In Utilization Management at Main Campus Lee Building Work schedule will be 7on / 7off on the Day ... Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL ...
In Utilization Management at Main Campus Lee Building Work schedule will be 7on / 7off on the Day ... Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL ...
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 ...
In Utilization Management at Main Campus Lee Building Work schedule will be 7on / 7off on the Day ... Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL ...
In Utilization Management at Main Campus Lee Building Work schedule will be 7on / 7off on the Day ... Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL ...
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, Senior
Birmingham, AL · On-site
Minimum 2 years of experience in Case Management, including Utilization Review and Discharge Planning in an inpatient rehabilitation setting.
Case Manager, Senior
Birmingham, AL · On-site
Minimum 2 years of experience in Case Management, including Utilization Review and Discharge Planning in an inpatient rehabilitation setting.
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
This leader provides direct oversight of Utilization Review Managers and Utilization Review ... Certification in Case Management (CCM). * Knowledge of ASAM Criteria and behavioral health medical ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
This leader provides direct oversight of Utilization Review Managers and Utilization Review ... Certification in Case Management (CCM). * Knowledge of ASAM Criteria and behavioral health medical ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
This leader provides direct oversight of Utilization Review Managers and Utilization Review ... Certification in Case Management (CCM). * Knowledge of ASAM Criteria and behavioral health medical ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
This leader provides direct oversight of Utilization Review Managers and Utilization Review ... Certification in Case Management (CCM). * Knowledge of ASAM Criteria and behavioral health medical ...
CASE MANAGER FT (13195)
Cullman, AL · On-site
One year experience in Utilization Review with JIVA, Interqual, Cerner, Medicare, HMOs, and other ... case management. Advanced communication and interpersonal skills with all levels of internal and ...
CASE MANAGER FT (13195)
Cullman, AL · On-site
One year experience in Utilization Review with JIVA, Interqual, Cerner, Medicare, HMOs, and other ... case management. Advanced communication and interpersonal skills with all levels of internal and ...
Pain Management Physician
$55.29 - $57.69/hr
Established interdisciplinary Case Management department * Opportunity to lead care coordination, utilization review, and discharge planning initiatives * Strong organizational support and ...
Pain Management Physician
$55.29 - $57.69/hr
Established interdisciplinary Case Management department * Opportunity to lead care coordination, utilization review, and discharge planning initiatives * Strong organizational support and ...
Medical Case Manager I
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Quick apply
Medical Case Manager I
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Medical Case Manager I
Birmingham, AL · On-site
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Medical Case Manager I
Birmingham, AL · On-site
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Medical Case Manager I
Birmingham, AL · On-site
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Medical Case Manager I
Birmingham, AL · On-site
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
RN - Care Coordinator / Case Management - Travel Contract
Tuscaloosa, AL · On-site
$52 - $54/hr
Case Management / Utilization Review experience preferred * Associate Degree in Nursing required * BSN or related healthcare bachelor's degree preferred * Meditech EMR experience preferred ...
Quick apply
RN - Care Coordinator / Case Management - Travel Contract
Tuscaloosa, AL · On-site
$52 - $54/hr
Case Management / Utilization Review experience preferred * Associate Degree in Nursing required * BSN or related healthcare bachelor's degree preferred * Meditech EMR experience preferred ...
Medical Case Manager I
Troy, AL · On-site
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Medical Case Manager I
Troy, AL · On-site
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Medical Case Manager I
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Quick apply
Medical Case Manager I
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Medical Case Manager I
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Medical Case Manager I
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Medical Case Manager I
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Quick apply
Medical Case Manager I
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Medical Case Manager I
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Medical Case Manager I
$63K - $95K/yr
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and ... A cost containment background, such as utilization review or managed care is helpful * Strong ...
Case Manager, Registered Nurse PRN
Florence, AL · On-site
$10/hr
... utilization review activities. Reports to the Director or Manager of Department. How you'll ... Accurately documents case management activities, plans, and outcomes. * Participates in performance ...
Case Manager, Registered Nurse PRN
Florence, AL · On-site
$10/hr
... utilization review activities. Reports to the Director or Manager of Department. How you'll ... Accurately documents case management activities, plans, and outcomes. * Participates in performance ...
Utilization Review Case Manager information
See Alabama salary details
$15.03 - $18.62
3% of jobs
$18.62 - $22.20
1% of jobs
$22.20 - $25.79
6% of jobs
$27.52 is the 25th percentile. Wages below this are outliers.
$25.79 - $29.37
30% of jobs
The median wage is $30.66 / hr.
$29.37 - $32.96
26% of jobs
$34.33 is the 75th percentile. Wages above this are outliers.
$32.96 - $36.54
22% of jobs
$36.54 - $40.13
3% of jobs
$40.13 - $43.71
0% of jobs
$43.71 - $47.30
5% of jobs
$47.30 - $50.89
2% of jobs
$50.89 - $54.47
1% of jobs
$15
$33
$54
How much do utilization review case manager jobs pay per hour?
