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

NHS Management Services

Unit Manager RN (7a-3p)

Madison, AL · On-site

$34 - $45/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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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Utilization Review Np information

See Decatur, AL salary details

$20

$39

$64

How much do utilization review np jobs pay per hour?

As of Aug 17, 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 does a utilization review nurse practitioner 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 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 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:

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 June 2026, with employment types broken down into 89% Full Time, 9% Part Time, 1% Temporary, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $82,446 per year, or $39.6 per hour.

RN Weekend Supervisor

NHS Management Services

Huntsville, AL • On-site

Other

Posted 14 days ago

Job description

Working with us means being part of something special: A team that is passionate about making an impact on our patients’ lives each and every day. Unlike the typical hospital setting, our facility offers you the unique opportunity to walk alongside patients on their road to recovery from many different conditions. As you care for and help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.

We are in search of a qualified Registered Weekend Nurse Supervisor:

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

  • Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed.

  • Oversees delegation of simple nursing and other therapeutic procedures to other level professionals and paraprofessional associates.

  • Makes regular patient rounds to observe and assess residents’ physical conditions and behaviors, evaluates the quality of care provided, and ensures proper documentation of treatment and nursing observations.

Qualifications:

  • Current R.N. license by State required with experience in the long term care or working with the geriatric population preferred.

  • Must have at least three years nursing experience and one year supervisory experience.

  • Clerical ability is necessary to read reports and utilize data accurately for other purposes.

  • Skill in organizing and planning programs and managing personnel to provide nursing service for residents.

  • Ability to plan and direct the department, coordinating with other departments.

EOE

"Our Family Caring for Yours"

Requirements

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