American Traveler is hiring a Travel RN Case Manager for a hospital-based Case Management department requiring acute care case management experience and a FL or compact RN license. Job Details • ...
American Traveler is hiring a Travel RN Case Manager for a hospital-based Case Management department requiring acute care case management experience and a FL or compact RN license. Job Details • ...
One year experience in Utilization Review with JIVA, Interqual, Cerner, Medicare, HMOs, and other payors. Additional Skills/Abilities: Skill and proficiency in applying highly technical principles ...
One year experience in Utilization Review with JIVA, Interqual, Cerner, Medicare, HMOs, and other payors. Additional Skills/Abilities: Skill and proficiency in applying highly technical principles ...
CASE MANAGER FT (13195)
Cullman, AL · On-site
One year experience in Utilization Review with JIVA, Interqual, Cerner, Medicare, HMOs, and other payors. Additional Skills/Abilities: Skill and proficiency in applying highly technical principles ...
CASE MANAGER FT (13195)
Cullman, AL · On-site
One year experience in Utilization Review with JIVA, Interqual, Cerner, Medicare, HMOs, and other payors. Additional Skills/Abilities: Skill and proficiency in applying highly technical principles ...
Director of Clinical Services
Cullman, AL · On-site
$70K - $75K/yr
Collaborate with physicians, nursing, utilization review, admissions, and executive leadership to promote safe, high-quality patient care. * Ensure compliance with CMS Conditions of Participation ...
Director of Clinical Services
Cullman, AL · On-site
$70K - $75K/yr
Collaborate with physicians, nursing, utilization review, admissions, and executive leadership to promote safe, high-quality patient care. * Ensure compliance with CMS Conditions of Participation ...
Director of Clinical Services
$70K - $75K/yr
Collaborate with physicians, nursing, utilization review, admissions, and executive leadership to promote safe, high-quality patient care. * Ensure compliance with CMS Conditions of Participation ...
Quick apply
Director of Clinical Services
$70K - $75K/yr
Collaborate with physicians, nursing, utilization review, admissions, and executive leadership to promote safe, high-quality patient care. * Ensure compliance with CMS Conditions of Participation ...
Therapy Coordinator
Arab, AL · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head meetings, and community education planning Ensure timely and accurate completion of Minimum Data Set (MDS ...
Therapy Coordinator
Arab, AL · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head meetings, and community education planning Ensure timely and accurate completion of Minimum Data Set (MDS ...
Therapy Coordinator
Arab, AL · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head meetings, and community education planning • Ensure timely and accurate completion of Minimum Data Set ...
Therapy Coordinator
Arab, AL · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head meetings, and community education planning • Ensure timely and accurate completion of Minimum Data Set ...
Therapy Coordinator
Arab, AL · On-site
$34 - $38/hr
... utilization review, quality assurance, resident care conferences, admissions, department head meetings, and community education planning • Ensure timely and accurate completion of Minimum Data Set ...
Therapy Coordinator
Arab, AL · On-site
$34 - $38/hr
... utilization review, quality assurance, resident care conferences, admissions, department head meetings, and community education planning • Ensure timely and accurate completion of Minimum Data Set ...
Therapy Coordinator
$34 - $38/hr
... utilization review, quality assurance, resident care conferences, admissions, department head meetings, and community education planning • Ensure timely and accurate completion of Minimum Data Set ...
Therapy Coordinator
$34 - $38/hr
... utilization review, quality assurance, resident care conferences, admissions, department head meetings, and community education planning • Ensure timely and accurate completion of Minimum Data Set ...
Relevant experience in financial management and financial operations, including but not limited to labor management, revenue analysis, expense management, contract negotiation, and utilization review.
Quick apply
Relevant experience in financial management and financial operations, including but not limited to labor management, revenue analysis, expense management, contract negotiation, and utilization review.
Relevant experience in financial management and financial operations, including but not limited to labor management, revenue analysis, expense management, contract negotiation, and utilization review.
Quick apply
Relevant experience in financial management and financial operations, including but not limited to labor management, revenue analysis, expense management, contract negotiation, and utilization review.
DON - Director of Nursing
Oneonta, AL · On-site
Utilization Review, e. Pharmacy, and Safety. 27. Effectively manages budget for the nursing department, medical supplies, and equipment. 28. Works to resolve problems that arise, such as errors in ...
DON - Director of Nursing
Oneonta, AL · On-site
Utilization Review, e. Pharmacy, and Safety. 27. Effectively manages budget for the nursing department, medical supplies, and equipment. 28. Works to resolve problems that arise, such as errors in ...
DON - Director of Nursing
Oneonta, AL · On-site
$80 - $120/hr
Utilization Review, * e. Pharmacy, and Safety. * Effectively manages budget for the nursing department, medical supplies, and equipment. * Works to resolve problems that arise, such as errors in ...
