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Utilization Review Nurse – Inpatient​/Medicaid; Day Shift

Job in Birmingham, Jefferson County, Alabama, 35275, USA
Listing for: Children's of Alabama
Full Time position
Listed on 2026-11-04
Job specializations:
  • Nursing
    RN Nurse, Mental Health Nurse, Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
Position: Utilization Review Nurse – Inpatient/Medicaid (Day Shift)

Children's of Alabama in Birmingham is seeking an UR Reviewer 1 for Utilization Management at the Main Campus Lee Building. The role conducts inpatient admission, concurrent, and observation reviews for AL Medicaid and other payers, with potential advancement to Reviewer 2 after training and management approval.

Requirements include graduation from an accredited Nursing or Social Work program, AL RN or LPN licensure, and 2 years in hospital or related experience; knowledge of payer requirements

This is a genuine opportunity to take on the Utilization Review Nurse – Inpatient/Medicaid (Day Shift) role at Children's of Alabama.

For the Utilization Review Nurse – Inpatient/Medicaid (Day Shift) position at Children's of Alabama, we are reviewing applications now.

Step into the Utilization Review Nurse – Inpatient/Medicaid (Day Shift) role at Children's of Alabama in Birmingham, AL, United States and grow with us.

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