Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Case Manager The case manager coordinates with physicians, nurses, social workers and other health ... Previous utilization management, discharge planning or hospital based social service experience is ...
New
Case Manager The case manager coordinates with physicians, nurses, social workers and other health ... Previous utilization management, discharge planning or hospital based social service experience is ...
New
Case Manager The case manager coordinates with physicians, nurses, social workers and other health ... Previous utilization management, discharge planning or hospital based social service experience is ...
New
Case Manager The case manager coordinates with physicians, nurses, social workers and other health ... Previous utilization management, discharge planning or hospital based social service experience is ...
New
The case manager coordinates with physicians, nurses, social workers and other health team members ... Previous utilization management, discharge planning or hospital based social service experience is ...
The case manager coordinates with physicians, nurses, social workers and other health team members ... Previous utilization management, discharge planning or hospital based social service experience is ...
The case manager coordinates with physicians, nurses, social workers and other health team members ... Previous utilization management, discharge planning or hospital based social service experience is ...
New
The case manager coordinates with physicians, nurses, social workers and other health team members ... Previous utilization management, discharge planning or hospital based social service experience is ...
New
The case manager coordinates with physicians, nurses, social workers and other health team members ... Previous utilization management, discharge planning or hospital based social service experience is ...
New
The case manager coordinates with physicians, nurses, social workers and other health team members ... Previous utilization management, discharge planning or hospital based social service experience is ...
New
The case manager coordinates with physicians, nurses, social workers and other health team members ... Previous utilization management, discharge planning or hospital based social service experience is ...
The case manager coordinates with physicians, nurses, social workers and other health team members ... Previous utilization management, discharge planning or hospital based social service experience is ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
RN Case Manager The RN Case Manager is to support the physician and interdisciplinary team in ... This role integrates and coordinates Utilization management, care coordination and discharge ...
New
RN Case Manager The RN Case Manager is to support the physician and interdisciplinary team in ... This role integrates and coordinates Utilization management, care coordination and discharge ...
New
RN Case Manager The RN Case Manager is to support the physician and interdisciplinary team in ... This role integrates and coordinates Utilization management, care coordination and discharge ...
RN Case Manager The RN Case Manager is to support the physician and interdisciplinary team in ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Overview The RN Case Manager is to support the physician and interdisciplinary team in facilitating ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient ... This role integrates and coordinates Utilization management, care coordination and discharge ...
Utilization Management Nurse information
See Decatur, AL salary details
$36.6K - $47.1K
15% of jobs
$47.1K - $57.7K
8% of jobs
$59.2K is the 25th percentile. Wages below this are outliers.
$57.7K - $68.3K
15% of jobs
The median wage is $74.9K / yr.
$68.3K - $78.8K
20% of jobs
$78.8K - $89.4K
11% of jobs
$94.7K is the 75th percentile. Wages above this are outliers.
$89.4K - $100K
13% of jobs
$100K - $110.5K
5% of jobs
$110.5K - $121.1K
3% of jobs
$121.1K - $131.7K
4% of jobs
$131.7K - $142.2K
3% of jobs
$142.2K - $152.8K
3% of jobs
$36.6K
$83.9K
$152.8K
How much do utilization management nurse jobs pay per year?
As of May 29, 2026, the average yearly pay for utilization management nurse in Decatur, AL is $83,886.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,500.00 and $98,000.00 per year, depending on experience, location, and employer.
What Does a Utilization Management Nurse Do?
A utilization management nurse ensures that healthcare services are administered appropriately. Their job responsibilities include working in a hospital, health practice, or other clinical setting reviewing patient clinical records, drafting clinical appeals, and overseeing staff members. The qualifications for a utilization management nurse include a nursing degree and a registered nursing license. Most people in this job also have career experience in case management and utilization review.
What are the key skills and qualifications needed to thrive as a Utilization Management Nurse, and why are they important?
To thrive as a Utilization Management Nurse, you need a registered nursing license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical management software, InterQual or Milliman guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, communication, and negotiation skills help you coordinate with providers and advocate for patients. These competencies ensure appropriate resource use, compliance with regulations, and optimal patient outcomes.
What are some common challenges a Utilization Management Nurse faces when coordinating care between providers and insurance companies?
A Utilization Management Nurse often navigates the challenge of balancing patient advocacy with insurance guidelines, ensuring that care recommendations meet both clinical standards and payer requirements. Communicating complex medical information to both providers and insurance representatives can be demanding, especially when there are disagreements about coverage or medical necessity. Additionally, staying updated on changing policies and maintaining thorough documentation under tight deadlines are frequent aspects of the role. Strong collaboration skills and attention to detail are essential for success in this position.
What is a Utilization Management Nurse?
A Utilization Management Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients. They review medical records and treatment plans to ensure that care meets established guidelines and is cost-effective. Utilization Management Nurses work with healthcare providers, insurance companies, and patients to coordinate care and prevent unnecessary procedures or hospitalizations. Their goal is to support high-quality patient care while managing healthcare costs.
What is the difference between Utilization Management Nurse vs Case Manager?
| Aspect | Utilization Management Nurse | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, case management certification often preferred |
| Work Environment | Insurance companies, healthcare organizations, utilization review departments | Hospitals, community health agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of services | Coordinating patient care and discharge planning |
Utilization Management Nurses primarily focus on reviewing medical necessity and approving healthcare services, while Case Managers coordinate patient care and facilitate discharge planning. Both roles require RN licensure and work within healthcare or insurance settings, but their core responsibilities differ in scope and focus.
More about Utilization Management Nurse jobs
What are popular job titles related to Utilization Management Nurse jobs in Decatur, AL? For Utilization Management Nurse jobs in Decatur, AL, the most frequently searched job titles are:
What job categories do people searching Utilization Management Nurse jobs in Decatur, AL look for? The top searched job categories for Utilization Management Nurse jobs in Decatur, AL are:
What cities near Decatur, AL are hiring for Utilization Management Nurse jobs? Cities near Decatur, AL with the most Utilization Management Nurse job openings:
RN Case Manager Weekend - Case Management - FT - 1st Shift
Huntsville Hospital Health SystemHuntsville, AL • On-site
Other
Posted 10 days ago
Huntsville Hospital Health System rating
6.1
Based on 201 frontline employees who took The Breakroom Quiz
707th of 864 rated healthcare providers
Job description
Overview
The RN Case Manager is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers. This role integrates and coordinates Utilization management, care coordination and discharge planning functions. The Case Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of stay, and promote efficient use of resources.
QualificationsEducation Required: Minimum of A.S.N. from an accredited college or university required.Education Preferred: BSN Degree preferredLicense, Certification and/or Registration: Current Alabama RN Licensure.Experience: Three years acute care experience required.Additional Skills/Abilities: Excellent interpersonal communication and negotiation skills. Strong organizational and time management skills as evidenced by capacity to prioritize multiple tasks and role components. Ability to work independently and exercise sound judgment in interactions with physicians, patients and their families, and payers.
Employment Type: OTHERWhat Huntsville Hospital Health System employees say
Pay
Benefits
Hours and flexibility
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