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Utilization Case Manager Jobs in Mobile, AL (NOW HIRING)

AltaPointe Health

Care Manager

Mobile, AL

Conduct structured reviews of clinical records to assess service utilization, client engagement ... Participate in team huddles and interdisciplinary case discussions. * Compliance and Reporting

AltaPointe Health

Care Manager

Mobile, AL

Conduct structured reviews of clinical records to assess service utilization, client engagement ... Participate in team huddles and interdisciplinary case discussions. * Compliance and Reporting

AltaPointe Health

Care Manager

AL · On-site

Conduct structured reviews of clinical records to assess service utilization, client engagement ... Participate in team huddles and interdisciplinary case discussions. * Compliance and Reporting

Reliant Rehabilitation

Occupational Therapist

Foley, AL · On-site

$34.50 - $45.25/hr

... rehab technicians, and case management. Uphold professional conduct that reflects Reliant ... utilization and skill development in accordance with State Practice Acts, OBRA, and company ...

Reliant Rehabilitation

Occupational Therapist

Foley, AL

$34.50 - $45.25/hr

... rehab technicians, and case management. Uphold professional conduct that reflects Reliant ... utilization and skill development in accordance with State Practice Acts, OBRA, and company ...

Reliant Rehabilitation

Occupational Therapist

Foley, AL · On-site

$50 - $55/hr

... rehab technicians, and case management. Uphold professional conduct that reflects Reliant ... utilization and skill development in accordance with State Practice Acts, OBRA, and company ...

Reliant Rehabilitation

Occupational Therapist

Foley, AL · On-site

$50 - $55/hr

... rehab technicians, and case management. Uphold professional conduct that reflects Reliant ... utilization and skill development in accordance with State Practice Acts, OBRA, and company ...

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All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Mobile, AL

Utilization Case Manager information

See Mobile, AL salary details

$16

$36

$59

How much do utilization case manager jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for utilization case manager in Mobile, AL is $36.21, according to ZipRecruiter salary data. Most workers in this role earn between $29.33 and $38.17 per hour, depending on experience, location, and employer.

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 does a utilization case manager do?

A utilization case manager reviews and authorizes healthcare services to ensure they are necessary and appropriate, often working with insurance companies and healthcare providers. They analyze patient records, coordinate care plans, and ensure compliance with policies, typically using case management software and requiring strong communication skills.

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 jobs pay 4000 a week without a degree?

Utilization Case Managers typically do not earn $4,000 weekly without relevant experience or certifications; most roles in healthcare or social services pay less. High-paying jobs that can reach this level without a degree are rare and often involve specialized skills, sales, or entrepreneurship. Generally, achieving such income without a degree requires significant experience, licensing, or working in high-demand fields like real estate or certain trades.

What is the highest paid case manager?

The highest paid case managers are often those with advanced certifications, specialized skills, or experience in high-demand fields such as healthcare or insurance. Senior or managerial roles, such as Utilization Review Managers, can earn salaries exceeding $80,000 to $100,000 annually. Compensation varies based on location, industry, and level of responsibility.

Is being a MOA a good entry level job?

A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative and clinical skills. It provides experience with medical records, patient communication, and office procedures, which can serve as a foundation for advancing in healthcare careers. However, the job's suitability depends on individual career goals and the specific workplace environment.

What are the key skills and qualifications needed to thrive as a Utilization Case Manager, and why are they important?

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.

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

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific 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 are popular job titles related to Utilization Case Manager jobs in Mobile, AL? For Utilization Case Manager jobs in Mobile, AL, the most frequently searched job titles are:
What job categories do people searching Utilization Case Manager jobs in Mobile, AL look for? The top searched job categories for Utilization Case Manager jobs in Mobile, AL are:
What cities near Mobile, AL are hiring for Utilization Case Manager jobs? Cities near Mobile, AL with the most Utilization Case Manager job openings:
Utilization Case Manager jobs near you
Infographic showing various Utilization Case Manager job openings in Mobile, AL as of July 2026, with employment types broken down into 1% As Needed, 74% Full Time, 22% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $75,309 per year, or $36.2 per hour.
Manager, Case Management - UH Care Management - University Hospital

