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Utilization Review Jobs in Cullman, AL (NOW HIRING)

Perform all DVP testing, including data review and analysis. * Use the Marmon Toolbox to ... QUALIFICATIONS * Knowledge and experience with utilization of CAD/3-D Modeling Software.

Perform all DVP testing, including data review and analysis. * Use the Marmon Toolbox to ... QUALIFICATIONS * Knowledge and experience with utilization of CAD/3-D Modeling Software.

Conduct timely performance evaluations , including 30/60/90day, midyear, and annual reviews ... Drive continuous improvement in work methods, production efficiency, equipment utilization, and ...

Promote effective utilization and monitoring of healthcare resources and communicates with the multidisciplinary team to achieve optimal clinical and resource outcomes. * Apply process improvement ...

CASE MANAGER FT

Cullman, AL · On-site

$65 - $80/hr

Promote effective utilization and monitoring of healthcare resources and communicates with the multidisciplinary team to achieve optimal clinical and resource outcomes.Apply process improvement ...

Cardiologist

County Line, AL · On-site

$332K - $375K/yr

Reviews PCP requests for external cardiology referrals and participates in delegated utilization authorizations; determines level of urgency of follow-up, referral/consultation appointments. * May ...

... utilization, and support efficient material flow, including vendor managed inventory (VMI) solutions. • Conduct review of inventory data and system transactions, implement controls to maintain ...

CASE MANAGER FT (13507)

Cullman, AL · On-site

$56 - $85/hr

Promote effective utilization and monitoring of healthcare resources and communicates with the multidisciplinary team to achieve optimal clinical and resource outcomes. * Apply process improvement ...

Showing results 41-60

Utilization Review information

See Cullman, AL salary details

$18

$37

$60

How much do utilization review jobs pay per hour?

As of Sep 5, 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:

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.

Operations Business Analyst

PowerGrid Services, LLC

Hartselle, AL • On-site

Full-time

Posted 15 days ago


Job description

KEY RESPONSIBILITIES
• Serve as the primary Business Analyst for Operations, field service, Fleet, Safety, and related application initiatives, partnering with regional and functional stakeholders to understand priorities and operational pain points.
• Analyze current-state and future-state processes for work intake, scheduling, dispatch, work orders, field execution, mobile workflows, asset and fleet activities, telematics, safety, compliance, and operational reporting.
• Translate operational needs into requirements, process maps, business rules, data definitions, user stories, acceptance criteria, role or access needs, and measurable success criteria.
• Perform functional analysis and support solution design across Microsoft Dynamics, the field service solution, Fleetio, telematics platforms, KPA/Novara, and connected enterprise applications.
• Identify opportunities to standardize processes across locations and business units while documenting legitimate operational differences that must be preserved in the solution.
• Plan and coordinate pilots, user acceptance testing, regression testing, defect review, release readiness, training, field communications, and post-go-live adoption for application changes.
• Use advanced Microsoft Excel to transform, combine, validate, and analyze operational data; build dynamic models for workload, capacity, utilization, productivity, cost, service levels, and scenario analysis; and present findings clearly to operational leaders.
• Analyze issues that span ERP, field service, fleet, safety, CRM, HR/payroll, risk, integrations, and reporting; coordinate the appropriate application owners, engineers, vendors, and business stakeholders through resolution.
• Maintain and prioritize the Operations application backlog using business value, operational risk, field impact, dependencies, effort, and readiness, and communicate tradeoffs to stakeholders.
• Create and maintain process documentation, training materials, test scenarios, release communications, user guidance, and change-impact information that support consistent adoption across the field organization.
EDUCATION AND EXPERIENCE
Bachelor's degree in business, operations, supply chain, information systems, engineering, or a related field, or an equivalent combination of education and relevant professional experience. Minimum of 5 years of progressive experience in business analysis, field service, operations systems, fleet technology, enterprise application implementation, process improvement, or related consulting. Experience working with distributed operations and coordinating cross-functional technology changes is required.
PLATFORM & TECHNOLOGY EXPERIENCE
Candidates should have strong experience working with enterprise operational applications, with Microsoft Dynamics and field service process experience strongly preferred. Hands-on or functional experience with Fleetio, telematics platforms, KPA/Novara, or comparable fleet and safety systems is highly relevant. Advanced Microsoft Excel skills are required, with emphasis on data transformation, dynamic modeling, operational scenario analysis, reconciliation, and clear presentation. Expected Excel capabilities include advanced formulas, lookup logic, PivotTables/PivotCharts, dynamic arrays, Power Query or comparable transformation techniques, and structured operational models. Power BI exposure is a nice-to-have rather than a core requirement. Familiarity with Salesforce, Origami Risk, UKG/ADP, and an enterprise ticketing or ITSM system such as ServiceNow is beneficial.
CORE COMPETENCIES Operational process analysis and design Business requirements and workflow definition Advanced Excel data transformation and modeling UAT, pilot, and rollout coordination Field-service and operational systems knowledge Data-driven problem solving
Cross-functional facilitation and prioritization Documentation and change support
KEY SUCCESS MEASURES
• Operational process efficiency and field-user adoption
• Quality of requirements, testing, and release outcomes
• Reduction in manual work, duplicate entry, and process variation
• Accuracy and usefulness of operational analysis and models
• Delivery of high-value Operations backlog priorities
• Stakeholder confidence across Operations, Fleet, and Safety
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.