Huntsville, AL · On-site
Job Title Utilization Management Nurse Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital ...
New
Huntsville, AL · On-site
Job Title Utilization Management Nurse Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital ...
New
Huntsville, AL · On-site
Overview Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is ...
Huntsville, AL · On-site
Overview Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is ...
Huntsville, AL · On-site
Overview Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is ...
New
Huntsville, AL · On-site
Overview Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is ...
New
Overview Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is ...
Overview Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is ...
Huntsville, AL · On-site
Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the ...
New
Huntsville, AL · On-site
Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the ...
New
Job Title Utilization Management Nurse Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital ...
New
Job Title Utilization Management Nurse Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital ...
New
Overview Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is ...
Overview Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is ...
Overview Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is ...
Overview Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is ...
Overview Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is ...
New
Overview Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is ...
New
Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the ...
New
Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the ...
New
American Traveler is hiring an experienced RN Case Manager with a CA RN license and 5+ years of ... experience with utilization review including admission criteria, appeals and denials, and ...
American Traveler is hiring an experienced RN Case Manager with a CA RN license and 5+ years of ... experience with utilization review including admission criteria, appeals and denials, and ...
Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical/surgical unit with excellent communication ...
Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical/surgical unit with excellent communication ...
Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical/surgical unit with excellent communication ...
Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical/surgical unit with excellent communication ...
Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical/surgical unit with excellent communication ...
New
Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical/surgical unit with excellent communication ...
New
American Traveler is hiring a Travel RN Case Manager for a hospital setting requiring 1+ year of recent case management/utilization review experience and an active FL or compact RN license. Job ...
American Traveler is hiring a Travel RN Case Manager for a hospital setting requiring 1+ year of recent case management/utilization review experience and an active FL or compact RN license. Job ...
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 ...
$35.5K - $46.1K
9% of jobs
$53.9K is the 25th percentile. Wages below this are outliers.
$46.1K - $56.7K
22% of jobs
$56.7K - $67.4K
11% of jobs
The median wage is $73.9K / yr.
$67.4K - $78K
14% of jobs
$78K - $88.6K
12% of jobs
$95.3K is the 75th percentile. Wages above this are outliers.
$88.6K - $99.2K
13% of jobs
$99.2K - $109.9K
13% of jobs
$109.9K - $120.5K
5% of jobs
$120.5K - $131.1K
2% of jobs
$131.1K - $141.7K
0% of jobs
$141.7K - $152.4K
0% of jobs
$35.5K
$82.8K
$152.4K
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.
| 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.
The top searched job categories for Utilization Manager jobs in Harvest, AL are:
Cities near Harvest, AL with the most Utilization Manager job openings:
Utilization Management Nurse
Job DescriptionUtilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures that an authorization for services is obtained from payer, if required, and that documentation supports the care delivered in such a way that minimizes the risk of denials after discharge.
QualificationsRequired Education: Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse
Preferred Education: Bachelors Science Nursing or higher
Required Experience: 2 years previous nursing experience
Preferred Experience: Utilization Review or Case Management experience
Required License/Registration/Certification: Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse
Preferred License/Registration/Certification: ACM or CCM Certification
Computer Skills Required: Data entry skills; Demonstrable skills with Google Docs, Google Sheets, Microsoft Suite and email applications.
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Huntsville Hospital, located in Huntsville, Alabama, USA, operates in the healthcare industry. The organization's official website can be visited at huntsvillehospital.org. The hospital is a community-owned, not-for-profit healthcare system that was first established in 1895. This institution of paramount importance currently offers comprehensive health services dedicated to meeting the diverse needs of its community. The institution provides its services across a broad spectrum; this includes a children's hospital, women and infants’ hospital, a senior-orientated network, surgical services, orthopedic services, and more. Above all, Huntsville Hospital's core values emphasize patient safety, dignity, and care. Their mission is to deliver high-quality care and create a healthier community.
Hospitals
10,000+ Employees
Huntsville, AL, US
