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Utilization Review Rn Jobs in Birmingham, AL (NOW HIRING)

NHS Management, LLC

RN Unit Manager (8a-5p)

Birmingham, AL

$37.25 - $49.25/hr

... utilization review activities. * Receives physicians' instructions regarding resident care and ... Current R.N. license by State required with experience in the long term care or working with the ...

NHS Management, LLC

RN Unit Manager 8a-5p

Birmingham, AL

$37.25 - $49.25/hr

... utilization review activities. * Receives physicians' instructions regarding resident care and ... Current R.N. license by State required with experience in the long term care or working with the ...

Birmingham

Quality Review Coordinator

Birmingham, AL · On-site

... private business and government utilization review, medical review, cost containment ... Registration (RN) from the state. The incumbent must know claims payment guidelines, billing ...

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Utilization Review Rn information

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$39

$64

How much do utilization review rn jobs pay per hour?

As of May 28, 2026, the average hourly pay for utilization review rn in Birmingham, AL is $39.63, according to ZipRecruiter salary data. Most workers in this role earn between $31.30 and $45.53 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Utilization Review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

How does a Utilization Review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What is a Utilization Review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

What are the most commonly searched types of Utilization Review Rn jobs in Birmingham, AL? The most popular types of Utilization Review Rn jobs in Birmingham, AL are:
What are popular job titles related to Utilization Review Rn jobs in Birmingham, AL? For Utilization Review Rn jobs in Birmingham, AL, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Birmingham, AL look for? The top searched job categories for Utilization Review Rn jobs in Birmingham, AL are:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Birmingham, AL as of May 2026, with employment types broken down into 100% Full Time. Highlights an 74% In-person, and 26% Remote job distribution, with an average salary of $82,423 per year, or $39.6 per hour.

Unit Manager - RN

South Haven Health And Rehabilitation LLC

Birmingham, AL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Job description

???? The Good Stuff — At a Glance
  1. Position: RN Unit Manager
  2. Sign-On Bonus: $12,000
  3. Facility: South Haven Health and Rehabilitation
  4. Schedule: Full-Time
  5. Pay Rate: up to $42.00/hour
  6. Focus: Clinical leadership, team supervision & quality patient care
  7. Setting: Long-Term Care & Rehabilitation
Lead the Team. Elevate Care. Make a Daily Impact. ????

At South Haven Health and Rehabilitation, leadership is more than managing a unit — it’s about guiding a team that provides compassionate, high-quality care to residents every day.

Our Unit Managers play a critical role in supporting nursing staff, maintaining regulatory excellence, and ensuring residents receive exceptional care in a supportive and home-like environment.

If you are a Registered Nurse who thrives in a leadership role and enjoys mentoring staff while maintaining clinical excellence, we would love to meet you.

✅ Position Overview

The RN Unit Manager is responsible for overseeing day-to-day resident care, supervising nursing staff, and ensuring quality care is delivered in accordance with federal and state regulations as well as facility policies.

This position works closely with the Director of Nursing and interdisciplinary team to support clinical operations and maintain excellent resident outcomes.

✅ Key Responsibilities
  1. Supervise and support nursing staff on the assigned unit
  2. Ensure delivery of high-quality resident care and regulatory compliance
  3. Maintain resident care standards through oversight of nursing activities
  4. Support quality assurance, infection control, and utilization review initiatives
  5. Receive physician instructions and ensure proper communication of orders
  6. Oversee delegation of nursing procedures to appropriate staff
  7. Conduct regular patient rounds to monitor resident conditions and behaviors
  8. Ensure proper documentation of treatments, care, and nursing observations
  9. Serve as a liaison between residents, families, and clinical staff
???? Qualifications
  1. Current Registered Nurse (RN) license in good standing
  2. Long-term care or geriatric nursing experience preferred
  3. Minimum 2 years nursing experience
  4. Minimum 1 year supervisory experience
  5. Strong leadership and organizational skills
  6. Ability to analyze reports and utilize clinical data effectively
  7. Ability to coordinate care with interdisciplinary departments
???? Benefits Snapshot
  1. Competitive wages
  2. Elite Low-Cost Blue Cross Blue Shield Gold Plan (low premiums & deductibles)
  3. Dental Insurance
  4. Vision Insurance
  5. Life Insurance
  6. 401(k) with company match
  7. Paid Holidays
  8. Paid Vacation
  9. Best-in-class employee referral program

If you are ready to take the next step in your nursing leadership career, we invite you to apply today and join the team at South Haven Health and Rehabilitation.

Equal Opportunity Employer

South Haven Health and Rehabilitation is an Equal Opportunity Employer. We value diversity and make all employment decisions based on qualifications, merit, and business need.

“Our Family Caring For Yours”