American Traveler is hiring an experienced RN Case Manager for an acute care hospital position requiring 2 years of acute medical Care Management/Discharge Planning experience and a CA RN license.
American Traveler is hiring an experienced RN Case Manager for an acute care hospital position requiring 2 years of acute medical Care Management/Discharge Planning experience and a CA RN license.
RN Specialist
Fairhope, AL · On-site
Working knowledge of quality assurance, utilization review or risk management * Clinical specialty or management certification
RN Specialist
Fairhope, AL · On-site
Working knowledge of quality assurance, utilization review or risk management * Clinical specialty or management certification
RN Unit Manager (8a-5p)
$32.50 - $43/hr
Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
RN Unit Manager (8a-5p)
$32.50 - $43/hr
Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
Staff Pharmacist, Amazon Pharmacy
$47 - $55.25/hr
... Drug Utilization Review) and ensure accurate documentation in pharmacy systems Monitor, receive, and manage pharmacy inventory effectively and compliantly Work collaboratively with pharmacy ...
Staff Pharmacist, Amazon Pharmacy
$47 - $55.25/hr
... Drug Utilization Review) and ensure accurate documentation in pharmacy systems Monitor, receive, and manage pharmacy inventory effectively and compliantly Work collaboratively with pharmacy ...
Overnight Staff Pharmacist, Amazon Pharmacy
$47 - $55.25/hr
... Drug Utilization Review) and ensure accurate documentation in pharmacy systems Monitor, receive, and manage pharmacy inventory effectively and compliantly Work collaboratively with pharmacy ...
Overnight Staff Pharmacist, Amazon Pharmacy
$47 - $55.25/hr
... Drug Utilization Review) and ensure accurate documentation in pharmacy systems Monitor, receive, and manage pharmacy inventory effectively and compliantly Work collaboratively with pharmacy ...
Overnight Staff Pharmacist, Amazon Pharmacy
Loxley, AL · On-site
$47 - $55.25/hr
... Drug Utilization Review) and ensure accurate documentation in pharmacy systems Monitor, receive, and manage pharmacy inventory effectively and compliantly Work collaboratively with pharmacy ...
Overnight Staff Pharmacist, Amazon Pharmacy
Loxley, AL · On-site
$47 - $55.25/hr
... Drug Utilization Review) and ensure accurate documentation in pharmacy systems Monitor, receive, and manage pharmacy inventory effectively and compliantly Work collaboratively with pharmacy ...
Staff Pharmacist, Amazon Pharmacy
$47 - $55.25/hr
... Drug Utilization Review) and ensure accurate documentation in pharmacy systems Monitor, receive, and manage pharmacy inventory effectively and compliantly Work collaboratively with pharmacy ...
Staff Pharmacist, Amazon Pharmacy
$47 - $55.25/hr
... Drug Utilization Review) and ensure accurate documentation in pharmacy systems Monitor, receive, and manage pharmacy inventory effectively and compliantly Work collaboratively with pharmacy ...
Clinical Pharmacist - Prov Pharmacy - Providence
Mobile, AL · On-site
$117K - $140K/yr
Measures quality and appropriateness of drug utilization review and adverse drug reactions. * Prepares formulary abstracts for review by Medication Use Committee for possible inclusion in the ...
Clinical Pharmacist - Prov Pharmacy - Providence
Mobile, AL · On-site
$117K - $140K/yr
Measures quality and appropriateness of drug utilization review and adverse drug reactions. * Prepares formulary abstracts for review by Medication Use Committee for possible inclusion in the ...
Clinical Pharmacist - Prov Pharmacy - Providence
Mobile, AL · On-site
$117K - $140K/yr
Measures quality and appropriateness of drug utilization review and adverse drug reactions. * Prepares formulary abstracts for review by Medication Use Committee for possible inclusion in the ...
Clinical Pharmacist - Prov Pharmacy - Providence
Mobile, AL · On-site
$117K - $140K/yr
Measures quality and appropriateness of drug utilization review and adverse drug reactions. * Prepares formulary abstracts for review by Medication Use Committee for possible inclusion in the ...
RN Unit Manager (8a-5p)
Mobile, AL · On-site
$39.50 - $52/hr
Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
RN Unit Manager (8a-5p)
Mobile, AL · On-site
$39.50 - $52/hr
Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
MDS Coordinator RN
Mobile, AL · On-site
$30.50 - $36.75/hr
Participate in Medicare meetings and utilization review processes * Maintain compliance with federal, state, and facility guidelines * Assist with care plan development and resident assessments
Quick apply
MDS Coordinator RN
Mobile, AL · On-site
$30.50 - $36.75/hr
Participate in Medicare meetings and utilization review processes * Maintain compliance with federal, state, and facility guidelines * Assist with care plan development and resident assessments
Board Certified Behavior Analyst (BCBA) - Remote
Mobile, AL · Remote
$43 - $56/hr
Participate in utilization review and authorization processes in coordination with ACT's billing and operations teams. Family & Caregiver Collaboration * Provide caregiver training and coaching to ...
New
Quick apply
Board Certified Behavior Analyst (BCBA) - Remote
Mobile, AL · Remote
$43 - $56/hr
Participate in utilization review and authorization processes in coordination with ACT's billing and operations teams. Family & Caregiver Collaboration * Provide caregiver training and coaching to ...
New
Participate in utilization review activities by providing clinical information necessary for prior authorizations, continued stay reviews, and payer communication. * Maintain documentation in ...
