American Traveler is hiring a Travel RN Case Manager for a hospital-based Case Management department requiring acute care case management experience and a FL or compact RN license. Job Details • ...
New
American Traveler is hiring a Travel RN Case Manager for a hospital-based Case Management department requiring acute care case management experience and a FL or compact RN license. Job Details • ...
New
Registered Nurse
Decatur, AL · On-site
$41.35 - $62.03/hr
Registered Nurse In Home Health Explore opportunities with Decatur Morgan HomeCare, a part of LHC ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
New
Registered Nurse
Decatur, AL · On-site
$41.35 - $62.03/hr
Registered Nurse In Home Health Explore opportunities with Decatur Morgan HomeCare, a part of LHC ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
New
Registered Nurse
Decatur, AL · On-site
$41.35 - $62.03/hr
Registered Nurse In Home Health Explore opportunities with Decatur Morgan HomeCare, a part of LHC ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
New
Registered Nurse
Decatur, AL · On-site
$41.35 - $62.03/hr
Registered Nurse In Home Health Explore opportunities with Decatur Morgan HomeCare, a part of LHC ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
New
Registered Nurse
Decatur, AL · On-site
$41.35 - $62.03/hr
Registered Nurse In Home Health Explore opportunities with Decatur Morgan HomeCare, a part of LHC ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
New
Registered Nurse
Decatur, AL · On-site
$41.35 - $62.03/hr
Registered Nurse In Home Health Explore opportunities with Decatur Morgan HomeCare, a part of LHC ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
New
Registered Nurse
Madison, AL · On-site
$43.53 - $65.29/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Madison, AL · On-site
$43.53 - $65.29/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Decatur, AL · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Decatur, AL · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Madison, AL · On-site
$43.53 - $65.29/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Madison, AL · On-site
$43.53 - $65.29/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Athens, AL · On-site
$43.53 - $65.29/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Athens, AL · On-site
$43.53 - $65.29/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
$43.53 - $65.29/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
$43.53 - $65.29/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
$43.53 - $65.29/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
$43.53 - $65.29/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Athens, AL · On-site
$43.53 - $65.29/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Athens, AL · On-site
$43.53 - $65.29/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Decatur, AL · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Decatur, AL · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Decatur, AL · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Decatur, AL · On-site
$41.35 - $62.03/hr
As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Huntsville, AL · On-site
$43.53 - $65.29/hr
Adheres to and participates in the agency's utilization management model * Ability to function in ... Current and unrestricted RN licensure in state of practice * Current Driver's License, vehicle ...
Registered Nurse
Huntsville, AL · On-site
$43.53 - $65.29/hr
Adheres to and participates in the agency's utilization management model * Ability to function in ... Current and unrestricted RN licensure in state of practice * Current Driver's License, vehicle ...
Registered Nurse
$43.53 - $65.29/hr
Adheres to and participates in the agency's utilization management model * Ability to function in ... Current and unrestricted RN licensure in state of practice * Current Driver's License, vehicle ...
Registered Nurse
$43.53 - $65.29/hr
Adheres to and participates in the agency's utilization management model * Ability to function in ... Current and unrestricted RN licensure in state of practice * Current Driver's License, vehicle ...
Registered Nurse
$43.53 - $65.29/hr
Adheres to and participates in the agency's utilization management model * Ability to function in ... Current and unrestricted RN licensure in state of practice * Current Driver's License, vehicle ...
Registered Nurse
$43.53 - $65.29/hr
Adheres to and participates in the agency's utilization management model * Ability to function in ... Current and unrestricted RN licensure in state of practice * Current Driver's License, vehicle ...
Registered Nurse
Huntsville, AL · On-site
$43.53 - $65.29/hr
Full Time Rn In The Home Health Setting We're hiring a full time RN in the home health setting ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
Registered Nurse
Huntsville, AL · On-site
$43.53 - $65.29/hr
Full Time Rn In The Home Health Setting We're hiring a full time RN in the home health setting ... Adheres to and participates in the agency's utilization management model * Ability to function in ...
RN Weekend Supervisor
Huntsville, AL · On-site
... utilization review activities. * Receives physicians' instructions regarding resident care and ... Skill in organizing and planning programs and managing personnel to provide nursing service for ...
New
RN Weekend Supervisor
Huntsville, AL · On-site
... utilization review activities. * Receives physicians' instructions regarding resident care and ... Skill in organizing and planning programs and managing personnel to provide nursing service for ...
New
RN Weekend Supervisor (7a-3p)
Madison, AL · On-site
... utilization review activities. * Receives physicians' instructions regarding resident care and ... Skill in organizing and planning programs and managing personnel to provide nursing service for ...
RN Weekend Supervisor (7a-3p)
Madison, AL · On-site
... utilization review activities. * Receives physicians' instructions regarding resident care and ... Skill in organizing and planning programs and managing personnel to provide nursing service for ...
RN Weekend Supervisor (7a-3p)
Madison, AL · On-site
... utilization review activities. * Receives physicians' instructions regarding resident care and ... Skill in organizing and planning programs and managing personnel to provide nursing service for ...
New
RN Weekend Supervisor (7a-3p)
Madison, AL · On-site
... utilization review activities. * Receives physicians' instructions regarding resident care and ... Skill in organizing and planning programs and managing personnel to provide nursing service for ...
New
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 Aug 6, 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 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 are the key skills and qualifications needed to thrive as a utilization management nurse?
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 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.
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.
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 cities near Decatur, AL are hiring for Utilization Management Nurse jobs? Cities near Decatur, AL with the most Utilization Management Nurse job openings:
Travel RN - Case Management/Utilization Review - Case Management
Decatur, AL • On-site
Other
Posted 3 days ago
New
Job description
American Traveler is hiring a Travel RN Case Manager for a hospital-based Case Management department requiring acute care case management experience and a FL or compact RN license.
Job Details
• Work in the Case Management department of a 350-bed hospital,
• Team includes Case Managers, Social Workers, and a SNF Coordinator,
• Patient ratio of approximately 25:1,
• Schedule is Monday through Friday, 8:30 AM to 5:00 PM,
• Requires working alternating weekends and holidays in rotation with hospital employees,
• EMR systems used are Meditech and Midas,
Job Requirements
• Active FL or compact RN license required,
• Minimum 2 years of experience required,
• Acute care case management experience required,
• Meditech and Midas experience preferred,
• HCA facility experience preferred,
• US Social Security Number and date of birth required for consideration,
• No gaps in work history equaling 90 days or more in the past 12 months,
• Two professional references required for Florida-based assignments,
Additional Information
• Navy blue scrubs required for RN staff,
• Must reside outside a 50-mile radius of the facility to be eligible,
• Holiday coverage required in rotation with hospital staff