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Utilization Review Care Manager

DCH Health System logo

DCH Health System

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

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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

rent and tenant-paid utilities · Census ACS 2024

Local household income
$51,464/yr

all local households, not nurse pay · Census ACS 2024

Metro price level
12% below the national average

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.

Map showing the location of Tuscaloosa, AL
Approximate location in Tuscaloosa, AL. · © Mapbox © OpenStreetMap· Open the live map

Cost figures from U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024.

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About the employer

DCH Health System logo
DCH Health System
Health system employer
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Case Management is a specialty you move into. Bedside years first. That experience is what gets you in.

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