Participate in utilization review activities by providing clinical information necessary for prior authorizations, continued stay reviews, and payer communication. * Maintain documentation in ...
Participate in utilization review activities by providing clinical information necessary for prior authorizations, continued stay reviews, and payer communication. * Maintain documentation in ...
Quick apply
Participate in utilization review activities by providing clinical information necessary for prior authorizations, continued stay reviews, and payer communication. * Maintain documentation in ...
Staff Pharmacist, Amazon Pharmacy
Loxley, AL · On-site
$47 - $55.25/hr
... Utilization Review) and ensure accurate documentation in pharmacy systems • Monitor, receive, and manage pharmacy inventory effectively and compliantly • Work collaboratively with pharmacy ...
Staff Pharmacist, Amazon Pharmacy
Loxley, AL · On-site
$47 - $55.25/hr
... Utilization Review) and ensure accurate documentation in pharmacy systems • Monitor, receive, and manage pharmacy inventory effectively and compliantly • Work collaboratively with pharmacy ...
Overnight Staff Pharmacist, Amazon Pharmacy
Loxley, AL · On-site
$47 - $55.25/hr
... Utilization Review) and ensure accurate documentation in pharmacy systems • Monitor, receive, and manage pharmacy inventory effectively and compliantly • Work collaboratively with pharmacy ...
Overnight Staff Pharmacist, Amazon Pharmacy
Loxley, AL · On-site
$47 - $55.25/hr
... Utilization Review) and ensure accurate documentation in pharmacy systems • Monitor, receive, and manage pharmacy inventory effectively and compliantly • Work collaboratively with pharmacy ...
Grad Pharmacist
Mobile, AL · On-site
$16.50 - $20.50/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 ...
Grad Pharmacist
Mobile, AL · On-site
$16.50 - $20.50/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 ...
Grad Pharmacist
$16.50 - $20.50/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 ...
Grad Pharmacist
$16.50 - $20.50/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 ...
Grad Pharmacist
Mobile, AL · On-site
$16.50 - $20.50/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 ...
Grad Pharmacist
Mobile, AL · On-site
$16.50 - $20.50/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 ...
Review and approve project budgets, schedules, contracts, staffing plans, and significant project ... Monitor project financial and operational performance, including backlog, utilization ...
Review and approve project budgets, schedules, contracts, staffing plans, and significant project ... Monitor project financial and operational performance, including backlog, utilization ...
Utilization Review information
See Mobile, AL salary details
$21.23 - $25.52
2% of jobs
$25.52 - $29.82
9% of jobs
$32.76 is the 25th percentile. Wages below this are outliers.
$29.82 - $34.11
21% of jobs
The median wage is $37.59 / hr.
$34.11 - $38.41
23% of jobs
$38.41 - $42.70
13% of jobs
$46.04 is the 75th percentile. Wages above this are outliers.
$42.70 - $46.99
10% of jobs
$46.99 - $51.29
8% of jobs
$51.29 - $55.58
5% of jobs
$55.58 - $59.87
5% of jobs
$59.87 - $64.17
2% of jobs
$64.17 - $68.46
2% of jobs
$21
$41
$68
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?
- Remote Lpn Utilization Review
- Chart Utilization Review
- Remote Insurance Utilization Review
- Utilization Review Physician Assistant
- Utilization Review Nurse Compact License
- Volunteer Navihealth Utilization Review
- Fulltime Cigna Utilization Review Nurse
- Senior Rn Utilization Review Nurse
- Remote Occupational Therapy Utilization Review
- Full Time Cigna Utilization Review Nurse

Travel RN - Case Management/Utilization Review - Case Management
Vinegar Bend, AL • On-site
Other
Posted 5 days ago
Job description
American Traveler is hiring an experienced RN Case Manager for an acute care hospital position requiring 2 years of acute medical Care Management/Discharge Planning experience and a CA RN license.
Job Details
• Acute care hospital setting within the Case Management department,
• Day shift schedule, 5x8 hour shifts from 8:00 AM to 4:30 PM,
• Patient ratio of 1:25 during day shifts,
• Weekend requirement of typically one full weekend every 4 weeks, subject to department need,
• No floating required,
• Epic EMR experience required,
• 13-week assignment length,
Job Requirements
• Active CA RN license required, pending license accepted if licensed by start date,
• BLS certification required,
• Minimum 2 years of acute medical Care Manager experience performing Care Coordination and Discharge Planning,
• Epic charting system experience required,
• Prior travel nursing experience required, though first-time travelers may be considered with screening,
• Two supervisory references covering 1 year of employment within the last 3 years required,
Additional Information
• Responsibilities include care coordination, discharge planning, needs assessment, DME ordering, and disease management,
• Knowledge of CMS, CPT coding, DRG, and HIPAA regulatory guidelines required,
• Experience across acute hospital specialties including ICU, Medical-Surgical, and SDU/PCU/IMC/Observation units,
• Business attire or scrubs acceptable dress code,
• Must commit to working 3 of the 5 major holidays: Thanksgiving, Christmas Eve, Christmas Day, New Year's Eve, and New Year's Day,
• RTO requests should not exceed 7 days to avoid delays in the offer process,
• Local candidates accepted within a 50-mile radius at a lower bill rate,
• Former permanent staff must wait at least 3 months before returning as a traveler and must reside outside a 50-mile radius of the facility,
• First-time travelers will be considered but must undergo additional screening