American Traveler is hiring a Travel RN Case Manager for a hospital setting requiring 1+ year of recent case management/utilization review experience and an active FL or compact RN license. Job ...
American Traveler is hiring a Travel RN Case Manager for a hospital setting requiring 1+ year of recent case management/utilization review experience and an active FL or compact RN license. Job ...
RN-CASE MGR | CASE MANAGEMENT
Mccalla, AL · On-site
Background in chronic disease management or utilization review. * Master's degree in Nursing, Healt ... The RN-Case Manager utilizes clinical expertise and critical thinking skills daily to assess ...
RN-CASE MGR | CASE MANAGEMENT
Mccalla, AL · On-site
Background in chronic disease management or utilization review. * Master's degree in Nursing, Healt ... The RN-Case Manager utilizes clinical expertise and critical thinking skills daily to assess ...
American Traveler is hiring an experienced RN Case Manager with a CA RN license and 5+ years of ... experience with utilization review including admission criteria, appeals and denials, and ...
American Traveler is hiring an experienced RN Case Manager with a CA RN license and 5+ years of ... experience with utilization review including admission criteria, appeals and denials, and ...
Case Manager
Pelham, AL · On-site
$18.25 - $23.75/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications License or Certification:
Case Manager
Pelham, AL · On-site
$18.25 - $23.75/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications License or Certification:
Case Manager
Dothan, AL · On-site
$18.25 - $23.50/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager
Dothan, AL · On-site
$18.25 - $23.50/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager
Phenix City, AL · On-site
$18 - $23.25/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager
Phenix City, AL · On-site
$18 - $23.25/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager Full Time
Phenix City, AL · On-site
Shift: 8:00AM - 5:00PM ET Position Goal The Case Manager is responsible for performing care coordination, utilization review support, and discharge planning. This includes assessment, identification ...
Case Manager Full Time
Phenix City, AL · On-site
Shift: 8:00AM - 5:00PM ET Position Goal The Case Manager is responsible for performing care coordination, utilization review support, and discharge planning. This includes assessment, identification ...
Case Manager
Birmingham, AL · On-site
$18.75 - $24.25/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to ...
Case Manager
Birmingham, AL · On-site
$18.75 - $24.25/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to ...
Case Manager
$19.75 - $25.50/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager
$19.75 - $25.50/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager Full Time
Phenix City, AL · On-site
Shift: 8:00AM - 5:00PM ET Position Goal The Case Manager is responsible for performing care coordination, utilization review support, and discharge planning. This includes assessment, identification ...
Case Manager Full Time
Phenix City, AL · On-site
Shift: 8:00AM - 5:00PM ET Position Goal The Case Manager is responsible for performing care coordination, utilization review support, and discharge planning. This includes assessment, identification ...
Case Manager Full Time
Phenix City, AL · On-site
Shift: 8:00AM - 5:00PM ET Position Goal The Case Manager is responsible for performing care coordination, utilization review support, and discharge planning. This includes assessment, identification ...
Case Manager Full Time
Phenix City, AL · On-site
Shift: 8:00AM - 5:00PM ET Position Goal The Case Manager is responsible for performing care coordination, utilization review support, and discharge planning. This includes assessment, identification ...
Case Manager
Dothan, AL · On-site
$18.25 - $23.50/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager
Dothan, AL · On-site
$18.25 - $23.50/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
American Traveler is hiring an experienced RN Case Manager with a CA RN license for a 13-week acute ... and utilization review, • May involve determining medical necessity using evidence-based ...
American Traveler is hiring an experienced RN Case Manager with a CA RN license for a 13-week acute ... and utilization review, • May involve determining medical necessity using evidence-based ...
RN - Case Manager
Tallassee, AL · On-site
$2.1K/wk
Collaborate with payers and review organizations to ensure optimal utilization of patient care ... Stay current on Case Management, Social Services, discharge planning, and nursing issues through ...
RN - Case Manager
Tallassee, AL · On-site
$2.1K/wk
Collaborate with payers and review organizations to ensure optimal utilization of patient care ... Stay current on Case Management, Social Services, discharge planning, and nursing issues through ...
An RN Case Manager will oversee and coordinate patient care from admission through discharge to ... Utilization Review: monitor the use of hospital resources and services to ensure appropriate care ...
An RN Case Manager will oversee and coordinate patient care from admission through discharge to ... Utilization Review: monitor the use of hospital resources and services to ensure appropriate care ...
