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 ...
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 limited to ...
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 limited to ...
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 ...
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, and patient care initiatives. This role focuses on concurrent review of ... medical necessity, appropriateness, timeliness, and utilization of hospital services while ensuring ...
... utilization management, and patient care initiatives. This role focuses on concurrent review of ... medical necessity, appropriateness, timeliness, and utilization of hospital services while ensuring ...
Quality Case Manager (RN) - Full-Time | Days | Drive Clinical Excellence
Russellville, AL · On-site
$22.50 - $32/hr
... utilization management, and patient care initiatives. This role focuses on concurrent review of ... medical necessity, appropriateness, timeliness, and utilization of hospital services while ensuring ...
Quick apply
Quality Case Manager (RN) - Full-Time | Days | Drive Clinical Excellence
Russellville, AL · On-site
$22.50 - $32/hr
... utilization management, and patient care initiatives. This role focuses on concurrent review of ... medical necessity, appropriateness, timeliness, and utilization of hospital services while ensuring ...
Case Manager- Social Worker
Montgomery, AL · On-site
$18 - $23.50/hr
Under the direction of the Manager, Clinical Resource Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and ...
Case Manager- Social Worker
Montgomery, AL · On-site
$18 - $23.50/hr
Under the direction of the Manager, Clinical Resource Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and ...
Case Manager- Social Worker
Montgomery, AL · On-site
$18 - $23.50/hr
Under the direction of the Manager, Clinical Resource Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and ...
Case Manager- Social Worker
Montgomery, AL · On-site
$18 - $23.50/hr
Under the direction of the Manager, Clinical Resource Management; the Case Manager is responsible for the activities of utilization management, case coordination and the development and ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
Utilization Management * Provides an Important Message notice and choice on Medicare patients as appropriate. * Identifies and reports process improvement opportunities by capturing delays in care by ...
Utilization Management * Provides an Important Message notice and choice on Medicare patients as appropriate. * Identifies and reports process improvement opportunities by capturing delays in care by ...
Utilization Management * Provides an Important Message notice and choice on Medicare patients as appropriate. * Identifies and reports process improvement opportunities by capturing delays in care by ...
Utilization Management * Provides an Important Message notice and choice on Medicare patients as appropriate. * Identifies and reports process improvement opportunities by capturing delays in care by ...
Utilization Management * Provides an Important Message notice and choice on Medicare patients as appropriate. * Identifies and reports process improvement opportunities by capturing delays in care by ...
Utilization Management * Provides an Important Message notice and choice on Medicare patients as appropriate. * Identifies and reports process improvement opportunities by capturing delays in care by ...
Utilization Management * Provides an Important Message notice and choice on Medicare patients as appropriate. * Identifies and reports process improvement opportunities by capturing delays in care by ...
Utilization Management * Provides an Important Message notice and choice on Medicare patients as appropriate. * Identifies and reports process improvement opportunities by capturing delays in care by ...
Utilization Management * Provides an Important Message notice and choice on Medicare patients as appropriate. * Identifies and reports process improvement opportunities by capturing delays in care by ...
Utilization Management * Provides an Important Message notice and choice on Medicare patients as appropriate. * Identifies and reports process improvement opportunities by capturing delays in care by ...
Utilization Management * Provides an Important Message notice and choice on Medicare patients as appropriate. * Identifies and reports process improvement opportunities by capturing delays in care by ...
Utilization Management * Provides an Important Message notice and choice on Medicare patients as appropriate. * Identifies and reports process improvement opportunities by capturing delays in care by ...
Five years experience in inpatient case management, social work or utilization management or in the managed care/payer environment, of which one year must have been in a people management role in ...
Five years experience in inpatient case management, social work or utilization management or in the managed care/payer environment, of which one year must have been in a people management role in ...
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 ...
Quick apply
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 ...
PLC Controls Manager
Dothan, AL · On-site
$70K - $90K/yr
Improve cycle times, tooling paths, and material utilization * Manage programming workloads and priorities * Provide technical coaching and skill development * Drive automation and digital workflow ...
Quick apply
PLC Controls Manager
Dothan, AL · On-site
$70K - $90K/yr
Improve cycle times, tooling paths, and material utilization * Manage programming workloads and priorities * Provide technical coaching and skill development * Drive automation and digital workflow ...
Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $96/hr
As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...
Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $96/hr
As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $109/hr
Currently seeking Endocrinologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $109/hr
Currently seeking Endocrinologist Physicians to join our Radiology department As an FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to ...
Utilization Manager information
See Alabama salary details
$35.3K - $45.9K
9% of jobs
$53.8K is the 25th percentile. Wages below this are outliers.
$45.9K - $56.5K
22% of jobs
$56.5K - $67.1K
11% of jobs
The median wage is $73.6K / yr.
$67.1K - $77.7K
14% of jobs
$77.7K - $88.3K
12% of jobs
$94.9K is the 75th percentile. Wages above this are outliers.
$88.3K - $98.9K
13% of jobs
$98.9K - $109.5K
13% of jobs
$109.5K - $120.1K
5% of jobs
$120.1K - $130.6K
2% of jobs
$130.6K - $141.2K
0% of jobs
$141.2K - $151.8K
0% of jobs
$35.3K
$82.5K
$151.8K
How much do utilization manager jobs pay per year?
As of Sep 3, 2026, the average yearly pay for utilization manager in Alabama is $82,492.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,900.00 and $99,200.00 per year, depending on experience, location, and employer.
What is a utilization manager?
A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.
What are the key skills and qualifications needed to thrive as a utilization manager?
To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.
What are some common challenges faced by utilization managers, and how can they be addressed?
Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.
What is the difference between Utilization Manager vs Utilization Coordinator?
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found in similar settings, often working under Utilization Managers |
In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.
More about Utilization Manager jobs
What are popular job titles related to Utilization Manager jobs in Alabama?
For Utilization Manager jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Alabama look for?
The top searched job categories for Utilization Manager jobs in Alabama are:
What cities in Alabama are hiring for Utilization Manager jobs?
Cities in Alabama with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in AL?
For Utilization Manager jobs in AL, the most frequently searched job titles are:
RN Case Mgr - Case Management Dept - FT - 1st Shift
Huntsville, AL • On-site
Full-time
Re-posted 10 days ago
Huntsville Hospital Health System rating
6.2
Based on 209 frontline employees who took The Breakroom Quiz
699th of 898 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.
QualificationsEducation:
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: OTHERWhat Huntsville Hospital Health System employees say
Pay
Benefits
Hours and flexibility
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About Huntsville Hospital Health System
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Industry
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