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:
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:
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 ...
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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 ...
... 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 ...
... 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 ...
New
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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 ...
New
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 ...
Performs utilization review for medical necessity with established severity of illness/intensity of ... Communicates to appropriate referral sources to assist in discharge planning and ensures completion ...
Performs utilization review for medical necessity with established severity of illness/intensity of ... Communicates to appropriate referral sources to assist in discharge planning and ensures completion ...
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 ...
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 ...
ICU Clinical Documentation Integrity Registered Nurse RN- Hybrid
Birmingham, AL · Hybrid
$32.50 - $43.75/hr
... Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE ... and/or Case/Utilization Review * Two (2) plus years' Provider experience - Medical/Surgical ...
ICU Clinical Documentation Integrity Registered Nurse RN- Hybrid
Birmingham, AL · Hybrid
$32.50 - $43.75/hr
... Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE ... and/or Case/Utilization Review * Two (2) plus years' Provider experience - Medical/Surgical ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $109/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 ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Montgomery, AL · On-site
$95 - $109/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 ...
Clinical Documentation Integrity Registered Nurse RN- Hybrid
Birmingham, AL · On-site
$32.50 - $43.75/hr
... Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE ... or Case/Utilization Review * Graduate from a Nursing program, BSN, or graduate program; OR
Clinical Documentation Integrity Registered Nurse RN- Hybrid
Birmingham, AL · On-site
$32.50 - $43.75/hr
... Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE ... or Case/Utilization Review * Graduate from a Nursing program, BSN, or graduate program; OR
... Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE ... or Case/Utilization Review * Graduate from a Nursing program, BSN, or graduate program; OR
... Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE ... or Case/Utilization Review * Graduate from a Nursing program, BSN, or graduate program; OR
Clinical Documentation Integrity Registered Nurse RN- Hybrid
Birmingham, AL · On-site
$32.50 - $43.75/hr
... Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE ... or Case/Utilization Review * Graduate from a Nursing program, BSN, or graduate program; OR
Clinical Documentation Integrity Registered Nurse RN- Hybrid
Birmingham, AL · On-site
$32.50 - $43.75/hr
... Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE ... or Case/Utilization Review * Graduate from a Nursing program, BSN, or graduate program; OR
... Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE ... and/or Case/Utilization Review * Two (2) plus years' Provider experience - Medical/Surgical ...
... Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE ... and/or Case/Utilization Review * Two (2) plus years' Provider experience - Medical/Surgical ...
ICU Clinical Documentation Integrity Registered Nurse RN- Hybrid
Birmingham, AL · Hybrid
$32.50 - $43.75/hr
... Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE ... and/or Case/Utilization Review * Two (2) plus years' Provider experience - Medical/Surgical ...
ICU Clinical Documentation Integrity Registered Nurse RN- Hybrid
Birmingham, AL · Hybrid
$32.50 - $43.75/hr
... Assist in training department staff new to CDI 5. Performs other duties as assigned KNOWLEDGE ... and/or Case/Utilization Review * Two (2) plus years' Provider experience - Medical/Surgical ...
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?
As of Jul 20, 2026, the average hourly pay for utilization review assistant in Alabama is $26.17, according to ZipRecruiter salary data. Most workers in this role earn between $14.84 and $32.12 per hour, depending on experience, location, and employer.
What is a Utilization Review Assistant job?
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 are the key skills and qualifications needed to thrive in the Utilization Review Assistant position, and why are they important?
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 typical day look like for a Utilization Review Assistant and who do they work with?
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.
What are the most commonly searched types of Utilization Review jobs in Alabama? The most popular types of Utilization Review jobs in Alabama are:
What are popular job titles related to Utilization Review Assistant jobs in Alabama? For Utilization Review Assistant jobs in Alabama, the most frequently searched job titles are:
- Part Time Utilization Review Nurse
- Remote Utilization Management Pharmacist
- Utilization Management
- Remote Utilization Management
- Medical Review Nurse
- No Experience Utilization Review Nurse
- Weekend Physician Advisor Utilization Review
- Remote Utilization Review Nurse
- Utilization Review Specialist
- Flex Schedule Remote Utilization Review Nurse
What job categories do people searching Utilization Review Assistant jobs in Alabama look for? The top searched job categories for Utilization Review Assistant jobs in Alabama are:
- Contract Utilization Review
- Weekend Utilization Review
- Volunteer Aetna Utilization Review Nurse
- Optum Utilization Review Nurse
- Temporary Aetna Utilization Review Nurse
- Authorization Utilization Review Bcba
- Speech Therapy Utilization Review
- Full Time Remote Lpn Utilization Review
- Temporary Medical Utilization Review Physician
- Coordinator Aetna Utilization Review
What cities in Alabama are hiring for Utilization Review Assistant jobs? Cities in Alabama with the most Utilization Review Assistant job openings:
Full-time
Posted 19 days ago
Huntsville Hospital Health System rating
6.1
Based on 205 frontline employees who took The Breakroom Quiz
726th of 886 rated healthcare providers
Job description
The Surgical Utilization Review Registered Nurse (UR RN) 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.
Required 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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