DON - Director of Nursing
Oneonta, AL · On-site
$80 - $120/hr
Utilization Review, * e. Pharmacy, and Safety. * Effectively manages budget for the nursing department, medical supplies, and equipment. * Works to resolve problems that arise, such as errors in ...
Production Control Coordinator
Decatur, AL · On-site
$20 - $25/hr
Review production data to identify opportunities to improve scheduling, throughput, and resource utilization * Help reduce lead times and improve overall manufacturing workflow * Participate in Lean ...
New
Quick apply
Production Control Coordinator
Decatur, AL · On-site
$20 - $25/hr
Review production data to identify opportunities to improve scheduling, throughput, and resource utilization * Help reduce lead times and improve overall manufacturing workflow * Participate in Lean ...
New
Area Medical Practice Manager
Hartselle, AL · On-site
$53K - $71K/yr
... utilization of resources, efficient delivery of services and a superior patient experience. KEY ... For further information, please review the Know Your Rights notice from the Department of Labor.
New
Area Medical Practice Manager
Hartselle, AL · On-site
$53K - $71K/yr
... utilization of resources, efficient delivery of services and a superior patient experience. KEY ... For further information, please review the Know Your Rights notice from the Department of Labor.
New
Area Medical Practice Manager
Hartselle, AL · On-site
$53K - $71K/yr
... utilization of resources, efficient delivery of services and a superior patient experience. KEY ... For further information, please review the Know Your Rights notice from the Department of Labor.
New
Area Medical Practice Manager
Hartselle, AL · On-site
$53K - $71K/yr
... utilization of resources, efficient delivery of services and a superior patient experience. KEY ... For further information, please review the Know Your Rights notice from the Department of Labor.
New
Area Medical Practice Manager
Moulton, AL · On-site
$52K - $70K/yr
... utilization of resources, efficient delivery of services and a superior patient experience. KEY ... For further information, please review the Know Your Rights notice from the Department of Labor.
New
Area Medical Practice Manager
Moulton, AL · On-site
$52K - $70K/yr
... utilization of resources, efficient delivery of services and a superior patient experience. KEY ... For further information, please review the Know Your Rights notice from the Department of Labor.
New
Area Medical Practice Manager
Moulton, AL · On-site
$52K - $70K/yr
... utilization of resources, efficient delivery of services and a superior patient experience. KEY ... For further information, please review the Know Your Rights notice from the Department of Labor.
New
Area Medical Practice Manager
Moulton, AL · On-site
$52K - $70K/yr
... utilization of resources, efficient delivery of services and a superior patient experience. KEY ... For further information, please review the Know Your Rights notice from the Department of Labor.
New
Credit Representative
Cullman, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Credit Representative
Cullman, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Credit Representative
Moulton, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Credit Representative
Moulton, AL · On-site
PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...
Utilization Review information
See Cullman, AL salary details
$18.88 - $22.69
2% of jobs
$22.69 - $26.51
9% of jobs
$29.12 is the 25th percentile. Wages below this are outliers.
$26.51 - $30.33
21% of jobs
The median wage is $33.42 / hr.
$30.33 - $34.14
23% of jobs
$34.14 - $37.96
13% of jobs
$40.93 is the 75th percentile. Wages above this are outliers.
$37.96 - $41.78
10% of jobs
$41.78 - $45.60
8% of jobs
$45.60 - $49.41
5% of jobs
$49.41 - $53.23
5% of jobs
$53.23 - $57.05
2% of jobs
$57.05 - $60.87
2% of jobs
$18
$37
$60
How much do utilization review jobs pay per hour?
Is utilization review work from home?
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?
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?

Travel RN - Case Management/Utilization Review - Case Management
Decatur, AL • On-site
Other
Posted 9 days ago
Job description
American Traveler is hiring a Travel RN Case Manager for a hospital-based Case Management department requiring acute care case management experience and a FL or compact RN license.
Job Details
• Work in the Case Management department of a 350-bed hospital,
• Team includes Case Managers, Social Workers, and a SNF Coordinator,
• Patient ratio of approximately 25:1,
• Schedule is Monday through Friday, 8:30 AM to 5:00 PM,
• Requires working alternating weekends and holidays in rotation with hospital employees,
• EMR systems used are Meditech and Midas,
Job Requirements
• Active FL or compact RN license required,
• Minimum 2 years of experience required,
• Acute care case management experience required,
• Meditech and Midas experience preferred,
• HCA facility experience preferred,
• US Social Security Number and date of birth required for consideration,
• No gaps in work history equaling 90 days or more in the past 12 months,
• Two professional references required for Florida-based assignments,
Additional Information
• Navy blue scrubs required for RN staff,
• Must reside outside a 50-mile radius of the facility to be eligible,
• Holiday coverage required in rotation with hospital staff