RN Case Manager
Gadsden, AL · On-site
An RN Case Manager will oversee and coordinate patient care from admission through discharge to ... Utilization Review: monitor the use of hospital resources and services to ensure appropriate care ...
RN Case Manager
Gadsden, AL · On-site
An RN Case Manager will oversee and coordinate patient care from admission through discharge to ... Utilization Review: monitor the use of hospital resources and services to ensure appropriate care ...
RN Case Manager
Gadsden, AL · On-site
An RN Case Manager will oversee and coordinate patient care from admission through discharge to ... Utilization Review: monitor the use of hospital resources and services to ensure appropriate care ...
RN Case Manager
Gadsden, AL · On-site
An RN Case Manager will oversee and coordinate patient care from admission through discharge to ... Utilization Review: monitor the use of hospital resources and services to ensure appropriate care ...
RN Case Manager
Gadsden, AL · On-site
An RN Case Manager will oversee and coordinate patient care from admission through discharge to ... Utilization Review: monitor the use of hospital resources and services to ensure appropriate care ...
RN Case Manager
Gadsden, AL · On-site
An RN Case Manager will oversee and coordinate patient care from admission through discharge to ... Utilization Review: monitor the use of hospital resources and services to ensure appropriate care ...
RN Case Manager
Gadsden, AL · On-site
An RN Case Manager will oversee and coordinate patient care from admission through discharge to ... Utilization Review: m onitor the use of hospital resources and services to ensure appropriate care ...
RN Case Manager
Gadsden, AL · On-site
An RN Case Manager will oversee and coordinate patient care from admission through discharge to ... Utilization Review: m onitor the use of hospital resources and services to ensure appropriate care ...
Case Manager, Senior
Birmingham, AL · On-site
Minimum 2 years of experience in Case Management, including Utilization Review and Discharge Planning in an inpatient rehabilitation setting.
Case Manager, Senior
Birmingham, AL · On-site
Minimum 2 years of experience in Case Management, including Utilization Review and Discharge Planning in an inpatient rehabilitation setting.
Utilization Case Manager information
What is a utilization case manager?
A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.
What are the key skills and qualifications needed to thrive as a utilization case manager?
To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.
How does a utilization case manager typically collaborate with healthcare providers and insurance companies?
Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.
What is the difference between Utilization Case Manager vs Utilization Review Nurse?
| Aspect | Utilization Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, case management certification | RN license, certification in utilization review |
| Work Environment | Case management teams, hospitals, insurance companies | Utilization review departments, hospitals, insurance providers |
| Primary Focus | Coordinating patient care, discharge planning, resource allocation | Assessing medical necessity, reviewing patient records for appropriateness |
| Common Usage | Broader case management roles, patient advocacy | Specific review of medical necessity and insurance claims |
While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.
What degree do I need for utilization case manager?
Utilization case managers typically need at least a bachelor's degree in healthcare, social work, nursing, or a related field. Some positions may prefer or require a master's degree or relevant certifications, such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ).
What are popular job titles related to Utilization Case Manager jobs in Alabama?
For Utilization Case Manager jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Utilization Case Manager jobs in Alabama look for?
The top searched job categories for Utilization Case Manager jobs in Alabama are:
What cities in Alabama are hiring for Utilization Case Manager jobs?
Cities in Alabama with the most Utilization Case Manager job openings:
Travel RN - Case Management/Utilization Review - Case Management
Decatur, AL • On-site
American Traveler •
Recruiting and Staffing Services • 501 - 1,000 employees501 - 1,000 employees
Other
Posted 24 days ago
Job description
American Traveler is hiring a Travel RN Case Manager for a hospital setting requiring 1+ year of recent case management/utilization review experience and an active FL or compact RN license.
Job Details
Job Requirements
Additional Information
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About American Traveler
Sourced by ZipRecruiter
With over 20 years of success in healthcare staffing, American Traveler has established a reputation for outstanding customer service. Our full-service agency has earned top ratings from healthcare professionals in every specialty and setting. We offer travel assignments in the most sought-after locations and facilities in the country. We staff major medical centers, prestigious university teaching facilities, Magnet facilities, regional community hospitals, outpatient centers, rehab centers, skilled nursing facilities and more. With our expert team behind you every step of the way, you can enjoy a rewarding travel career that exceeds your expectations. With over 20 years of experience, American Traveler has established a reputation for outstanding customer service. With our team behind you, you can relax and enjoy a rewarding travel career.
Industry
Recruiting and staffing services
Company size
501 - 1,000 Employees
Headquarters location
Boca Raton, FL, US
Year founded
1999