Case Manager PRN
Prattville, AL · On-site
The RN - Case Management will be utilized as either Utilization Management or as Discharge Planning. The Case Manager tasked with discharge planning shall coordinate care of an assigned caseload of ...
Case Manager PRN
Prattville, AL · On-site
The RN - Case Management will be utilized as either Utilization Management or as Discharge Planning. The Case Manager tasked with discharge planning shall coordinate care of an assigned caseload of ...
The RN - Case Management will be utilized as either Utilization Management or as Discharge Planning. The Case Manager tasked with discharge planning shall coordinate care of an assigned caseload of ...
The RN - Case Management will be utilized as either Utilization Management or as Discharge Planning. The Case Manager tasked with discharge planning shall coordinate care of an assigned caseload of ...
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 ...
RN Case Manager
Montgomery, AL · On-site
Under the direction of the Manager, Clinical Resource Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and ...
RN Case Manager
Montgomery, AL · On-site
Under the direction of the Manager, Clinical Resource Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and ...
RN Case Manager
Montgomery, AL · On-site
Case Manager Under the direction of the Manager, Clinical Resource Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and ...
RN Case Manager
Montgomery, AL · On-site
Case Manager Under the direction of the Manager, Clinical Resource Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and ...
RN Case Manager
Montgomery, AL · On-site
Under the direction of the Manager, Clinical Resource Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and ...
RN Case Manager
Montgomery, AL · On-site
Under the direction of the Manager, Clinical Resource Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and ...
Case Manager, Registered Nurse
Montgomery, AL · Remote
$54.10K - $155.54K/yr
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care ...
Case Manager, Registered Nurse
Montgomery, AL · Remote
$54.10K - $155.54K/yr
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care ...
Case Manager, Registered Nurse (Oncology experience required)
Montgomery, AL · Remote
$54.10K - $155.54K/yr
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care ...
Case Manager, Registered Nurse (Oncology experience required)
Montgomery, AL · Remote
$54.10K - $155.54K/yr
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care ...
Clinical / Therapy - Clinical Therapist
Tuskegee, AL · On-site
$54.40K - $73.10K/yr
The Case Manager acts as aliaison with sponsoring agencies, including utilization review. Preparesaccurate documentation of services delivered within set time frames. Sequel TSIof Tuskegee services ...
Clinical / Therapy - Clinical Therapist
Tuskegee, AL · On-site
$54.40K - $73.10K/yr
The Case Manager acts as aliaison with sponsoring agencies, including utilization review. Preparesaccurate documentation of services delivered within set time frames. Sequel TSIof Tuskegee services ...
Overview Position Summary The Clinical Specialist reports to the Assistant Manager, Medical ... Consults with or refers case to Medical Director for complex clinical presentation or medical ...
Overview Position Summary The Clinical Specialist reports to the Assistant Manager, Medical ... Consults with or refers case to Medical Director for complex clinical presentation or medical ...
Community Health Worker
Montgomery, AL · Remote
$50/hr
... Case Management, Population Health & Value-Based Care, and Managed Care & Utilization Management. Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible ...
Community Health Worker
Montgomery, AL · Remote
$50/hr
... Case Management, Population Health & Value-Based Care, and Managed Care & Utilization Management. Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible ...
Firmware QA Manager
Tallassee, AL · On-site
... case generation and code review to defect triage and root cause analysis. • You'll hire and ... that include effective AI tool utilization, conduct regular 1:1s, and deliver meaningful ...
Firmware QA Manager
Tallassee, AL · On-site
... case generation and code review to defect triage and root cause analysis. • You'll hire and ... that include effective AI tool utilization, conduct regular 1:1s, and deliver meaningful ...
Firmware QA Manager
Tallassee, AL · On-site
... case generation and code review to defect triage and root cause analysis. • You'll hire and ... that include effective AI tool utilization, conduct regular 1:1s, and deliver meaningful ...
Firmware QA Manager
Tallassee, AL · On-site
... case generation and code review to defect triage and root cause analysis. • You'll hire and ... that include effective AI tool utilization, conduct regular 1:1s, and deliver meaningful ...
