Children's of Alabama
Supervisor Utilization Review
1 month ago
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Important information
Contract type:
Permanent
Location:
Birmingham, AL, USA
Work mode:
Onsite
Published on:
13 September 2026
What they need
In Utilization Management at Main Campus Lee Building
Work schedule will be Full-time on the Day Shift, Monday - Friday 8:00am - 4:30pm on call rotating weekend coverage.
Summary: The Nurse Reviewer 3 is responsible for performing inpatient admission reviews, concurrent reviews, and observation reviews primarily for BCBS AL patients, based on InterQual criteria and local policies. However, Nurse Reviewer 3 should also be capable of performing such reviews for AL Medicaid and other commercial payers if needed.
Essential: Credentials with Equivalent Qualifications:
- Registered Nurse AL Single State or any of the following equivalent qualifications below:
- Registered Nurse AL NLC Multi State
- Registered Nurse Non-AL NLC Multi State
- Basic Life Support
Essential: Education with Equivalent Qualifications:
- Associate of Science Nursing in Nursing
Essential: Experience with Equivalent Qualifications:
- 5 Years Staff Level
Schedule: Monday - Friday 8:00am - 4:30pm on call rotating weekend coverage, Day Shift, 8-Hour Shifts
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