... Director, UR Reviewer 1 with LPN/RN licensure may advance to Reviewer 2 (if position becomes ... Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL ...
... Director, UR Reviewer 1 with LPN/RN licensure may advance to Reviewer 2 (if position becomes ... Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL ...
... Director, UR Reviewer 1 with LPN/RN licensure may advance to Reviewer 2 (if position becomes ... Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL ...
... Director, UR Reviewer 1 with LPN/RN licensure may advance to Reviewer 2 (if position becomes ... Utilization review experience preferred Licensures, Certifications, and/or Registries * Current AL ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
This leader provides direct oversight of Utilization Review Managers and Utilization Review Coordinators while partnering closely with facility leadership, physicians, nursing, therapists ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
This leader provides direct oversight of Utilization Review Managers and Utilization Review Coordinators while partnering closely with facility leadership, physicians, nursing, therapists ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
This leader provides direct oversight of Utilization Review Managers and Utilization Review Coordinators while partnering closely with facility leadership, physicians, nursing, therapists ...
Regional Director of Utilization Management
Birmingham, AL · On-site
$115K - $130K/yr
This leader provides direct oversight of Utilization Review Managers and Utilization Review Coordinators while partnering closely with facility leadership, physicians, nursing, therapists ...
Administrative - Clinical Director Overview: The Therapist coordinates anddelivers various ... The Therapist acts as a liaison with sponsoringagencies, including utilization review. Prepares ...
Administrative - Clinical Director Overview: The Therapist coordinates anddelivers various ... The Therapist acts as a liaison with sponsoringagencies, including utilization review. Prepares ...
Pain Management Physician
Birmingham, AL · On-site
$55.29 - $57.69/hr
Director of Case ManagementYuma, Arizona Hospital Leadership Care Coordination Excellence Patient ... Opportunity to lead care coordination, utilization review, and discharge planning initiatives
Pain Management Physician
Birmingham, AL · On-site
$55.29 - $57.69/hr
Director of Case ManagementYuma, Arizona Hospital Leadership Care Coordination Excellence Patient ... Opportunity to lead care coordination, utilization review, and discharge planning initiatives
... private business and government utilization review, medical review, cost containment ... Prepare dialogue and support materials for workshops thorugh the state, as directed, for groups ...
... private business and government utilization review, medical review, cost containment ... Prepare dialogue and support materials for workshops thorugh the state, as directed, for groups ...
Quality Review Coordinator
Birmingham, AL · On-site
... private business and government utilization review, medical review, cost containment ... Prepare dialogue and support materials for workshops thorugh the state, as directed, for groups ...
Quality Review Coordinator
Birmingham, AL · On-site
... private business and government utilization review, medical review, cost containment ... Prepare dialogue and support materials for workshops thorugh the state, as directed, for groups ...
Consumer Benefits Specialist
Montgomery, AL · On-site
$16.25 - $24.73/hr
Director of Health Information Management DEFINITION : The Consumer Benefits Specialist is ... Conduct utilization reviews to ensure medical necessity, appropriate levels of care, and compliance ...
Quick apply
Consumer Benefits Specialist
Montgomery, AL · On-site
$16.25 - $24.73/hr
Director of Health Information Management DEFINITION : The Consumer Benefits Specialist is ... Conduct utilization reviews to ensure medical necessity, appropriate levels of care, and compliance ...
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Care Coordinator
Birmingham, AL · On-site
$18 - $24.25/hr
Participate in utilization review and quality assurance activities, as directed. Coordinate U.R. activities with the BHS physician review panel as appropriate, to include ensuring on-going and timely ...
Care Coordinator
Birmingham, AL · On-site
$18 - $24.25/hr
Participate in utilization review and quality assurance activities, as directed. Coordinate U.R. activities with the BHS physician review panel as appropriate, to include ensuring on-going and timely ...
Care Coordinator
Birmingham, AL · On-site
$18 - $24.25/hr
Participate in utilization review and quality assurance activities, as directed. Coordinate U.R. activities with the BHS physician review panel as appropriate, to include ensuring on-going and timely ...
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. activities with the BHS physician review panel as appropriate, to include ensuring on-going and timely ...
Care Coordinator
Birmingham, AL · On-site
$18 - $24.25/hr
Participate in utilization review and quality assurance activities, as directed. Coordinate U.R. activities with the BHS physician review panel as appropriate, to include ensuring on-going and timely ...
Care Coordinator
Birmingham, AL · On-site
$18 - $24.25/hr
Participate in utilization review and quality assurance activities, as directed. Coordinate U.R. activities with the BHS physician review panel as appropriate, to include ensuring on-going and timely ...
Required Experience: * 5 years post graduate experience in direct patient care. * Required Software ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
Required Experience: * 5 years post graduate experience in direct patient care. * Required Software ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
Required Experience: * 5 years post graduate experience in direct patient care. * Required Software ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
Required Experience: * 5 years post graduate experience in direct patient care. * Required Software ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
The Physical Medicine and Rehabilitation Medical Director may also write and revise medical ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
The Physical Medicine and Rehabilitation Medical Director may also write and revise medical ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
The Physical Medicine and Rehabilitation Medical Director may also write and revise medical ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
The Physical Medicine and Rehabilitation Medical Director may also write and revise medical ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:
(Orthopedic Surgery) Field Medical Director, MSK Surgery
Montgomery, AL · On-site
$135 - $150/hr
As a Field Medical Director, MSK Surgery you will be a key member of the utilization management ... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ...