Patient Care Coordinator RN - Urology Clinic - Dr. Shashy - FT
Montgomery, AL · On-site
$14.50 - $19/hr
... Management goals and priorities ... Directs the daily and short-range goal setting and planning for the assigned case type and Group ...
Patient Care Coordinator RN - Urology Clinic - Dr. Shashy - FT
Montgomery, AL · On-site
$14.50 - $19/hr
... Management goals and priorities ... Directs the daily and short-range goal setting and planning for the assigned case type and Group ...
Patient Care Coordinator RN - Jackson Cardiology - FT
Montgomery, AL · On-site
$14.50 - $19/hr
... Management goals and priorities ... Directs the daily and short-range goal setting and planning for the assigned case type and Group ...
Patient Care Coordinator RN - Jackson Cardiology - FT
Montgomery, AL · On-site
$14.50 - $19/hr
... Management goals and priorities ... Directs the daily and short-range goal setting and planning for the assigned case type and Group ...
Partner cross-functionally with Underwriting, Finance, Clinical, and Account Management teams to ... Analyze pharmacy claims, drug pricing, rebate models, and utilization trends for internal teams and ...
Partner cross-functionally with Underwriting, Finance, Clinical, and Account Management teams to ... Analyze pharmacy claims, drug pricing, rebate models, and utilization trends for internal teams and ...
Assesses the patient support system and utilization of available community resources to ensure ... Provides all aspects of case management to enhance patient outcomes * Completes and submits all ...
Assesses the patient support system and utilization of available community resources to ensure ... Provides all aspects of case management to enhance patient outcomes * Completes and submits all ...
Assesses the patient support system and utilization of available community resources to ensure ... Provides all aspects of case management to enhance patient outcomes * Completes and submits all ...
Assesses the patient support system and utilization of available community resources to ensure ... Provides all aspects of case management to enhance patient outcomes * Completes and submits all ...
Assesses the patient support system and utilization of available community resources to ensure ... Provides all aspects of case management to enhance patient outcomes * Completes and submits all ...
Assesses the patient support system and utilization of available community resources to ensure ... Provides all aspects of case management to enhance patient outcomes * Completes and submits all ...
Assesses the patient support system and utilization of available community resources to ensure ... Provides all aspects of case management to enhance patient outcomes * Completes and submits all ...
Quick apply
Assesses the patient support system and utilization of available community resources to ensure ... Provides all aspects of case management to enhance patient outcomes * Completes and submits all ...
Utilization Case Manager information
See Montgomery, AL salary details
$16.41 - $20.32
3% of jobs
$20.32 - $24.23
1% of jobs
$24.23 - $28.15
6% of jobs
$30.03 is the 25th percentile. Wages below this are outliers.
$28.15 - $32.06
30% of jobs
The median wage is $33.47 / hr.
$32.06 - $35.97
26% of jobs
$37.46 is the 75th percentile. Wages above this are outliers.
$35.97 - $39.88
22% of jobs
$39.88 - $43.80
3% of jobs
$43.80 - $47.71
0% of jobs
$47.71 - $51.62
5% of jobs
$51.62 - $55.53
2% of jobs
$55.53 - $59.45
1% of jobs
$16
$36
$59
How much do utilization case manager jobs pay per hour?
As of May 28, 2026, the average hourly pay for utilization case manager in Montgomery, AL is $36.09, according to ZipRecruiter salary data. Most workers in this role earn between $29.23 and $38.03 per hour, depending on experience, location, and employer.
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.
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 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 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 are popular job titles related to Utilization Case Manager jobs in Montgomery, AL? For Utilization Case Manager jobs in Montgomery, AL, the most frequently searched job titles are:
What job categories do people searching Utilization Case Manager jobs in Montgomery, AL look for? The top searched job categories for Utilization Case Manager jobs in Montgomery, AL are:
What cities near Montgomery, AL are hiring for Utilization Case Manager jobs? Cities near Montgomery, AL with the most Utilization Case Manager job openings:
Baptist Health South Florida rating
7.9
Based on 96 frontline employees who took The Breakroom Quiz
1st of 23 rated health and beauty retailers
Job description
Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties.
