Utilization review nurse Jobs in Birmingham, AL
Last updated: 12 hours ago
The UR Reviewer 1 is responsible for performing inpatient admission, concurrent, and observation reviews based on pre-established criteria exclusively for Medicaid and commercial payers other than ...Show moreLast updated: 30+ days ago
Description & Requirements Maximus is currently hiring a Lead Coordinator - Clinical Review to support the Independent Medical Review (IMR) program.
What You Will Receive : • Work / Life...Show moreLast updated: 7 days ago
A company is looking for a Remote Utilization Review Nurse.Key ResponsibilitiesManage requests for medical services, ensuring they are medically appropriate and necessaryWork towards achieving high...Show moreLast updated: 12 hours ago
Locations : On site at location posted.The Commercial Credit Review Officer (CRO II) is responsible for evaluating portfolio quality and credit risk management practices within the commercial bank’s...Show moreLast updated: 1 day ago
At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve.We are all united in delivering the best experience for our customers.We work together each day ...Show moreLast updated: 1 day ago
Registered Nurse (RN), Labor and Delivery.The Labor and Delivery Unit offers obstetrics and gynecology care, as well as pediatrics, breast health and educational classes for new and expecting mothe...Show moreLast updated: 2 days ago
Registered Nurse - Home Health.Schedule : Monday - Friday with on-call rotation on weekends.Develop a plan of care through physician orders, client input, and nursing assessment to include medical i...Show moreLast updated: 2 days ago
Utilization Management Assistant.Utilization Management team located at our Corporate Headquaters in Birmingham, Al.NaphCare is a family owned, medical technology company that has been delivering h...Show moreLast updated: 9 days ago
At Regions, the Credit Risk Review Examiner continuously monitors and examines activities.This position assesses and reports the status and direction of credit risk within the assigned consumer or ...Show moreLast updated: 30+ days ago
A new PSYCH position is open for Registered Nurses with experience caring for patients with mental disabilities or disorders, enabling them to function and lead a normal life, for a 13 week contrac...Show moreLast updated: 1 day ago
RN - Registered Nurse - Utilization Management Specialist - AM (071)-(T217901).Pay Range : $60,835 - $98,855 / yearly.Benefits available for eligible positions include : 100% tuition assistance, well...Show moreLast updated: 30+ days ago
Analyzes file review activities associated with applicable business segment.Executes file review assessment on moderately complex credit and credit related transactions.
understands inherent risk a...Show moreLast updated: 30+ days ago
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while...Show moreLast updated: 30+ days ago
Alpharetta, Georgia, Birmingham, Alabama, Charlotte, North Carolina, Dallas, Texas, Jacksonville, Florida, Lake Mary, Florida, McAllen, Texas, Miami, Florida, P&C-Butterfield Road-Downers Grove-IL-...Show moreLast updated: 30+ days ago
All Shifts Available- Full time, Part time, and PRN.Registered Nurse Career Opportunity.Encompass Health : Where Nursing Meets Heart, Home, and Healing.
Are you seeking a nursing career deeply rooted...Show moreLast updated: 6 days ago
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health.
This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago
Quality Utilization Reviewer I
Childrens Hospital of BirminghamBirmingham, Alabama, United States, 35203Full-time
Lead Coordinator - Clinical Review, LPN / RN (Remote)
MaximusBirmingham, AL, US$31.75 hourly
Remote
Full-time
- Promoted
- New!
Florida Licensed Utilization Review Nurse
VirtualVocationsBirmingham, Alabama, United StatesFull-time
- Promoted
Credit Review Officer II
First Horizon BankBirmingham, AL, United StatesFull-time
- Promoted
Credit Risk Review Advisor Senior - Commercial Lending
PNCBirmingham, AL, United StatesFull-time +1
- Promoted
REGISTERED NURSE
North Alabama Medical CenterAL, United StatesFull-time
- Promoted
REGISTERED NURSE
Aveanna HealthcareAL, United StatesFull-time
- Promoted
Utilization Management Assistant
NaphCareBirmingham, AL, United StatesFull-time
Credit Risk Review Examiner
Regions BankBirmingham, AL, Regions Center$126,140.28–$178,584.00 yearly
Full-time
- Promoted
Travel Registered Nurse - Psych in Alabaster, AL
Jackson Nurse ProfessionalsBirmingham, Alabama, USFull-time
RN - Registered Nurse - Utilization Management Specialist - AM (071)
UABBirmingham, Alabama, US$60,835.00–$98,855.00 yearly
Credit Risk Review Advisor - Commercial Lending
PNC Bank NABirmingham , ALFull-time
Utilization Behavioral Health Professional
HumanaWork at Home, AlabamaRemote
Full-time
- Promoted
Quality Review Supervisor - Work from home
Millennium Information ServicesAlabama, Birmingham We are an equal employment opportunity employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, prote...Show moreLast updated: 1 day ago
Desk Review Specialist
KemperBirmingham, AlabamaFull-time
- Promoted
Registered Nurse
Encompass HealthHomewood, AL, United StatesFull-time
- Promoted
Registered Nurse
ArchWell HealthBirmingham, AL, United States Work Location : 9176 Parkway East, Birmingham, AL 35235.ArchWell Health is re-imagining the practice of primary care.We are putting the relationship between patient and physician at the center of a ...Show moreLast updated: 30+ days ago
Utilization Management Clinician Behavioral Health Afternoon Shift
CVS HealthAlabama, Work At Home, US$54,095.60–$116,800.00 yearly
Remote
Full-time
- Promoted
Flight Nurse
Global Medical ResponseBirmingham, AL, United States Safety, effective and efficient patient care is a key pillar of our services, therefore you'll work on a quality, professional team that is committed to high safety standards for the crew and our c...Show moreLast updated: 21 days ago
Quality Utilization Reviewer I
Childrens Hospital of BirminghamBirmingham, Alabama, United States, 3520330+ days ago
Job type
- Full-time
Job descriptionJob Summary
The UR Reviewer 1 is responsible for performing inpatient admission, concurrent, and observation reviews based on pre-established criteria exclusively for Medicaid and commercial payers other than BCBS AL. Upon successful completion of training by UR Reviewer 2 and with approval of UM Manager & Department Director, UR Reviewer 1 with RN licensure may advance to Nurse Reviewer 2 (If position becomes available).
- Education
- Experience
- Utilization review experience preferred.
- Licensures, Certifications, and / or Registries
Graduate of an accredited School of Nursing or Social Work.
2 years experience in hospital setting or related field (i.e. 3rd party payer)
Current AL licensure as LPN, RN or LCSW
PI263999914