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Utilization Review Jobs in Alabama (NOW HIRING)

Prime Healthcare

RN Case Manager

Gadsden, AL · On-site

Utilization Review: m onitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays * Patient and Family Education: h elp patients ...

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Utilization Review information

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$19

$38

$62

How much do utilization review jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for utilization review in Alabama is $38.32, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $43.99 per hour, depending on experience, location, and employer.

Is utilization review work from home?

Utilization review jobs can often be performed remotely, especially with the increased adoption of telecommuting in healthcare and insurance industries. Many employers offer work-from-home options, provided the reviewer has the necessary certifications and access to electronic health records or claims systems. However, some positions may require on-site presence for meetings or audits.

What does a utilization review do?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, which can be stressful due to strict deadlines, high accuracy requirements, and the need to balance patient care with insurance policies. The job often requires strong attention to detail, communication skills, and the ability to handle complex cases under time pressure.

What is a utilization review?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What are the key skills and qualifications needed to thrive in utilization review?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Relevant skills include knowledge of medical coding, insurance policies, and strong analytical abilities.
What are the most commonly searched types of Utilization Review jobs in Alabama? The most popular types of Utilization Review jobs in Alabama are:
What are popular job titles related to Utilization Review jobs in Alabama? For Utilization Review jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Utilization Review jobs in Alabama look for? The top searched job categories for Utilization Review jobs in Alabama are:
What cities in Alabama are hiring for Utilization Review jobs? Cities in Alabama with the most Utilization Review job openings:
Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Alabama as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $79,714 per year, or $38.3 per hour.

Therapist

Sequel Employment Center

Owens Cross Roads, AL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 3 days ago

Job description

We are passionate about what we do and delight in providing excellent programs that make permanent, positive changes in the lives of those we serve. Our programs are designed to equip our clients with the vision, motivation, life skills, education, and self-discipline necessary to lead a successful life.
Do you want to make a difference in the lives of our youth?
Do you want a supportive work environment?
Do you want to be part of leading a youth and young adults to personal victory
and success?
If you answered "yes" then Sequel Youth and
Family Services may have the perfect job for you!!!!
Program Overview Sequel Youth and Family Services of Owens Cross Roads, is an intensive residential treatment facility providing an array of gender specific, evidenced based and trauma informed services for female adolescents, ages 12-18, with serious and/or chronic emotional and/or
behavioral management problems that interfere with the child's ability to function in the family, school and/or community setting outside of a residential environment.
Position Overview
The Master Level Therapist coordinates and delivers various programmatic treatment interventions to youth based upon their strengths and needs identified in a treatment plan.
Interventions include individual, group, and family counseling. The Master Level
Therapist acts as a liaison with sponsoring agencies, including utilization
review, progress review, and discharge planning. The Master Level Therapist
also prepares accurate documentation of services delivered within set time
frames dictated by licensing agencies and state and federal guidelines.
Job Duties
  • Interviews families and students to acquire historical
    information to be used in developing case assessments.
  • Plans and executes Family Day Schedule.
  • Conducts group, individual, and family counseling
    sessions, using professionally prescribed teaching methods, techniques and
    documenting all services delivered meeting Medicaid and Contract
    requirements.
  • Provides utilization review reports to referral source
    and sponsoring agencies.
  • Initiates family contact using professionally
    prescribed methods and techniques to convey and receive information
    regarding students during and after enrollment.
  • Interacts with students in a professional manner to
    elicit positive change.
  • Completes other reports, assessments, reviews as
    assigned in a thoroughly and timely manner meeting all set deadlines by
    contract requirements and Medicaid standards.

Job Requirements
  • Master's Degree from an accredited program in social
    work, counseling, or related discipline.
  • 1 year experience working with adolescents to
    include family and group work or equivalent combination of education and
    experience.

Benefits
  • Competitive Compensation
  • Medical, dental, vision, and life insurance after 60
    days
  • Company provided Short Term and Long Term Disability
  • Company provided AD&D insurance
  • Flexible Spending Program
  • 401K after sixty days
  • 6 paid holidays
  • 18 days personal leave accrual within first year
Sequel Youth & Family Services is an Equal Opportunity and Veteran Friendly employer.

Apply