As of Aug 8, 2026, the average hourly pay for utilization review case manager in Alabama is $33.07, according to ZipRecruiter salary data. Most workers in this role earn between $26.78 and $34.86 per hour, depending on experience, location, and employer.
What are some common challenges utilization review case managers face when coordinating care across multiple departments?
Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.
What is a utilization review case manager?
A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.
What is the difference between Utilization Review Case Manager vs Utilization Review Nurse?
| Aspect | Utilization Review Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license or relevant healthcare certification | Registered Nurse (RN) license is required |
| Work Environment | Office-based, insurance companies, healthcare organizations | Hospital, clinic, insurance review departments |
| Primary Focus | Reviewing medical necessity, coordinating care, managing cases | Assessing medical records, clinical review, patient care evaluation |
Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.
What are the key skills and qualifications needed to thrive as a utilization review case manager, and why are they important?
To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.
What are popular job titles related to Utilization Review Case Manager jobs in Alabama? For Utilization Review Case Manager jobs in Alabama, the most frequently searched job titles are:
- Remote Telephonic Nurse
- Utilization Review Nurse
- No Experience Utilization Review Nurse
- Independent Contractor Remote Utilization Management Nurse
- Cvs Health Utilization Management Remote
- Utilization Management
- Flex Schedule Remote Utilization Review Nurse
- Registered Nurse Utilization Review
- Manager Utilization Management
What job categories do people searching Utilization Review Case Manager jobs in Alabama look for? The top searched job categories for Utilization Review Case Manager jobs in Alabama are:
- Rn Field Case Manager
- Temporary Aetna Utilization Review Nurse
- Disability Nurse Case Manager
- Freelance International Utilization Review Nurse
- Insurance Utilization Review
- Weekend Utilization Review
- Field Nurse Case Manager
- Geriatric Case Manager
- Nurse Practitioner Utilization Review
- Workers Comp Nurse Case Manager
What cities in Alabama are hiring for Utilization Review Case Manager jobs? Cities in Alabama with the most Utilization Review Case Manager job openings:
Children's Of Alabama rating
6.4
Based on 40 frontline employees who took The Breakroom Quiz
746th of 1,055 rated hospitals
Job description
In Utilization Management at Main Campus Lee Building
Work schedule will be 7on / 7off on the Day Shift, 7am- 3:30pm, Monday- Sunday every other week after completion of orientation.
Summary:
The UR Reviewer 1 is responsible for performing inpatient admission, concurrent, and observation reviews based on pre-established criteria exclusively for AL Medicaid and all commercial payers other than BCBS AL. Upon successful completion of training by UR Reviewer 2 and with the approval of the UR Manager & Department Director, UR Reviewer 1 with LPN/RN licensure may advance to Reviewer 2 (if position becomes available).
Other information:
Education
- Graduate of an accredited School of Nursing or Social Work
- 2 years in hospital setting or related field (i.e. third-party payer)
- Utilization review experience preferred
- Current AL licensure as RN or LPN
- Knowledge of third-party payer requirements in utilization review preferred
Credentials with Equivalent Qualifications:
Essential:
* Registered Nurse AL Single State or any of the following equivalent qualifications below:
- Registered Nurse AL NLC Multi State
- Registered Nurse Non-AL NLC Multi State
- Licensed Practical Nurse AL Only
- Licensed Practical Nurse AL NLC Multi State
- Licensed Practical Nurse Non-AL NLC Multi State
- Licensed Independent Clinical Social Worker
Education with Equivalent Qualifications:
Essential:
* Associate of Science Nursing in Nursing or Bachelors of Science or Arts in Nursing
Experience with Equivalent Qualifications:
Essential:
* 2 Years Staff Level
What Children's Of Alabama employees say
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Get the full story on Breakroom
About Children's of Alabama
Sourced by ZipRecruiter
Since 1911, Children’s of Alabama has provided specialized medical care for ill and injured children. Ranked among the best children’s hospitals in the nation by U.S. News & World Report, Children’s serves patients from every county in Alabama and nearly every state. With more than 3.5 million square feet, it is one of the largest pediatric medical facilities in the United States. Children’s offers inpatient and outpatient services at its Russell Campus on Birmingham’s historic Southside with additional specialty services provided at Children’s South, Children’s on 3rd and in Huntsville and Montgomery. Primary medical care is provided in more than a dozen communities across central Alabama. Children’s is the only health system in Alabama dedicated solely to the care and treatment of children. It is a private, not-for-profit medical center that serves as the teaching hospital for the University of Alabama at Birmingham (UAB) pediatric medicine, surgery, psychiatry, research and residency programs. The medical staff consists of UAB faculty and Children’s full-time physicians as well as private practicing community physicians. Our staff is committed to providing the finest pediatric healthcare to all children. We built our legacy on our core values of trust, teamwork, compassion, innovation and commitment. We know that every time we come through these doors we will live up to our high standards as we work to make a difference in children's lives. You've chosen a career that’s all about care. If you want to make a difference the life of children and their families, if you want to advance in your profession, if you appreciate good benefits, and want to work with outstanding medical professionals in a variety of areas, then Children’s of Alabama is where you belong.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Birmingham, AL, US
Year founded
1911