To learn more about Baptist Health, visit us at https://www.baptistfirst.org.
Highlights:
Summary: The RN - Case Management will be utilized as either Utilization Management or as Discharge Planning. The Case Manager tasked with discharge planning shall coordinate care of an assigned caseload of patients through collaboration with physicians, nursing staff, and other health professionals to facilitate efficient utilization of clinical resources, optimal clinical and continuing care, as well as financial outcomes. This individual shall be responsible for providing a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive human service needs through communication and available resources.
The Case Manager tasked with utilization management shall work in collaboration with the patient/family, and interdisciplinary team (including physicians, other care providers, and payers), and assesses the patient care progression from acute care episode through post discharge for quality, efficiency, and effectiveness. This individual shall work collaboratively with other Clinical Care staff to ensure patient needs are met and care delivery is coordinated across the continuum. The RN will complete admission, continued stay, and discharge reviews in accordance with federal regulations, Insurance guidelines and Baptist Health's Utilization Management Plan. In addition, the RN is responsible for revenue protection by reconciling physician orders, bed billing type, and medical necessity. This position may have additional duties assigned that are within scope of the role.
Education / Experience: Degree in Nursing, Bachelor's degree preferred. At least 2 years hospital patient care experienced required. Previous experience in home care, reimbursement, or hospital insurance preferred. Previous inpatient hospital case management experience including utilization review (third party payor reimbursement, DRGs), and home care.
License / Certification: Active RN license required, Case Manager certification preferred
Knowledge, Skills, and Abilities:
• Must possess basic computer skills.
• Strong oral, written and interpersonal skills.
• Ability to work independently with minimal supervision.
• Must be able to function in high-stress environment subject to frequent interruptions and changing priorities.
• Knowledgeable in use of appropriate infection control or isolation techniques when necessary.
Primary Location:
Prattville Baptist Hospital
Job:
Case Manager PRN
RN Case Management
Job Type:
PRN-PRN
Shift:
First Shift (United States of America)
To learn more about Baptist Health, visit us at https://www.baptistfirst.org.
Highlights:
Summary: The RN - Case Management will be utilized as either Utilization Management or as Discharge Planning. The Case Manager tasked with discharge planning shall coordinate care of an assigned caseload of patients through collaboration with physicians, nursing staff, and other health professionals to facilitate efficient utilization of clinical resources, optimal clinical and continuing care, as well as financial outcomes. This individual shall be responsible for providing a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive human service needs through communication and available resources.
The Case Manager tasked with utilization management shall work in collaboration with the patient/family, and interdisciplinary team (including physicians, other care providers, and payers), and assesses the patient care progression from acute care episode through post discharge for quality, efficiency, and effectiveness. This individual shall work collaboratively with other Clinical Care staff to ensure patient needs are met and care delivery is coordinated across the continuum. The RN will complete admission, continued stay, and discharge reviews in accordance with federal regulations, Insurance guidelines and Baptist Health's Utilization Management Plan. In addition, the RN is responsible for revenue protection by reconciling physician orders, bed billing type, and medical necessity. This position may have additional duties assigned that are within scope of the role.
Education / Experience: Degree in Nursing, Bachelor's degree preferred. At least 2 years hospital patient care experienced required. Previous experience in home care, reimbursement, or hospital insurance preferred. Previous inpatient hospital case management experience including utilization review (third party payor reimbursement, DRGs), and home care.
License / Certification: Active RN license required, Case Manager certification preferred
Knowledge, Skills, and Abilities:
• Must possess basic computer skills.
• Strong oral, written and interpersonal skills.
• Ability to work independently with minimal supervision.
• Must be able to function in high-stress environment subject to frequent interruptions and changing priorities.
• Knowledgeable in use of appropriate infection control or isolation techniques when necessary.
Primary Location:
Prattville Baptist Hospital
Job:
Case Manager PRN
RN Case Management
Job Type:
PRN-PRN
Shift:
First Shift (United States of America)
What Baptist Health South Florida employees say
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Benefits
Hours and flexibility
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About Baptist Health South Florida
Sourced by ZipRecruiter
Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Miami, FL, US