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

Fast Pace Health

Family Nurse Practitioner

Huntsville, AL · On-site

$105K - $133K/yr

Discuss and review patients' medical history, symptoms, allergies, and current medications ... Ability to perform responsibilities within standard NP protocols. * Responsible for learning the ...

Fast Pace Health

Family Nurse Practitioner

Huntsville, AL · On-site

$106K - $135K/yr

Discuss and review patients' medical history, symptoms, allergies, and current medications ... Ability to perform responsibilities within standard NP protocols. * Responsible for learning the ...

SportsMed

Nurse Practitioner

Huntsville, AL · On-site

Review imaging, develop care plans, and coordinate smooth patient flow * Deliver clear, compassionate communication with patients and families * Work closely with a surgeon and team who value ...

NHS Management Services

Unit Manager RN (7a-3p)

Madison, AL · On-site

$34 - $45/hr

Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.

NHS Management, LLC

Unit Manager RN (7a-3p)

Madison, AL

$37.50 - $49.50/hr

Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.

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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 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 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:
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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

Nurse Practitioner - (Part-Time) - Cullman, AL

Commonwealth Medical Services

Cullman, AL

$600 - $750/day

Part-time

Posted 6 days ago

Job description

Nurse Practitioner - Veteran Disability Exams (1099, Part-Time) 
  • Location: Cullman, AL
  • Shifts: 8:00 AM - 5:00 PM (1 day per week) 
  • Compensation: $600-$750 per day  
  • Employment Type: 1099 Contract 

 
Why This Role is Different: 

Skip the uncertainty of per-exam contracting and enjoy a 1099 position with guaranteed income and built-in support. 

Join a provider-led organization that puts clinicians first-while allowing you to make a meaningful impact serving our nation's Veterans. 

What You'll Do: 

  • Conductone-time assessmentsfor our nation's Veterans, helping them in their disability claim process. 
  • Enjoy alow-stresssetting, seeing just 1-6 Veterans per day. 
  • Review records and complete assessments electronically on a secure platform. 
  • Benefit from fully provided technology, training, and clinical support. 

What You WON'T Do: 

  • No treatments, procedures, or diagnosing. 
  • No prescribing, billing, or disability percentage calculations. 
  • No scheduling your appointments and walk-ins are not permitted. 
  • No nights, weekends, or holidays. 

Who We're Looking For: 
Whether you're a new graduate or an experienced provider seeking a more flexible, lower-stress role-this opportunity is designed for you. 

Apply today to join a mission-driven company that values YOU.Make a difference in the lives of Veterans-without sacrificing your own. 

Apply