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

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 ...

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 ...

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 ...

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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 Jul 14, 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 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:
Family Nurse Practitioner

$100K - $126K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 8 days ago


MainStreet Family Care rating

3.5

Company rating: 3.5 out of 10

Based on 5 frontline employees who took The Breakroom Quiz


Job description

Job Openings >> Family Nurse Practitioner
Family Nurse Practitioner
Summary
Title: Family Nurse Practitioner ID: FT-NP-ARAB-5.21.26 Department: Operations Location: Arab, AL
Description

Exciting Full-Time Family Nurse Practitioner Opportunity in Arab, Alabama!

MainStreet Family Care is growing, and we are looking to hire a fast, fun, and friendly Family Nurse Practitioner (FNP) to join our team full time! You will provide patient focused care to help our patients feel better FAST! Boom! Services provided to the public include urgent care, primary medical care, telemedicine, and occupational medicine. The ideal applicant will be able to lead a small team while working in a high volume and fast-paced urgent care environment. 

This is an incredible opportunity for FNPs early in their career - including BRAND NEW GRADS! (Still haven't taken boards? That's okay!) Following our on-site hosted HQ orientation and training, you will have several training shifts with existing providers in one of our clinics. But the support doesn't end there! From a complimentary pediatric urgent care CE course to an NP on-call to help you with clinical decision making as you grow into the role, the support we have to help YOU achieve ultimate career success as a provider is unmatched. This is an investment we are making in you because we believe that you can succeed. 

What else makes this opportunity unlike any other you may be scoping out? 

Utilize your FULL scope of practice! You are a provider who can handle anything - and due to the nature of urgent care, anything may walk through the door. We do whatever we can within the scope of practice for a patient, no matter the age. You will be able to treat babies, kids, adults, and geriatric patients alike. Few other positions will allow you to exercise the full scope of care your program and RN experience prepared you to practice. This keeps skills sharp and makes you very marketable for future opportunities and growth in your nursing career. You will not regret the investment of time you are making reiterating your learned skills and putting them all together in an urgent care environment. 

Be the LEADER on your team! Gone are the nursing days relying on a doctor on the floor to sign off on every little thing you do when caring for your patient. YOU are the medical provider in the clinic and able to treat your patients. Nervous about that? Fortunately, we have tons of treatment protocols ready to guide your decision-making of what is best practice for the patient. Your small team of medical assistants are there to support you, but you are also a leader and professional role model for them! Many report that one of the most rewarding parts of this role is being able to grow and inspire medical assistants to further their medical career. 

Support our RURAL communities! MainStreet clinics service areas that need access to care. We are open 362 days a year because we know people still get sick on the weekends and don't want to get stuck with a $1,500 ER bill. Since we care for communities with little access, most of our clinics qualify for tuition reimbursement grants or student loan reimbursement grants. This is a grant program funded by the state, and we are happy to support you in this application process to take advantage of these grant programs!  

This isn't just a step in your career - it's a rocket ship build that will give you the launchpad to whatever success you envision for yourself. This is a commitment we are making to YOU for two years, and your two-year investment in yourself and the community will give you returns for years to come. 

Responsibilities: 

You and your team will care for every patient who comes through the door within your scope of practice. We do whatever we can for every patient. Some examples of care needed include: 

  • Diagnosing and treating cold, flu, strep, COVID, and other upper respiratory issues 

  • Minor procedures (toenail removal, foreign object removal, etc.) 

  • Suturing 

  • Splinting 

  • General Orthopedic evaluations/management 

  • Review of x-rays (to be over-read by Radiologist, too) 

  • General Dermatology 

  • General eye problems 

  • General EKG interpretations 

  • Emergency management skills 

  • General GYN expertise 

  • Treating children of all ages 

  • Occupational medicine 

  • Telemedicine 

Schedule: 

MainStreet Clinic Hours 

We are open extended hours, 7-days-a-week: 

  • Monday - Friday 8:00 a.m. - 8:00 p.m. 

  • Saturday and Sunday 9:00 a.m. - 4:00 p.m. 

Work a rotating schedule that includes every other weekend, sample below: 

  • Week 1: Monday (ON), Tuesday (ON), Wednesday (OFF), Thursday (OFF), Friday (ON), Saturday (ON) and Sunday (ON). 

  • Week 2: Monday (OFF), Tuesday (OFF), Wednesday (ON), Thursday (ON), Friday (OFF), Saturday (OFF) and Sunday (OFF). 

Qualifications: 

  • Family Nurse Practitioner Board Certification required 

  • MSN, or higher education required (New graduate friendly!) 

  • Are you DOT certified or willing to become DOT certified (we cover the cost of the certification)? 

  • Excellent written and verbal communication skills 

  • Experience working in EMR and Microsoft Office suite (Word, Excel, etc.) preferred 

Compensation and Benefits: 

  • Health, Dental, Vision 

  • Malpractice insurance 

  • Starting bonus 

  • Bonus Incentive 

  • $750 CME allowance per year 

  • UpToDate subscription 

  • Paid time off 

  • Paid orientation and training 

  • 401k eligible after 90 days (about 3 months) 

  • Rotating shifts - work just 7 out of 14 days (about 2 weeks) 

MAINSTREET FAMILY CARE IS AN EQUAL OPPORTUNITY EMPLOYER 

*Standard pre-employment background checks and drug screens are performed. 

Apply Now
 
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