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Utilization Manager Jobs in Birmingham, AL (NOW HIRING)

ProcessBarron

Deputy Construction Manager

Pelham, AL · On-site

The Deputy Construction Manager serves as a key leader within the Construction Services ... Coordinate daily field operations to maintain efficient workflow and resource utilization. Monitor ...

NHS Management, LLC

RN Unit Manager

Birmingham, AL

$37.25 - $49.25/hr

We are in search of a qualified RN Unit Manager : * Assists in maintaining resident care standards ... utilization review activities. * Receives physicians' instructions regarding resident care and ...

NHS Management, LLC

RN Unit Manager

Columbiana, AL

$40.25 - $53.25/hr

We are in search of a qualified RN Unit Manager : * Assists in maintaining resident care standards ... utilization review activities. * Receives physicians' instructions regarding resident care and ...

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Showing results 21-40

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Birmingham, AL

Utilization Manager information

See Birmingham, AL salary details

$36.5K

$85.3K

$157K

How much do utilization manager jobs pay per year?

As of Sep 3, 2026, the average yearly pay for utilization manager in Birmingham, AL is $85,295.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,800.00 and $102,600.00 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?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound 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 Birmingham, AL?

For Utilization Manager jobs in Birmingham, AL, the most frequently searched job titles are:

What job categories do people searching Utilization Manager jobs in Birmingham, AL look for?

The top searched job categories for Utilization Manager jobs in Birmingham, AL are:

What cities near Birmingham, AL are hiring for Utilization Manager jobs?

Cities near Birmingham, AL with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Birmingham, AL as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $85,295 per year, or $41 per hour.

Travel PRN Registered Nurse (RN)

NaphCare

Birmingham, AL

Per diem

Re-posted 10 days ago

NaphCare rating

6.4

Company rating: 6.4 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

650th of 898 rated healthcare providers

Job description

Overview

NaphCare is hiring a Travel PRN Registered Nurse (RN) just like you to join our team.  

As a Correctional Registered Nurse (RN), you will work alongside correctional officers and other medical professionals to provide care to the individuals in residence. Working within a controlled environment, where security is top priority and the days are never dull, you will have various duties to keep you engaged including performing physical assessments, administering medications, managing chronic illnesses, and responding to emergencies. This is a unique position where you can make a difference to this diverse population of patients with complex medical needs.

Responsibilities

Responsibilities for Travel RN:

  • Travel to sites to assist with transitions and fill-in shifts as needed
  • Work under the mentorship of a Senior Vice President and Director of Jail Operations
  • Understand the principles and concepts of medical quality assurance and utilization review
  • Monitor and report on the quality of all facets of the medical care provided to patients
  • Gather clinical information to assess and expedite care needs
  • Conduct detailed clinical chart assessments including reviewing requests from providers regarding medical necessity of requested services for patients
  • Excellent communication and interpersonal skills, attention to detail and decision-making skills are essential
Qualifications

Qualifications for Travel RN:

  • Hold and maintain a current, unrestricted Registered Nurse licensed
  • Ability/willingness to seek licensure in other states
  • Ability to travel to sites in various states
  • Must possess an active BLS CPR Certification (AHA preferred)
  • Knowledge of nursing practice principles and techniques, occupational health and safety standards, infectious disease management, applicable health care laws, regulations, and procedures for direct health care services.
  • Ability to maintain confidentiality of all proprietary and/or confidential information
  • Excellent communication, organizational, and problem-solving skills
  • Able to work independently and in a team
  • Integrity, professionalism and ability to adhere to a Code of Conduct and comply with all facility(s) correctional healthcare policies, procedures, and legal requirements
  • Quality assurance and utilization management experience preferred
  • Must pass the facility's criminal background check and drug screening

Physical Capabilities:

Must have the ability to stand for long periods, lift and move patients (up to 50 pounds), bend, squat, reach, push, pull, walk significant distances, and perform physically demanding tasks like CPR, all while maintaining good balance and endurance throughout a shift.

Why Join NaphCare?

NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US, and we are growing. If you have never considered a career in correctional healthcare, now may be the time! 

Want a better idea of what it's like to work in a jail? See what our RNs do:

NaphCare - Life as an RN - YouTube 

If you would like to speak with me to learn more about this position and NaphCare, apply directly to the position to initiate the application process, and I'll be in touch.

Equal Opportunity Employer: disability/veteran

 

Follow Us: Instagram | Facebook | LinkedIn | Advancing Correctional Healthcare | NaphCare

Employment Type: OTHER

What NaphCare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About NaphCare

Sourced by ZipRecruiter

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare. NaphCare offers competitive compensation! Our full-time teammates have a top-notch benefits package, which includes medical, dental, vision, FREE prescriptions, flexible spending account, company-paid life and AD&D insurance with voluntary life and AD&D options, ST & LT disability, 401(k) company contribution, 20 days Paid Time Off, paid holidays, tuition assistance, employee referral bonuses, etc.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Birmingham, AL, US

Year founded

1989

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