Utilization Review Care Manager
Tuscaloosa, Alabama
Health system employer
RN · Clinical Documentation
Posted Jul 23 · Not open to new grads
- Unit
- Utilization Review
What the listing says
Role
- Accepts
- RN
- Experience
- 2+ years
Ratio not posted. Ask in the interview.
Pay
We don’t have a pay range for this role yet.
We can help you find the number.
About this role
Evaluates patients for appropriateness of admission type and setting, utilizing a combination of clinical information and InterQual guidelines. The Utilization Review Nurse utilizes clinical knowledge to support the coordination and documentation and communication of medical services and/or benefits. The Utilization Nurse also serves on the liaison between the physicians, patients, payers and care managers regarding termination of benefits, denial notification, and expedited appeals. Has access to highly sensitive, confidential information.
Sourced from a public job board.
“Minimum 2 years experience as an RN Minimum of at least 2 years as care management and/or utilization management experience preferred. Minimum of” · from this posting
Requirements
- RN License
- 2 years experience
- Mid-level
- Hospital experience
- InterQual
- Utilization management
- Computer literacy
- English
Place
- City
- Tuscaloosa, Alabama
- Median rent
- $1,055/mo
- Local household income
- $51,464/yr
- Metro price level
- 12% below the national average
rent and tenant-paid utilities · Census ACS 2024
all local households, not nurse pay · Census ACS 2024
Tuscaloosa area index 87.7, where 100 is the national average.
Tuscaloosa blends Southern college-town energy with riverside charm along the Black Warrior River. Home to the University of Alabama, it offers a vibrant game-day culture, a revitalized downtown, and easy access to outdoor recreation. Nurses enjoy a close-knit community feel with regional amenities within easy reach.
Cost figures from U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024.
How this role fits you
Add your preferences
Choose your specialty, travel preference, and license stage to see how this role fits.
The work you want
Where you'd go
Where you are
About the employer
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 shifts, 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?