This role requires strong collaboration with surgeons, physician assistants, nurse practitioners ... Utilization Review or Case Management experience Required License/Registration/Certification:
This role requires strong collaboration with surgeons, physician assistants, nurse practitioners ... Utilization Review or Case Management experience Required License/Registration/Certification:
This role requires strong collaboration with surgeons, physician assistants, nurse practitioners ... Utilization Review or Case Management experience Required License/Registration/Certification:
This role requires strong collaboration with surgeons, physician assistants, nurse practitioners ... Utilization Review or Case Management experience Required License/Registration/Certification:
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
Utilization Review * Schedule: PRN Days * Work Location: UAB ST Vincent's Birmingham * Benefits for ... Provide case management and/or consultation for complex cases. * Assist departmental staff with ...
... utilization review. Review admissions and service requests within assigned unit for prospective ... Provide case management and/or consultation for complex cases. Assist departmental staff with ...
... utilization review. Review admissions and service requests within assigned unit for prospective ... Provide case management and/or consultation for complex cases. Assist departmental staff with ...
Care Coordinator
Birmingham, AL · On-site
$18 - $24.25/hr
Participate in utilization review and quality assurance activities, as directed. Coordinate U.R ... Maintain patient and departmental files, policies, procedures, budgets. Assist in achievement of ...
Quick apply
Care Coordinator
Birmingham, AL · On-site
$18 - $24.25/hr
Participate in utilization review and quality assurance activities, as directed. Coordinate U.R ... Maintain patient and departmental files, policies, procedures, budgets. Assist in achievement of ...
Care Coordinator
Birmingham, AL · On-site
$18 - $24.25/hr
Participate in utilization review and quality assurance activities, as directed. Coordinate U.R ... Maintain patient and departmental files, policies, procedures, budgets. Assist in achievement of ...
Care Coordinator
Birmingham, AL · On-site
$18 - $24.25/hr
Participate in utilization review and quality assurance activities, as directed. Coordinate U.R ... Maintain patient and departmental files, policies, procedures, budgets. Assist in achievement of ...
Care Coordinator
Birmingham, AL · On-site
$18 - $24.25/hr
Participate in utilization review and quality assurance activities, as directed. Coordinate U.R ... Maintain patient and departmental files, policies, procedures, budgets. Assist in achievement of ...
Care Coordinator
Birmingham, AL · On-site
$18 - $24.25/hr
Participate in utilization review and quality assurance activities, as directed. Coordinate U.R ... Maintain patient and departmental files, policies, procedures, budgets. Assist in achievement of ...
Quality Review Coordinator
Birmingham, AL · On-site
... private business and government utilization review, medical review, cost containment ... The incumbent must be able to assist groups in benefit design within the parameters of cost and ...
Quality Review Coordinator
Birmingham, AL · On-site
... private business and government utilization review, medical review, cost containment ... The incumbent must be able to assist groups in benefit design within the parameters of cost and ...
Quality Review Coordinator
Birmingham, AL · On-site
... private business and government utilization review, medical review, cost containment ... The incumbent must be able to assist groups in benefit design within the parameters of cost and ...
Quality Review Coordinator
Birmingham, AL · On-site
... private business and government utilization review, medical review, cost containment ... The incumbent must be able to assist groups in benefit design within the parameters of cost and ...
Consumer Benefits Specialist
Montgomery, AL · On-site
$16.25 - $24.73/hr
... services. Assist with appeals, reconsiderations, and recovery efforts related to denied or delayed claims. Prepare reports related to benefits management, utilization review activities ...
Quick apply
Consumer Benefits Specialist
Montgomery, AL · On-site
$16.25 - $24.73/hr
... services. Assist with appeals, reconsiderations, and recovery efforts related to denied or delayed claims. Prepare reports related to benefits management, utilization review activities ...
Pain Management Physician
$55.29 - $57.69/hr
Opportunity to lead care coordination, utilization review, and discharge planning initiatives ... Monitor departmental performance metrics and implement process improvements * Assist with patient ...
Pain Management Physician
$55.29 - $57.69/hr
Opportunity to lead care coordination, utilization review, and discharge planning initiatives ... Monitor departmental performance metrics and implement process improvements * Assist with patient ...
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 ...
Case Manager 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 ...
Case Manager 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 ...
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 ...
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 ...
Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Utilization Review Assistant information
See Alabama salary details
$8.94 - $13.01
14% of jobs
$15.09 is the 25th percentile. Wages below this are outliers.
$13.01 - $17.08
22% of jobs
$17.08 - $21.14
13% of jobs
The median wage is $21.61 / hr.
$21.14 - $25.21
14% of jobs
$25.21 - $29.27
11% of jobs
$30.29 is the 75th percentile. Wages above this are outliers.
$29.27 - $33.34
9% of jobs
$33.34 - $37.41
7% of jobs
$37.41 - $41.47
4% of jobs
$41.47 - $45.54
3% of jobs
$45.54 - $49.60
2% of jobs
$49.60 - $53.67
1% of jobs
$8
$26
$53
How much do utilization review assistant jobs pay per hour?
What is a utilization review assistant?
A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.
What skills and qualifications are needed to be a utilization review assistant?
To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.
What does a utilization review assistant do?
A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.
- Utilization Review Physician
- Utilization Management
- Flex Schedule Remote Utilization Review Nurse
- Utilization Review Nurse
- Non Exempt No Experience Utilization Management Nurse
- Remote Utilization Review Rn
- Part Time Utilization Review Nurse
- Utilization Review Specialist
- Weekend Physician Advisor Utilization Review
- Remote Utilization Review Nurse
- Utilization Review 1099
- Remote Dental Utilization Review
- Remote Navihealth Utilization Review
- Insurance Utilization Review
- Temporary Aetna Utilization Review Nurse
- Remote Occupational Therapy Utilization Review
- Behavioral Utilization Review
- Volunteer Navihealth Utilization Review
- Utilization Review Manager
- Cigna Utilization Review Remote

Other
Re-posted 5 days ago
Job description
The Surgical Utilization Review Registered Nurse is responsible for conducting concurrent medical necessity reviews to ensure appropriate level-of-care determinations, regulatory compliance, and reimbursement integrity. This position serves as a liaison between physicians, advanced practice providers, nursing, case management, revenue cycle, and payer organizations to facilitate accurate patient status assignment, timely authorization management, and denial prevention. The primary focus of this role is surgical utilization review, including pre-operative, post-operative, and procedural patient populations. Responsibilities include validating compliance with Medicare, commercial payer, and organizational requirements, including Inpatient Only (IPO) procedures, Two-Midnight Rule criteria, observation services, and medical necessity requirements. This role requires strong collaboration with surgeons, physician assistants, nurse practitioners, hospitalists, and clinical staff to obtain clarifying documentation, facilitate timely order placement, and support appropriate status determinations. 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.
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.
About Huntsville Hospital
Sourced by ZipRecruiter
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.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Huntsville, AL, US