(Orthopedic Surgery) Field Medical Director, MSK Surgery
Montgomery, AL · On-site
$135 - $150/hr
As a Field Medical Director, MSK Surgery you will be a key member of the utilization management ... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ...
Director of Clinical Services
Cullman, AL · On-site
$70K - $75K/yr
Join us as the Director of Clinical Services at The Sanctuary at the Woodlands! Hiring Immediately ... Collaborate with physicians, nursing, utilization review, admissions, and executive leadership to ...
Director of Clinical Services
Cullman, AL · On-site
$70K - $75K/yr
Join us as the Director of Clinical Services at The Sanctuary at the Woodlands! Hiring Immediately ... Collaborate with physicians, nursing, utilization review, admissions, and executive leadership to ...
Director of Clinical Services
Cullman, AL · On-site
$70K - $75K/yr
Join us as the Director of Clinical Services at The Sanctuary at the Woodlands! Hiring Immediately ... Collaborate with physicians, nursing, utilization review, admissions, and executive leadership to ...
Quick apply
Director of Clinical Services
Cullman, AL · On-site
$70K - $75K/yr
Join us as the Director of Clinical Services at The Sanctuary at the Woodlands! Hiring Immediately ... Collaborate with physicians, nursing, utilization review, admissions, and executive leadership to ...
Utilization Review Director information
See Alabama salary details
$19.39 - $23.31
2% of jobs
$23.31 - $27.24
9% of jobs
$29.92 is the 25th percentile. Wages below this are outliers.
$27.24 - $31.16
21% of jobs
The median wage is $34.33 / hr.
$31.16 - $35.08
23% of jobs
$35.08 - $39
13% of jobs
$42.05 is the 75th percentile. Wages above this are outliers.
$39 - $42.92
10% of jobs
$42.92 - $46.84
8% of jobs
$46.84 - $50.77
5% of jobs
$50.77 - $54.69
5% of jobs
$54.69 - $58.61
2% of jobs
$58.61 - $62.53
2% of jobs
$19
$38
$62
How much do utilization review director jobs pay per hour?
As of Aug 11, 2026, the average hourly pay for utilization review director in Alabama is $38.32, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $43.99 per hour, depending on experience, location, and employer.
What is the difference between Utilization Review Director vs Utilization Review Nurse?
| Aspect | Utilization Review Director | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, management experience, certifications (e.g., CCM) | RN license, certification in case management or utilization review (e.g., CUC) |
| Work Environment | Administrative, leadership roles overseeing teams | Clinical, review of patient cases, direct patient care |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare providers |
| Search & Comparison Intent | Leadership, management, strategic planning in utilization review | Clinical review, case assessment, patient care coordination |
The Utilization Review Director typically oversees review teams and manages utilization strategies, requiring leadership skills and management experience. In contrast, the Utilization Review Nurse focuses on clinical case assessments and patient care reviews. Both roles require RN licensure and relevant certifications but differ mainly in scope and responsibilities.
What does a utilization review director do?
A Utilization Review Director oversees the evaluation of medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead teams that review patient care requests, manage compliance with regulations, and implement strategies to ensure cost-effective care without compromising quality. Their responsibilities often include policy development, data analysis, and collaboration with healthcare providers to optimize resource use and improve patient outcomes.
Is utilization review a stressful job?
Utilization Review Directors often work in high-pressure environments where they must make quick, accurate decisions regarding healthcare services. The role can be stressful due to the need to balance patient care, insurance policies, and regulatory compliance, but stress levels vary based on workload, organizational support, and experience. Strong analytical skills and certification in utilization review can help manage job demands effectively.
What degree do I need for utilization review director?
A utilization review director typically needs at least a bachelor's degree in healthcare administration, nursing, or a related field. Many employers prefer candidates with a master's degree such as an MBA or a healthcare-related advanced degree, along with relevant experience and certifications like the Certified Professional in Healthcare Quality (CPHQ).
What are some common challenges faced by a utilization review director, and how can they be addressed?
A Utilization Review Director often navigates challenges such as balancing regulatory compliance with organizational goals, managing interdisciplinary teams, and keeping up with evolving healthcare policies. Staying proactive with ongoing education, fostering open communication among staff, and implementing efficient review processes can help address these issues. Additionally, leveraging data analytics and technology streamlines case reviews and ensures evidence-based decision-making, ultimately improving both patient outcomes and operational efficiency.
What are the key skills and qualifications needed to thrive as a utilization review director, and why are they important?
To thrive as a Utilization Review Director, you need a deep understanding of clinical guidelines, healthcare regulations, and case management principles, typically supported by a nursing or related healthcare degree and relevant licensure. Familiarity with utilization management software, electronic health records (EHR), and certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) is common in the field. Strong leadership, communication, analytical thinking, and decision-making skills help you effectively manage teams and ensure compliance. These competencies ensure efficient resource use, regulatory adherence, and high-quality patient outcomes within healthcare organizations.
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 cities in Alabama are hiring for Utilization Review Director jobs? Cities in Alabama with the most Utilization Review Director job openings:
Children's Of Alabama rating
6.5
Based on 41 frontline employees who took The Breakroom Quiz
717th of 1,056 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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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