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

Case managers * Peer Support Specialists * Recovery Support Staff * Admissions and intake personnel * Utilization Review staff * Community providers and referral partners The clinician contributes to ...

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

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

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

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 ...

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 ...

... department utilization whenever clinically appropriate. * Coordinate with hospitals, law ... Conduct regular staff meetings, supervision sessions, case consultations, and performance ...

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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Utilization Case Manager information

See Mobile, AL salary details

$16

$36

$59

How much do utilization case manager jobs pay per hour?

As of Aug 16, 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.

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 degree do I need for utilization review?

Utilization case managers typically need at least a bachelor's degree in healthcare, nursing, social work, or a related field. Some positions may require a master's degree or professional certification, such as a Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ), to advance in the role or handle complex cases.

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.

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:

Infographic showing various Utilization Case Manager job openings in Mobile, AL as of August 2026, with employment types broken down into 82% Full Time, and 18% Contract. Highlights an 82% In-person, and 18% Remote job distribution, with an average salary of $75,309 per year, or $36.2 per hour.

Job description

Description

*This position will travel between Jackson County and George County.  Must be willing to travel and have a satisfactory driving record.


Position Purpose

To evaluate the needs of low-income participants and provide available services. The Case Worker completes intake and determines clients' eligibility for all DCS programs. He/She assess client needs, sets goals and prepares pledges. Case Workers also assist with Food Pantry pick-up (Jackson County) and assist in compiling reporting data and community needs assessment.


Physical Demands 

Work involves sitting with frequent requirements to move about the office and the facility. Work involves using repetitive motions of the wrists, hands and/or fingers while operating standard office equipment. Must be able to perceive the nature of sound at normal speaking levels with or without correction. Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to bend, stoop, and lift up to 25 pounds.


Mental Demands 

Must demonstrate good communication and speaking skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must have the ability to work under pressure and meet deadlines. Attention to detail and the ability to multi-task in complex situations is required.

Must have knowledge of case management methods, principles, and techniques (including information/referral, assessment, interviewing client advocacy, and resource utilization). Must be familiar with available programs, public assistance providers, Medicaid, service agencies, protective services, referral centers, community residential resources, and crisis/emergency resources.


Special Demands

Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e. telephone, fax, etc.). Must have advanced knowledge and skill in using MS Office. Must understand the fundamentals of automated data processing, and be able to quickly gain a detailed understanding of complex computerized and non-computerized information.


Requirements

Education

Bachelor's degree in social work or related field preferred.


Experience

One year experience in Human Service related field preferred. Excellent verbal and written communications skills for communicating with a wide range of people to promote goodwill and enhance agency credibility.


 A valid drivers' license and a satisfactory driving record is required.Â