomes for the facility.

Why Join Our Team?

  • Supportive and collaborative leadership team

  • Team-focused culture with strong clinical support

  • Stable skilled nursing and rehabilitation environment

  • Opportunity to make a direct impact on resident care and outcomes

  • Competitive compensation

  • Full-time position with consistent schedule

  • Career growth opportunities within a growing organization

MDS Coordinator RN Responsibilities

  • Complete and oversee MDS assessments in accordance with CMS and state regulations

  • Coordinate the RAI process and interdisciplinary care planning

  • Ensure accuracy of Medicare and PDPM documentation

  • Collaborate with nursing, therapy, dietary, and social services teams

  • Monitor clinical documentation to support reimbursement and quality outcomes

  • Participate in Medicare meetings and utilization review processes

  • Maintain compliance with federal, state, and facility guidelines

  • Assist with care plan development and resident assessments

  • Support quality measures and survey readiness initiatives

Qualifications

  • Active Registered Nurse (RN) license in Alabama

  • Previous MDS Coordinator experience preferred

  • Skilled nursing facility (SNF) experience strongly preferred

  • Knowledge of PDPM, Medicare, and case management processes

  • Strong organizational and communication skills

  • Team-oriented mindset with a positive attitude

Camellia Health & Rehabilitation Center is an Equal Opportunity Employer (EOE). We celebrate diversity and are committed to creating an inclusive environment for all employees.

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