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Utilization Review Jobs in Dothan, AL (NOW HIRING)

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 ...

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 ...

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 ...

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 ...

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 ...

Engage actively in the Utilization Review process, ensuring appropriate use of healthcare resources. Key Qualifications * Medical Education: Graduate of an accredited medical school. * Licensure:

Engage actively in the Utilization Review process, ensuring appropriate use of healthcare resources. Key Qualifications * Medical Education: Graduate of an accredited medical school. * Licensure:

MINIMUM QUALIFICATIONS RN: Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care.

Grad Pharmacist

Dothan, AL · On-site

$15.25 - $18.75/hr

... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...

... with utilization of resources. CORE FUNCTIONS 1. Performs Clinical Ethics Consultation and advisory services when identified or requested. Assists with reviewing, editing, and educating on local ...

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Utilization Review information

See Dothan, AL salary details

$19

$38

$62

How much do utilization review jobs pay per hour?

As of Jul 27, 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 jobs make $3,000 a day?

High-paying jobs that can reach $3,000 a day include specialized roles such as senior physicians, anesthesiologists, or surgeons, often requiring advanced certifications and extensive experience. Certain executive positions, like CEOs or investment bankers, may also earn this level of daily income, especially through bonuses or profit sharing. These roles typically involve high responsibility, expertise, and demanding schedules.

What jobs pay 4000 a week without a degree?

Utilization Review specialists typically do not earn $4,000 per week without a degree; most roles in this field require healthcare-related certifications or experience. High-paying jobs that can reach this level without a degree include certain sales positions, real estate brokers, or specialized trades like commercial pilots or skilled trades, which often rely on experience, licensing, or certifications rather than formal degrees. These roles may involve commission, bonuses, or overtime to achieve such weekly earnings.

What does a typical day look like for someone working in Utilization Review?

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 skills do you need for utilization review?

Utilization review professionals need strong analytical skills to assess medical necessity and appropriateness of care, attention to detail, and knowledge of healthcare regulations and insurance policies. Good communication skills are essential for coordinating with healthcare providers and explaining decisions. Familiarity with electronic health records (EHR) systems and relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can also be beneficial.

What is a Utilization Review job?

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 the Utilization Review position, and why are they important?

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 professional such as a registered nurse, licensed social worker, or physician completes relevant education and gains experience in healthcare or insurance. Certification in utilization review or case management, such as the Certified Professional in Healthcare Quality (CPHQ), can improve job prospects. Strong analytical skills and knowledge of medical coding and insurance policies are also important.
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:
Infographic showing various Utilization Review job openings in Dothan, AL as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $79,950 per year, or $38.4 per hour.
OPS SENIOR DENTIST - 64858665

OPS SENIOR DENTIST - 64858665

MyFlorida

Graceville, FL

$91/hr

Other

Retirement

Posted 22 days ago


State Of Florida rating

6.6

Company rating: 6.6 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

46th of 50 rated states


Job description

Requisition No: 877222 

Agency: Department of Health

Working Title: OPS SENIOR DENTIST - 64858665

 Pay Plan: Temp

Position Number: 64858665 

Salary:  $91.00 hourly 

Posting Closing Date: 08/04/2026 

Total Compensation Estimator Tool

Department of Health

Division of Medical Quality Assurance

Bureau of Enforcement

Investigative Services Unit - TBA

Open Competitive Opportunity

Part-Time OPS Position

Your Specific Responsibilities:

Incumbent serves under the direction of the Investigations/Consumer Services Administrator. This is work examining, evaluating, inspecting, monitoring and/or investigating eligibility and/or conformity with laws and regulations governing legal compliance of licenses, licensees, permits, and permit holders, examining various business entities and financial records, and other compliance and enforcement activities not classified elsewhere.

