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

Allara

Telehealth Nurse Practitioner | W2 FT

Huntsville, AL · Remote

$120K - $130K/yr

The Opportunity We're hiring board-certified Nurse Practitioners who want to focus on what matters ... All active and pending licenses held at the time of application are collected and reviewed during ...

NHS Management, LLC

RN Unit Manager (7a-3p)

Madison, AL · On-site

$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 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, In-home Visits

Nurse Practitioner, In-home Visits

Signify Health

Harvest, AL

$2K - $4K/wk

Other

Medical

Posted just now

Signify Health rating

5.0

Company rating: 5.0 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Are you interested in working flexible hours, connecting with people one-on-one, and helping them re-engage with their health? At Signify Health, part of CVS Health®, our mission is to build trusted relationships to make people healthier. We’re hiring board-certified nurse practitioner contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members. 

  • Conduct in-home visits that focus on a person’s overall health and well-being and identify potential barriers to care
  • Earn up to $2,500 to $4,000 each week (Average 6-9 visits daily, base rate of $80 per completed assessment)
  • Increase your per-visit rate up to 135% with our Market Multiplier*
  • Earn additional compensation via our pay-per-test model (for visits where the health plan member qualifies to receive additional diagnostic and preventive tests)
  • Shifts available Monday - Sunday (no nights/weekends required)
  • Short-Term or Long-Term basis
  • Pre-scheduled visit in-home w/ health plan members
  • Airfare, Hotel, and Rental Car available (depending on eligibility)
  • Malpractice coverage
  • Availability Incentives (based on weekly availability)
  • Independent Contractor, 1099 status
  • Flexible Schedule
  • State License Required

These visits include a medication and medical history review and a physical evaluation performed in a health plan member’s home. Our NP contractors can earn a competitive wage (or supplement their current income) while managing other personal and clinical commitments. You will be provided a pre-populated, patient-specific form for each evaluation and do not prescribe medicine, order lab tests, or alter people’s current treatment regimen.

Why NPs Love Working with Signify Health
  • “I really enjoy being in the health plan members’ homes. They are so much more comfortable without the stress of travel or getting to an appointment on time. We also have the time to ask the right questions.” - Susan M.
  • "Signify Health has been a very rewarding job. In-home visits allow us more time to educate health plan members and assess their understanding of their treatment plans without the typical time restraints found in a traditional office setting. We can empower people to become better advocates of their health." - Gary W.
  • "I 100% love what I do. I love that I’m able to form these connections with people, and I love that I’m able to really make a difference in their lives.” - Suzie I.

*Incentive rates are subject to change. Area exclusions apply.

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