RN Utilization Review-Crestwood Medical Center-Case Management-FT-1st shift
Huntsville Hospital Health System
Huntsville, Alabama
Health system employer
Posted Aug 19 · Not open to new grads
- Shift
- Days
- Unit
- Case Management
What the listing says
Role
- Schedule
- Days
- Term
- Permanent
- Setting
- Hospital
- Accepts
- RN
- Experience
- 2+ years
Ratio not posted. Ask in the interview.
Pay
We don’t have a pay range for this role yet.
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About this role
Overview
Utilization management is the analysis of the medical necessity, acute care appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to the hospital as well as continued stay. This function ensures that services are not only appropriate, but ensures that an authorization for services is obtained from payer, if required, and that documentation supports the care delivered in such a way that minimizes the risk of denials after discharge.
Qualifications
Required
Education
Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse
Preferred
Education
Bachelors Science Nursing or higher
Required
Experience
2 years previous nursing experience
Preferred
Experience
Utilization Review or Case Management experience
Required License/Registration/
Certification
Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse
Preferred License/Registration/
Certification
ACM or CCM Certification
Computer Skills Required: Data entry skills; Demonstrable skills with Google Docs, Google Sheets, Microsoft Suite and email applications.
Sourced from a public job board.
“Preferred Education: Bachelors Science Nursing or higher Required Experience: 2 years previous nursing experience Preferred Experience: Utilization Review or Case Management experience Required License/Registrati” · from this posting
Requirements
- Required
- Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) or Licensed Registered Nurse
- Preferred
- Bachelors Science Nursing or higher
- 2 years previous nursing experience
- Utilization Review or Case Management experience
- Required License/Registration/
- Preferred License/Registration/
- ACM or CCM Certification
- Computer Skills Required: Data entry skills; Demonstrable skills with Google Docs, Google Sheets, Microsoft Suite and email applications.
Place
- City
- Huntsville, Alabama
- Median rent
- $1,171/mo
- Local household income
- $74,714/yr
- Metro price level
- 7% below the national average
rent and tenant-paid utilities
all local households, not nurse pay
Huntsville area index 93.1, where 100 is the national average.
Known as 'Rocket City' for its NASA and aerospace roots, Huntsville blends Southern charm with a surprising tech-forward energy. Nurses relocating here find a growing metro framed by Monte Sano Mountain and the Tennessee River Valley, plus a revitalized downtown with breweries, shops, and greenway trails.
Cost figures from U.S. Bureau of Economic Analysis.
How this role fits you
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The work you want
Where you'd go
Where you are
About the employer
You would be applying into Huntsville Hospital Health System in Huntsville, Alabama. The surrounding city is where the concrete picture is clearest right now: cost of living sits about 7% below the national level, most commutes fall in the 15–30…
On your path
Case Management is a specialty you move into. Bedside years first. That experience is what gets you in.
Worth asking
We can’t answer these from the listing we have. Good ones to ask a recruiter or in the interview.
- Can you walk me through base pay range and differentials?
- What should I expect for weekly hours, weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?