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

Psychiatric Nurse Practitioner

Harvest, AL · On-site

$109K - $140K/yr

Overview NaphCare is hiring a Psychiatric Nurse Practitioner to join our team of medical ... NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date.

Psychiatric Nurse Practitioner

Harvest, AL

$109K - $140K/yr

Overview NaphCare is hiring a Psychiatric Nurse Practitioner to join our team of medical ... NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date.

Psychiatric Nurse Practitioner

Harvest, AL · On-site

$109K - $140K/yr

Overview NaphCare is hiring a Psychiatric Nurse Practitioner to join our team of medical ... NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date.

Psychiatric Nurse Practitioner

Harvest, AL · On-site

$109K - $140K/yr

Overview NaphCare is hiring a Psychiatric Nurse Practitioner to join our team of medical ... NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date.

Psychiatric Nurse Practitioner

Harvest, AL · On-site

$109K - $140K/yr

As a Correctional Psychiatric Nurse Practitioner , you will work under the supervision of a ... NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date.

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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 cities near Decatur, AL are hiring for Utilization Review Np jobs? Cities near Decatur, AL with the most Utilization Review Np job openings:
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.
Psychiatric Nurse Practitioner

Psychiatric Nurse Practitioner

American Health Partners

Huntsville, AL

$114K - $146K/yr

Full-time

Posted 5 days ago


Job description

Psychiatric Nurse Practitioner

The purpose of this position is to provide medically necessary psychiatric services and treatments to adult and geriatric psychiatric patients in both an acute care and outpatient/long-term setting under the direct collaborating Psychiatrist in accordance with regulations, the NP provides psychiatric management of patients in coordination with attending Physicians, Nursing and Facility Staff, while also providing clinical support and communication to residents, families, the interdisciplinary team, and behavioral health center's administration.

Unity Psychiatric Care, a division of Franklin, Tennessee-based American Health Partners Inc., operates psychiatric hospitals in Memphis, Clarksville, Columbia, and Martin, Tennessee, as well as in Huntsville and Bridgeport, Alabama. These hospitals specialize in treating patients who are experiencing a mental health crisis or behavioral disturbances, including those caused by dementia. Services will include a full range of diagnostic evaluation and behavioral health treatments.

Essential Functions:

  • Provides psychiatric evaluation, care and treatment to patients
  • Performs psychiatric evaluations and case management within prescribed guidelines and instructions of attending physicians utilizing approved protocols
  • Orders, interprets and evaluates diagnostic tests to identify and assess patient's clinical problems and behavioral health needs
  • Ensures that prescriptive authority and order writing are performed in accordance with applicable laws and standards
  • Develops understanding of facility programs and policies/procedures/guidelines
  • Communicates with interdisciplinary team and Director of Nursing as well as medical staff to ensure continuity of care delivery
  • Monitors quality indicators, identifies areas of opportunity and seeks solutions to enhance care and outcomes
  • Performs exams as relates to change in condition; performs exams as relates to psychotropic medication review and changes; performs exams pursuant to collaboration with resident's Psychiatrist to manage patient's psychiatric care; provides clinical monitoring; provides ongoing clinical management; ensures documentation is complete, and meets medical necessity and billing guidelines; participates in the survey process; understands facility clinical systems and processes; must maintain active licensure status and current continuing education credits as required by law; performs other duties as assigned including education and quality management support

PBJ Requirement: A registered nurse with specialized graduate education who is licensed by the state to diagnose and treat illness, independently or as part of a healthcare team.

Required Work Experience:

  • A minimum of five (5) years clinical experience as a registered nurse and 3 years as a Psychiatric APRN is preferred
  • New graduates accepted and encouraged to apply!
  • Geriatric nursing experience is a plus
  • Eligible for prescriptive privileges
  • Active NPI number
  • If registered nurse and "grandfathered", all other credentialing requirements in the state in which practice will occur
  • Licensing/Certification/Education Requirements:

    • Registered nurse who is master prepared and currently licensed as a Psychiatric Mental Health Nurse Practitioner in the state in which practice will occur.
    • Current accreditation from a national certification organization with psychiatric board certification.
    • Current CPR Certification
    • Current State Driver's license
    • Current Auto liability Insurance according to Company Policy

    Other Requirements:

    • Position may require unscheduled overtime, week-end work
    • Must be willing and able to work flexible hours
    • Travel required

    EQUAL OPPORTUNITY EMPLOYER

    Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.


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About American Health Partners

Sourced by ZipRecruiter

American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Franklin, TN, US

Year founded

1976

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