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Utilization Management Jobs in Alabama (NOW HIRING)

VIVA Health

Senior Clinical Pharmacist

Birmingham, AL · On-site

$111K - $132K/yr

This includes formulary selection and maintenance, application of utilization management tools (prior authorization, step therapy, quantity limits, etc.), review of member disruption related to ...

VIVA Health

Senior Clinical Pharmacist

Birmingham, AL

$111K - $132K/yr

This includes formulary selection and maintenance, application of utilization management tools (prior authorization, step therapy, quantity limits, etc.), review of member disruption related to ...

Viva Health

Senior Clinical Pharmacist

Birmingham, AL · On-site

$111K - $132K/yr

This includes formulary selection and maintenance, application of utilization management tools (prior authorization, step therapy, quantity limits, etc.), review of member disruption related to ...

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All JobsUtilization Management JobsUtilization Management Jobs in Alabama

Utilization Management information

See Alabama salary details

$35.3K

$81.1K

$147.7K

How much do utilization management jobs pay per year?

As of Jul 20, 2026, the average yearly pay for utilization management in Alabama is $81,106.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,500.00 and $94,700.00 per year, depending on experience, location, and employer.

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.

What are the most commonly searched types of Utilization Management jobs in Alabama? The most popular types of Utilization Management jobs in Alabama are:
What are popular job titles related to Utilization Management jobs in Alabama? For Utilization Management jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Alabama look for? The top searched job categories for Utilization Management jobs in Alabama are:
What cities in Alabama are hiring for Utilization Management jobs? Cities in Alabama with the most Utilization Management job openings:
Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Alabama as of July 2026, with employment types broken down into 1% As Needed, 73% Full Time, 19% Part Time, 1% Temporary, and 6% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $81,106 per year, or $39 per hour.
RN Case Manager - Case Management - FT - 1st Shift

RN Case Manager - Case Management - FT - 1st Shift

Huntsville Hospital Health System

Huntsville, AL • On-site

Other

Posted 11 days ago

Huntsville Hospital Health System rating

6.1

Company rating: 6.1 out of 10

Based on 205 frontline employees who took The Breakroom Quiz

726th of 886 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.

Qualifications

Education:

Minimum of A.S.N. from an accredited college or university (BSN Preferred) and current Alabama 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: OTHER

What Huntsville Hospital Health System employees say

Pay

Benefits

Hours and flexibility

Workplace

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