Manager, Case Management - UH Care Management - University Hospital

USA Health

AL • On-site

Full-time

Posted 7 days ago

USA Health rating

5.8

Company rating: 5.8 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

Job description

Overview
USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education, and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists, and researchers provides the region's most advanced medicine at multiple facilities, campuses, clinics, and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall well-being of our community.
Responsibilities
  • The Manager of Care Management, Ancillary Team professional responsibility within their scope of practice:
    • Abides by and enforces all compliance requirements and policies and performs these responsibilities in an ethical
    • manner consistent with the organization's values.
    • Adheres to hospital policies including confidentiality.
    • Requires regular and prompt attendance.
    • Works the assigned schedule including overtime as required.
  • The Manager of Care Management patient care/department responsibilities:
    • Oversees Daily Operations of the Care Management Ancillary staff.
    • Addresses staff and leadership escalations/concerns timely.
    • Assist Manager-Care Management DCP with Shared Governance Committees based upon process improvement and
    • staff engagement.
    • Oversees the Development of the CM Ancillary Teams Orientation, Ongoing Education, and Annual Competency
    • Evaluations
    • Develops the clinical documentation system for the entire Care Management Team with collaboration from
    • leadership.
    • Supervises activities and functions related to ancillary team performance related discharge planning, utilization
    • management/ denials, department performance improvement, hospital committees, external and internal audits,
    • and accreditation, according to agency, hospital, and departmental guidelines.
    • Collects data monthly surrounding third party payer and managed care organizations related to discharge planning
    • needs, utilization management and post-acute placement/ services rendered.
    • Analyzes retrospective reviews and monthly reporting to ensure quality and productivity standards. Collaborates
    • with leadership to formulate plan to improve/ celebrate outcomes.
  • The Manager of Care Management Ancillary Team communication responsibilities:
    • Communicates and uses appropriate customer relation skills with physicians, patients, families, and healthcare
    • team in person and via telephone.
    • Responds to overhead pages.
  • The Manager of Care Management Ancillary Team documentation responsibilities:
    • Maintains accurate and complete records by in all areas requiring documentation, including by not hmited to:
    • Personnel records
    • Quality data
    • Committee records
    • Audit reports
  • The Manager of Care Management Ancillary Team citizenship responsibilities:
    • Accepts and completes all duties positively and without conflict.
    • Cooperates, helps others, and improves the performance of the unit.
    • Completes all mandatory unit, educational and hospital requirements.
    • Utilizes cost effective practices in performing all aspects of the job.
    • Maintains orderliness and cleanliness of work areas, equipment, and supply areas.
    • Adheres to current Infection Control and Safety Standards.
  • The Manager of Care Management responsibilities for providing age specific care:
    • Across the Continuum of life
  • The Manager of Care Management responsibilities for unit/departmental specific:
    • Consistently fulfill job functions as listed in job description.
  • OTHER DUTIES AND RESPONSIBILITIES: Other duties as assigned/required. Participates on committees as assigned.
    Participates in Performance Improvement activities through quality measurement or participation in PSCA process as assigned.
  • Completes all mandatory department, educational and hospital requirements
  • Adheres to current Infection Control and Safety Standards
  • Regular and prompt attendance
  • Ability to work schedule as defined and overtime as required
  • Related duties as assigned

Additional Information
Employees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits.
Qualifications
  • Bachelor's Degree in Nursing or Social Work from an accredited institution as approved and accepted by the University of South Alabama and 3 years of related experience, one of which was in a leadership or managerial position. Required
  • Licensure in the area of clinical focus. Required
  • Comparable combination of education and experience may substitute for the above requirements.

Equal Employment Opportunity/Affirmative Action Employer
The University of South Alabama is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, sex, pregnancy, sexual orientation, gender identity, gender expression, religion, age, genetic information, disability, protected veteran status or any other applicable legally protected basis. EO Employer - minorities/females/veterans/disabilities/sexual orientation/gender identity.

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