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Utilization Review Jobs in Cullman, AL (NOW HIRING)

CULLMAN REGIONAL

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 ...

Cullman Regional

CASE MANAGER FT (13195)

Cullman, AL · On-site

$75 - $105/hr

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 ...

Reliant Rehabilitation

Therapy Coordinator

Arab, AL

... 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 ...

Reliant Rehabilitation

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 ...

Reliant Rehabilitation

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 ...

tmc

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 ...

tmc

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 ...

TMC

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 ...

Farmers Home Furniture

Sales Person

Hartselle, AL

PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...

Farmers Home Furniture

Sales Person

Arab, 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 ...

Farmers Home Furniture

Sales Person

Arab, AL

PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...

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Utilization Review information

See Cullman, AL salary details

$18

$37

$60

How much do utilization review jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for utilization review in Cullman, AL is $37.30, according to ZipRecruiter salary data. Most workers in this role earn between $29.47 and $42.84 per hour, depending on experience, location, and employer.

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 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.

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, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.

What are popular job titles related to Utilization Review jobs in Cullman, AL?

For Utilization Review jobs in Cullman, AL, the most frequently searched job titles are:

What cities near Cullman, AL are hiring for Utilization Review jobs?

Cities near Cullman, AL with the most Utilization Review job openings:

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Cullman, AL as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $77,591 per year, or $37.3 per hour.

CASE MANAGER FT (13195)

CULLMAN REGIONAL

Cullman, AL • On-site

Full-time

Re-posted 28 days ago

Cullman Regional Medical Center rating

5.7

Company rating: 5.7 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

919th of 1,065 rated hospitals

Job description

Job Summary:  

  • Coordinate with physicians, nurses, social workers and other health team members to expedite medically appropriate, cost-effective care.      
  • Support physician provision of patient care with accountability for designated patient case load.   
  • Facilitate precertification and payor authorization processes and facilitate collaborative management of patient care across the continuum, intervening as necessary.    
  • Promote effective utilization and monitoring of healthcare resources and assumes a leadership role with the multidisciplinary team to achieve optimal clinical and resource outcomes.    
  • Apply process improvement methodologies in evaluating outcomes of care.    
  • Maintain and ensure adherence to clinical guidelines, tools and protocols based on evidence-based medicine related to quality measure indicators.  
  • Assume leadership role in coordinating quality improvement activities related to quality measure initiatives.    
  • Demonstrate and encourage team behavior and exceptional patient/guest experiences.      
  • Uphold and promote patient safety and quality.     

Education:                
Associate's degree in nursing or higher degree is required. Currently licensed by the state of Alabama. BSN preferred.                

Experience:                
Five years' clinical experience in acute care setting i.e., medical surgery critical care, ER, OR required.

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, concepts and techniques that are central to case management. Advanced communication and interpersonal skills with all levels of internal and external customers. Must be proficient in Microsoft Word and Excel. Excellent organizational skills are required. Must be able to set priorities appropriately and handle multiple issues concurrently.                

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