  • Conducts onsite inspections prior to approval for permitting new dental sedation permits and change of location requests to determine compliance with applicable rules and regulations. Ensures procedures are adequate and adhere to policies and procedures established for the facility.
  • Conducts dental sedation inspections and specialized cases involving dentistry. Investigates violations discovered during the inspection process.
  • Conducts trainings and gives presentations regarding dental sedation and dentistry related investigations to investigative staff and licensees.
  • Provides technical assistance to MQA investigators in specialized cases involving dentistry investigations. Reviews sedation procedures to ensure compliance with rules and regulations pursuant to written policy and procedure for the facility.
  • Provides technical expertise in rule making and statutory review as requested. Works with Department enforcement programs.
  • Prepares investigative reports, audit reports and probation reports.
  • Testifies at hearings, provides professional assistance to the legal staff, investigative staff and other regulatory agencies.
  • Serves subpoenas and administrative complaints.
  • Answers public inquiries, makes referrals, make public speaking engagements, make professional contacts, and promote the goals and mission of the Department including participation in Sterling related activities and events.
  • Performs other related duties as required including providing assistance as needed in response to and recovery following natural or man-made disasters.

Required Knowledge, Skills, and Abilities:

Proficient computer skills to include Word, Excel, PowerPoint and Outlook; knowledge of computer data bases; knowledge and use of the compliance management system and licensing system used by the Agency; knowledge of laws, legal codes, court procedures and government rules & regulations; knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar; understanding written sentences and paragraphs in work related documents; communicating effectively with others in writing; talking to others to effectively convey information; ability to establish and maintain effective working relationships with others. Ability to review medical records for components of patient assessments and treatment plans in relation to a medical diagnosis in accordance with the Dental Practice Act; ability to understand and apply applicable rules, regulations, policies and procedures relating to the inspection of operational and management analysis activities. 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 regular basis; ability to plan, organize and prioritize work assignments; ability to travel as necessary, providing own transportation; ability to work independently. Skill in reading and writing; investigating and researching; knowing how to find information and identifying essential information; finding ways to structure or classify multiple pieces of information; inspecting and evaluating the quality of products; ability to maintain a high degree of accuracy and close attention to detail; ability to maintain strict confidentiality.

This occupation requires licensure as a Dentist in accordance with Chapter 466, Florida Statutes.

Minimum Qualifications:

  • Clear and active Florida Dentist license with no disciplinary action taken within the last five (5) years.
  • Currently hold a Florida Sedation Permit for General Anesthesia.
  • Two (2) years of experience in a dental sedation setting, both assisting during dental sedation and recovery.
  • Two (2) years of medical/dental records utilization review experience.
  • Must be willing to physically in the office to perform duties and responsibilities of this position.

Additional Requirement:

  • Must have a valid driver's license, satisfactorily complete a background investigation, fingerprinting, and participation in direct deposit are requirements for employment.

Florida Department of Health Mission, Vision, and Values:

Mission:

To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

Vision:

To be the Healthiest State in the Nation.

Values:

nnovation: We search for creative solutions and manage resources wisely.

C ollaboration: We use teamwork to achieve common goals & solve problems.

A ccountability: We perform with integrity & respect.

R esponsiveness: We achieve our mission by serving our customers & engaging our partners.

E xcellence: We promote quality outcomes through learning & continuous performance improvement.

Where You Will Work:

Office location - Statewide

Main counties covered by office - Statewide

The Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. As an OPS employee, the benefits below are available:

  • State of Florida 401(a) FICA Alternative Plan (mandatory)
  • Participation in state group insurance (upon meeting eligibility requirements.  Consult with People First and/or the serving HR office)
  • Workers' Compensation (mandatory, if needed)
  • Reemployment Assistance (Unemployment Compensation) (mandatory, if needed)
  • Deferred Compensation (voluntary)
  • Employee Assistance Program (voluntary)
  • And more!

For a more complete list of benefits, including monthly costs, visit www.mybenefits.myflorida.com.

Please be advised:

Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.  

This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.

Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: http://www.sss.gov 

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida.  Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement. 

The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system.  E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.   

Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.

All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered.  

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace. 

Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation. 

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act. 

Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women.  The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise.  Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.    

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.


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