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Utilization Review Np Jobs in Decatur, AL (NOW HIRING)

Provider Healthcare

Nurse Practitioner

Athens, AL

Current NP board certification by ANCC/AANP * CPR certification Preferred Qualifications * 1-2 ... Chart review and document all patient encounters efficiently and according to organization policy ...

Upperline Health

Nurse Practitioner

Madison, AL · On-site

... seeking a Nurse Practitioner to provide clinic-based care in our Madison, AL market. In ... Communicate with Upperline's local physician to review patient records and care plans on a timely ...

Urrly

Telehealth Nurse Practitioner

Huntsville, AL · Remote

$600 - $720/day

Telehealth Nurse Practitioner * Location/Type: Alabama Remote (No travel) * Pay: $600-$720/day ... Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...

MainStreet Family Care

Family Nurse Practitioner

Arab, AL

$100K - $126K/yr

Review of x-rays (to be over-read by Radiologist, too) * General Dermatology * General eye problems ... Family Nurse Practitioner Board Certification required * MSN, or higher education required (New ...

MainStreet Family Care

Family Nurse Practitioner

Arab, AL · On-site

$100K - $126K/yr

Review of x-rays (to be over-read by Radiologist, too) * General Dermatology * General eye problems ... Family Nurse Practitioner Board Certification required * MSN, or higher education required (New ...

NaphCare

Psychiatric Nurse Practitioner

Harvest, AL

$109K - $140K/yr

Psychiatric Nurse Practitioner Location US-AL-Harvest ID 2026-29829 Category Mental Health Position ... NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date.

Urrly

Telehealth Nurse Practitioner (Remote)

Huntsville, AL · Remote

$600 - $720/hr

Telehealth Nurse Practitioner * Location/Type: Alabama Remote (No travel) * Pay: $600$720/day (1099 ... Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...

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All JobsUtilization Review Np JobsUtilization Review Np Jobs in Decatur, AL

Utilization Review Np information

See Decatur, AL salary details

$20

$39

$64

How much do utilization review np jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for utilization review np in Decatur, AL is $39.64, according to ZipRecruiter salary data. Most workers in this role earn between $31.35 and $45.53 per hour, depending on experience, location, and employer.

What are some common challenges Utilization Review Nurse Practitioners face when collaborating with healthcare providers and insurance companies?

Utilization Review Nurse Practitioners often navigate the challenge of balancing patient advocacy with payer requirements. They must effectively communicate clinical justifications to both healthcare providers and insurance representatives, sometimes mediating disagreements over the necessity of certain treatments or hospital stays. Staying up-to-date with ever-changing insurance guidelines and ensuring timely documentation can also be demanding, but strong organizational and interpersonal skills help facilitate smooth collaboration and successful patient outcomes.

What does a Utilization Review NP do?

A Utilization Review Nurse Practitioner (NP) evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance coverage to ensure that care meets established guidelines and regulatory requirements. Utilization Review NPs help coordinate care, prevent unnecessary procedures, and support cost-effective healthcare delivery while ensuring patient safety and quality outcomes.

What are the key skills and qualifications needed to thrive as a Utilization Review Nurse Practitioner, and why are they important?

To thrive as a Utilization Review Nurse Practitioner (NP), you need expert clinical judgment, a strong understanding of healthcare regulations, and advanced assessment skills, typically supported by an active NP license and clinical experience. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare and Medicaid are commonly required. Excellent communication, attention to detail, and critical thinking are vital soft skills for effective case evaluations and collaboration with providers. These competencies ensure accurate, efficient reviews that support quality care, compliance, and cost-effective treatment decisions.

What is the highest paid NP job?

The highest paid nurse practitioner (NP) roles are often in specialized fields such as anesthesiology, psychiatric-mental health, or neonatal care, with salaries exceeding $150,000 annually. NPs with advanced certifications, extensive experience, and in high-demand regions tend to earn the highest compensation, especially in hospital or surgical settings.

What is the difference between Utilization Review Np vs Utilization Review Nurse?

AspectUtilization Review NpUtilization Review Nurse
CredentialsMaster's degree in Nursing, Nurse Practitioner certification, state licensureRegistered Nurse (RN) license, possibly with certification in utilization review
Work EnvironmentHealthcare facilities, insurance companies, utilization review organizationsHospitals, insurance companies, outpatient clinics
Job ResponsibilitiesAssess medical necessity, authorize treatments, make clinical decisions, often with greater autonomyReview medical records, support authorization processes, follow established guidelines

Utilization Review NPs typically have advanced clinical training and greater decision-making authority compared to Utilization Review Nurses. Both roles focus on evaluating medical necessity, but NPs often perform more complex assessments and can make independent recommendations, whereas nurses support the review process under supervision or guidelines.

What are popular job titles related to Utilization Review Np jobs in Decatur, AL? For Utilization Review Np jobs in Decatur, AL, the most frequently searched job titles are:
What job categories do people searching Utilization Review Np jobs in Decatur, AL look for? The top searched job categories for Utilization Review Np jobs in Decatur, AL are:
What cities near Decatur, AL are hiring for Utilization Review Np jobs? Cities near Decatur, AL with the most Utilization Review Np job openings:
Utilization Review Np jobs near you
Infographic showing various Utilization Review Np job openings in Decatur, AL as of May 2026, with employment types broken down into 82% Full Time, and 18% Part Time. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $82,446 per year, or $39.6 per hour.
Nurse Practitioner

Nurse Practitioner

Provider Healthcare

Athens, AL

Full-time, Temporary

Posted 12 days ago

Job description

Job Type – Full Time

Schedule – Days (M-F, 8-5)

Pay - Depends on Experience

Patients Per Day – 18-20

EMR System - E-Clinical

Work Location – Outpatient, all ages

Job ID – 60514

Job Description

An Athens, Alabama based client is seeking an exceptional Nurse Practitioner to provide outpatient care in a dermatology practice. An ideal candidate is motivated, collaborative, and has one or more years of experience.

Required Qualifications 

  • AL medical license as an NP 
  • Master’s Degree (MSN), Doctoral Degree (DNP)
  • Current NP board certification by ANCC/AANP 
  • CPR certification

Preferred Qualifications

  • 1-2 years of experience
  • Additional language fluency

Responsibilities

  • Utility of advanced technology for medical, surgical, and cosmetic services for patients of all ages
  • Perform therapeutic procedures, including preventative care and follow up for dermatological conditions
  • Arrange referrals, consultations, and therapeutic services 
  • Work within evidence based medicine at all times to provide the best possible care
  • Chart review and document all patient encounters efficiently and according to organization policy and JCAHO standards

About Provider Healthcare

Provider Healthcare is a prominent healthcare recruitment firm that places highly qualified and skilled healthcare professionals in excellent employment opportunities across the country. Our diligent team of recruiters and client representatives specialize in permanent placement and locum tenens opportunities in all settings of medical practice such as hospitals, outpatient clinics, home health care, and government facilities. Provider Healthcare is an Equal Opportunity, Affirmative Action, Disability, and Protected Veteran employer and all applicants will be equally considered for hire.

Provider Healthcare logo

About Provider Healthcare

Sourced by ZipRecruiter

Provider Healthcare is a prominent healthcare recruitment firm that places highly qualified and skilled healthcare professionals in excellent employment opportunities across the country. Our diligent team of recruiters and client representatives specialize in permanent placement and locum tenens opportunities in all settings of medical practice such as hospitals, outpatient clinics, home health care, and government facilities.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Salt Lake City, UT, US

Year founded

2013

Social media

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