In Utilization Management at Main Campus Lee Building Work schedule will be Full-time on the Day Shift, Monday - Friday 8:00am - 4:30pm. Summary: Responsible for the day to day functions of the ...
In Utilization Management at Main Campus Lee Building Work schedule will be Full-time on the Day Shift, Monday - Friday 8:00am - 4:30pm. Summary: Responsible for the day to day functions of the ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach to the quality of patient care while supplementing onsite resources to prioritizing continuity of ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach to the quality of patient care while supplementing onsite resources to prioritizing continuity of ...
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.
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach to the quality of patient care while supplementing onsite resources to prioritizing continuity of ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach to the quality of patient care while supplementing onsite resources to prioritizing continuity of ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach to the quality of patient care while supplementing onsite resources to prioritizing continuity of ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach to the quality of patient care while supplementing onsite resources to prioritizing continuity of ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach to the quality of patient care while supplementing onsite resources to prioritizing continuity of ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach to the quality of patient care while supplementing onsite resources to prioritizing continuity of ...
The Utilization Management Physician will provide a streamlined, efficient, and consistent approach to the quality of patient care while supplementing onsite resources to prioritizing continuity of ...
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The Utilization Management Physician will provide a streamlined, efficient, and consistent approach to the quality of patient care while supplementing onsite resources to prioritizing continuity of ...
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 ...
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 ...
Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not ...
Overview The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not ...
Utilization Review Nurse
Dothan, AL · On-site
The Utilization Review case manager collaborates with all components of the healthcare system, managing appropriate use of acute care to aid in the achievement of quality outcomes, fiscal ...
Utilization Review Nurse
Dothan, AL · On-site
The Utilization Review case manager collaborates with all components of the healthcare system, managing appropriate use of acute care to aid in the achievement of quality outcomes, fiscal ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 the Utilization Management position, 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 a Utilization Management job?
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.
- Utilization Review Specialist
- Remote Utilization Management
- No Experience Utilization Review Nurse
- Remote Prior Authorization Nurse
- Flex Schedule Remote Utilization Review Nurse
- Telephonic Nurse Case Manager
- Part Time Utilization Review Nurse
- Weekend Physician Advisor Utilization Review
- Remote Utilization Management Pharmacist
- Remote Utilization Review Nurse

Full-time
Posted 13 days ago
Children's Of Alabama rating
6.4
Based on 40 frontline employees who took The Breakroom Quiz
727th of 1,020 rated hospitals
Job description
Work schedule will be Full-time on the Day Shift, Monday - Friday 8:00am - 4:30pm.
Summary:
Responsible for the day to day functions of the Utilization Management department inclusive of supervising Nurse Reviewers, and collaborating with Revenue Cycle and Business Office.
Credentials with Equivalent Qualifications:
Essential:
* Registered Nurse AL Single State or any of the following equivalent qualifications below:
- Registered Nurse AL NLC Multi State
- Registered Nurse Non-AL NLC Multi State
Education with Equivalent Qualifications:
Essential:
* Bachelor of Science Nursing in Nursing
Experience with Equivalent Qualifications:
Essential:
* 5 Years Staff Level
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About Children's of Alabama
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Since 1911, Children’s of Alabama has provided specialized medical care for ill and injured children. Ranked among the best children’s hospitals in the nation by U.S. News & World Report, Children’s serves patients from every county in Alabama and nearly every state. With more than 3.5 million square feet, it is one of the largest pediatric medical facilities in the United States. Children’s offers inpatient and outpatient services at its Russell Campus on Birmingham’s historic Southside with additional specialty services provided at Children’s South, Children’s on 3rd and in Huntsville and Montgomery. Primary medical care is provided in more than a dozen communities across central Alabama. Children’s is the only health system in Alabama dedicated solely to the care and treatment of children. It is a private, not-for-profit medical center that serves as the teaching hospital for the University of Alabama at Birmingham (UAB) pediatric medicine, surgery, psychiatry, research and residency programs. The medical staff consists of UAB faculty and Children’s full-time physicians as well as private practicing community physicians. Our staff is committed to providing the finest pediatric healthcare to all children. We built our legacy on our core values of trust, teamwork, compassion, innovation and commitment. We know that every time we come through these doors we will live up to our high standards as we work to make a difference in children's lives. You've chosen a career that’s all about care. If you want to make a difference the life of children and their families, if you want to advance in your profession, if you appreciate good benefits, and want to work with outstanding medical professionals in a variety of areas, then Children’s of Alabama is where you belong.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Birmingham, AL, US
Year founded
1911