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Utilization Management Nurse Practitioner

Job in Birmingham, Jefferson County, Alabama, 35275, USA
Listing for: NaphCare, Inc.
Full Time position
Listed on 2026-01-16
Job specializations:
  • Nursing
    Healthcare Nursing, Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below

Utilization Management Nurse Practitioner

Join to apply for the Utilization Management Nurse Practitioner role at Naph Care, Inc.

Naph Care is a medical technology company delivering excellent patient care to our correctional facilities across the United States. Come join our team of over 3000 employees as we continue to grow into the leading vendor of correctional healthcare services.

Position Summary

The Utilization Management NP position involves reviewing clinical charts to evaluate medical necessity and appropriateness of off‑site specialty visits using our electronic health operating system, and performing case management for hospitalized patients.

Responsibilities
  • Review clinical charts to assess medical necessity and appropriateness of off‑site specialty visits.
  • Use the electronic health operating system to support utilization management.
  • Perform case management for hospitalized patients.
Qualifications
  • Current and unrestricted NP license.
  • Minimum of 1 year of experience in an acute care setting.
  • Excellent communication and interpersonal skills.
  • Attention to detail and strong decision‑making skills.

Equal Opportunity

Employer:

disability/veteran

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