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Utilization Review Jobs in Dothan, AL (NOW HIRING)

MyFlorida

OPS SENIOR DENTIST - 64858665 1

Marianna, FL · On-site

$91/hr

Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...

MyFlorida

OPS SENIOR DENTIST - 64858665 1

Malone, FL · On-site

$91/hr

Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...

MyFlorida

OPS SENIOR DENTIST - 64858665 1

Marianna, FL · On-site

$91/hr

Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...

MyFlorida

OPS SENIOR DENTIST - 64858665 1

Marianna, FL · On-site

$91/hr

Skilled in the techniques of oral communication and methods of utilization review; knowledge of complex medical terminology; ability to ambulate, climb stairs, bend and lift up to 20 pounds on a ...

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All JobsUtilization Review JobsUtilization Review Jobs in Dothan, AL

Utilization Review information

See Dothan, AL salary details

$19

$38

$62

How much do utilization review jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for utilization review in Dothan, AL is $38.44, according to ZipRecruiter salary data. Most workers in this role earn between $30.38 and $44.13 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 Dothan, AL?

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

What job categories do people searching Utilization Review jobs in Dothan, AL look for?

The top searched job categories for Utilization Review jobs in Dothan, AL are:

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

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

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Dothan, AL as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $79,950 per year, or $38.4 per hour.

Travel RN - Case Management/Utilization Review - Case Management

Gordon, AL • On-site

American Traveler
Recruiting and Staffing Services • 501 - 1,000 employees
Learn more about American Travelerexternal

Other

Posted 4 days ago

Job description

American Traveler is hiring a Case Management RN for a hospital case management role requiring 3+ years of hospital case management experience and a compact or PA RN license.
Job Details
• Hospital-based Case Management unit,
• Adult and geriatric patient population on MS/MS Tele units,
• Approximately 25 cases per day,
• Day shift schedule, 5x8 hours, 8:00 AM to 4:30 PM,
• No weekend or on-call requirements,
• 1 holiday coverage required,
• May float to other units depending on need,
• Uses Epic charting system,
• Business casual dress code with white lab coat required,
Job Requirements
• Active RN license (Compact or PA) required at time of consideration,
• BLS certification required,
• BSN required,
• 3+ years of hospital case management and discharge planning experience required,
• Experience with InterQual and Milliman utilization review criteria required,
• Knowledge of utilization review processes including admission criteria, appeals and denials, concurrent review, and medical necessity determinations,
• Familiarity with regulatory standards such as CMS, HIPAA, ICD-10, DRG, and Joint Commission requirements,
• PA fingerprint clearance and Childline clearance required, which may involve travel and processing time,
• Valid references and copies of certifications required for consideration,
Additional Information
• Coordinate patient care, discharge planning, and utilization review activities for assigned caseload,
• Apply InterQual and Milliman guidelines to support admission and continued stay reviews,
• Collaborate with healthcare team to ensure regulatory compliance and quality care standards,
• RTO must be submitted prior to consideration; time off requests after submission will not be accommodated,
• Block scheduling cannot be accommodated,
• Candidates residing within 50 miles are considered local and may be offered a different pay rate,
• First-time travelers are welcome to apply,
• Labs must be completed within 48 hours of contract signing,
• Modules completed within the first 8 hours of orientation are non-billable

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About American Traveler

Sourced by ZipRecruiter

With over 20 years of success in healthcare staffing, American Traveler has established a reputation for outstanding customer service. Our full-service agency has earned top ratings from healthcare professionals in every specialty and setting. We offer travel assignments in the most sought-after locations and facilities in the country. We staff major medical centers, prestigious university teaching facilities, Magnet facilities, regional community hospitals, outpatient centers, rehab centers, skilled nursing facilities and more. With our expert team behind you every step of the way, you can enjoy a rewarding travel career that exceeds your expectations. With over 20 years of experience, American Traveler has established a reputation for outstanding customer service. With our team behind you, you can relax and enjoy a rewarding travel career.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Boca Raton, FL, US

Year founded

1999

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