Blue Eagle is looking for Pre-Cert Nurse(s) to assist with inpatient and outpatient PA reviews.
Blue Eagle is looking for Pre-Cert Nurse(s) to assist with inpatient and outpatient PA reviews.
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
The Regional Director of Utilization Management provides strategic and operational leadership for Utilization Management services across an assigned geographic region, ensuring patients receive ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
The Regional Director of Utilization Management provides strategic and operational leadership for Utilization Management services across an assigned geographic region, ensuring patients receive ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
The Regional Director of Utilization Management provides strategic and operational leadership for Utilization Management services across an assigned geographic region, ensuring patients receive ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
The Regional Director of Utilization Management provides strategic and operational leadership for Utilization Management services across an assigned geographic region, ensuring patients receive ...
Quality Utilization Reviewer I
Birmingham, AL · On-site
In Utilization Management at Main Campus Lee Building Work schedule will be 7on / 7off on the Day Shift, 7am- 3:30pm, Monday- Sunday every other week after completion of orientation. Summary: The UR ...
Quality Utilization Reviewer I
Birmingham, AL · On-site
In Utilization Management at Main Campus Lee Building Work schedule will be 7on / 7off on the Day Shift, 7am- 3:30pm, Monday- Sunday every other week after completion of orientation. Summary: The UR ...
The Surgical UR RN is expected to serve as a resource for utilization management best practices and support broader utilization review functions as operational needs dictate. Qualifications Required ...
The Surgical UR RN is expected to serve as a resource for utilization management best practices and support broader utilization review functions as operational needs dictate. Qualifications Required ...
The Surgical UR RN is expected to serve as a resource for utilization management best practices and support broader utilization review functions as operational needs dictate. Required Education:
The Surgical UR RN is expected to serve as a resource for utilization management best practices and support broader utilization review functions as operational needs dictate. Required Education:
The Surgical UR RN is expected to serve as a resource for utilization management best practices and support broader utilization review functions as operational needs dictate. Qualifications Required ...
The Surgical UR RN is expected to serve as a resource for utilization management best practices and support broader utilization review functions as operational needs dictate. Qualifications Required ...
The Surgical UR RN is expected to serve as a resource for utilization management best practices and support broader utilization review functions as operational needs dictate. Qualifications Required ...
The Surgical UR RN is expected to serve as a resource for utilization management best practices and support broader utilization review functions as operational needs dictate. Qualifications Required ...
Quality Utilization Reviewer I
Birmingham, AL · On-site
In Utilization Management at Main Campus Lee Building Work schedule will be 7on / 7off on the Day Shift, 7am- 3:30pm, Monday- Sunday every other week after completion of orientation. Summary: The UR ...
Quality Utilization Reviewer I
Birmingham, AL · On-site
In Utilization Management at Main Campus Lee Building Work schedule will be 7on / 7off on the Day Shift, 7am- 3:30pm, Monday- Sunday every other week after completion of orientation. Summary: The UR ...
The Surgical UR RN is expected to serve as a resource for utilization management best practices and support broader utilization review functions as operational needs dictate. Qualifications Required ...
The Surgical UR RN is expected to serve as a resource for utilization management best practices and support broader utilization review functions as operational needs dictate. Qualifications Required ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
Identifies and reports Quality and Risk Management concerns. DCH Standards: * Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance ...
... utilization review. Review admissions and service requests within assigned unit for prospective ... Provide case management and/or consultation for complex cases. Assist departmental staff with ...
... utilization review. Review admissions and service requests within assigned unit for prospective ... Provide case management and/or consultation for complex cases. Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Management information
See Alabama salary details
$35.3K - $45.6K
15% of jobs
$45.6K - $55.8K
8% of jobs
$57.2K is the 25th percentile. Wages below this are outliers.
$55.8K - $66K
15% of jobs
The median wage is $72.5K / yr.
$66K - $76.2K
20% of jobs
$76.2K - $86.4K
11% of jobs
$91.5K is the 75th percentile. Wages above this are outliers.
$86.4K - $96.7K
13% of jobs
$96.7K - $106.9K
5% of jobs
$106.9K - $117.1K
3% of jobs
$117.1K - $127.3K
4% of jobs
$127.3K - $137.5K
3% of jobs
$137.5K - $147.7K
3% of jobs
$35.3K
$81.1K
$147.7K
How much do utilization management jobs pay per year?
What are the key skills and qualifications needed to thrive in utilization management, and why are they important?
To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.
What is utilization management?
A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.
What are the typical daily responsibilities of a utilization management professional?
As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.
- Night Utilization Review Nurse
- Remote Utilization Review Rn
- Remote Utilization Review Nurse
- Utilization Review Specialist
- Manager Utilization Management
- Utilization Review Nurse
- Non Exempt No Experience Utilization Management Nurse
- Part Time Utilization Review Nurse
- Registered Nurse Utilization Review
- Weekend Physician Advisor Utilization Review
- Cigna Utilization Review Remote
- From Home Anthem Utilization Review Nurse
- Utilization Review 1099
- Utilization Review Case Manager
- Weekend Utilization Review
- Remote International Utilization Review Nurse
- Remote Weekend Utilization Review
- Utilization Review Manager
- Insurance Utilization Review
- Online Utilization Review

Job description
Blue Eagle is looking for Pre-Cert Nurse(s) to assist with inpatient and outpatient PA reviews.
About Blue Eagle Consulting
Sourced by ZipRecruiter
Industry
It services
Company size
11 - 50 Employees
Headquarters location
Birmingham, AL, US
Year founded
2004