RN Unit Manager (7a-3p)
$37.50 - $49.50/hr
We are in search of a qualified RN Unit Manager : * Assists in maintaining resident care standards ... utilization review activities. * Receives physicians' instructions regarding resident care and ...
RN Unit Manager (7a-3p)
$37.50 - $49.50/hr
We are in search of a qualified RN Unit Manager : * Assists in maintaining resident care standards ... utilization review activities. * Receives physicians' instructions regarding resident care and ...
... and manage multiple priorities, and to adapt to a rapidly changing environment. Key ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
New
... and manage multiple priorities, and to adapt to a rapidly changing environment. Key ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
New
... priorities and manage multiple priorities, and to adapt to a rapidly changing environment ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
... priorities and manage multiple priorities, and to adapt to a rapidly changing environment ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
... priorities and manage multiple priorities, and to adapt to a rapidly changing environment ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
... priorities and manage multiple priorities, and to adapt to a rapidly changing environment ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
... and manage multiple priorities, and to adapt to a rapidly changing environment. Key ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
... and manage multiple priorities, and to adapt to a rapidly changing environment. Key ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
... priorities and manage multiple priorities, and to adapt to a rapidly changing environment ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
... priorities and manage multiple priorities, and to adapt to a rapidly changing environment ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
... priorities and manage multiple priorities, and to adapt to a rapidly changing environment ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
... priorities and manage multiple priorities, and to adapt to a rapidly changing environment ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse
Huntsville, AL · On-site
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse
Huntsville, AL · On-site
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse
Huntsville, AL · On-site
$16.75 - $19.75/hr
... priorities and manage multiple priorities, and to adapt to a rapidly changing environment ... Assumes accountability for appropriate utilization of resources. Performs other duties as assigned ...
Student Nurse
Huntsville, AL · On-site
$16.75 - $19.75/hr
... priorities and manage multiple priorities, and to adapt to a rapidly changing environment ... Assumes accountability for appropriate utilization of resources. Performs other duties as assigned ...
Student Nurse-Neuro Progressive Care Unit-PRN-3rd shift
Huntsville, AL · On-site
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse-Neuro Progressive Care Unit-PRN-3rd shift
Huntsville, AL · On-site
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse-Neuro Progressive Care Unit-PT-1st shift
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse-Neuro Progressive Care Unit-PT-1st shift
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse-Neuro Progressive Care Unit-PRN-1st shift
Huntsville, AL · On-site
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse-Neuro Progressive Care Unit-PRN-1st shift
Huntsville, AL · On-site
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse - Neuro Progressive Care Unit - PRN - 1st Shift
Huntsville, AL · On-site
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse - Neuro Progressive Care Unit - PRN - 1st Shift
Huntsville, AL · On-site
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse - CICU 2 (Cardiac ICU) - PRN - 1st Shift
Huntsville, AL · On-site
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse - CICU 2 (Cardiac ICU) - PRN - 1st Shift
Huntsville, AL · On-site
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse - RCU/ICU Step Down Unit - PRN - 1 Shift
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse - RCU/ICU Step Down Unit - PRN - 1 Shift
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Overview Facilitates resource management activities for inpatients based on identified patients ... utilization of resources and enhance patient, nurse and physician satisfaction. Provides ...
Overview Facilitates resource management activities for inpatients based on identified patients ... utilization of resources and enhance patient, nurse and physician satisfaction. Provides ...
Overview Facilitates resource management activities for inpatients based on identified patients ... utilization of resources and enhance patient, nurse and physician satisfaction. Provides ...
Overview Facilitates resource management activities for inpatients based on identified patients ... utilization of resources and enhance patient, nurse and physician satisfaction. Provides ...
Student Nurse
Huntsville, AL · On-site
$16.75 - $19.75/hr
... priorities and manage multiple priorities, and to adapt to a rapidly changing environment ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse
Huntsville, AL · On-site
$16.75 - $19.75/hr
... priorities and manage multiple priorities, and to adapt to a rapidly changing environment ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse
Huntsville, AL · On-site
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
Student Nurse
Huntsville, AL · On-site
$16.75 - $19.75/hr
... manage multiple priorities, and to adapt to a rapidly changing environment. Responsibilities ... Assumes accountability for appropriate utilization of resources. * Performs other duties as ...
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 30, 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:
$37.50 - $49.50/hr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 20 days ago
Job description
Working with us means being part of something special: A team that is passionate about making an impact on our patients' lives each and every day. Unlike the typical hospital setting, our facility offers you the unique opportunity to walk alongside patients on their road to recovery from many different conditions. As you care for and help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.
- Competitive pay rates! Supportive Leadership!
- Exceptional LOW cost gold medical plan!
We are in search of a qualifiedRN Unit Manager:
- Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
- Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed.
- Oversees delegation of nursing and other therapeutic procedures to other level professionals and paraprofessional associates.
- Makes regular patient rounds to observe and assess residents' physical conditions and behaviors, evaluates the quality of care provided, and ensures proper documentation of treatment and nursing observations.
Qualifications:
- Current R.N. license by State required with experience in the long term care or working with the geriatric population preferred.
- Must have at least two years nursing experience and one year supervisory experience.
- Clerical ability is necessary to read reports and utilize data accurately for other purposes.
- Skill in organizing and planning programs and managing personnel to provide nursing service for residents.
- Ability to plan and direct the department, coordinating with other departments.
We offer the following benefits for you and your family:
- Competitive Wages
- Elite Low Cost Gold Plan Blue Cross Blue Shield Health Insurance
- Dental Insurance, Life Insurance, Vision Insurance
- 401K with company match
- Paid Holidays and Paid Vacation
EOE
About NHS Management
Sourced by ZipRecruiter
NHS Management, LLC provides administrative and consulting services for individual health care facilities and companies across the southeast. Facilities served by NHS employ a comprehensive approach to care ensuring that their patients and residents receive the highest quality of care practical.
Industry
Business management consulting
Company size
1,001 - 5,000 Employees
Headquarters location
Tuscaloosa, AL, US
Year founded
1981