RN Utilization Review Supervisor – Day Shift

Children's of Alabama; Birmingham (AL); On-site; USD 60,000 - 82,000; Full time

Job summary

Children's of Alabama in Birmingham seeks a Nurse Reviewer 3 for Utilization Management at the Main Campus Lee Building. The role covers inpatient admission reviews, concurrent and observation reviews for BCBS AL, applying InterQual criteria and local policies.

Schedule is full-time, days, with on-call rotating weekend coverage. Requirements include Alabama RN licensure (single state or multi-state), Basic Life Support, and an Associate Degree in Nursing, plus at least 5 years of staff-level

Qualifications

• Licensed registered nurse with Alabama licensure or multi-state compact.
• BLS certification is required.
• Inpatient review experience preferred.

Responsibilities

• Perform inpatient admission reviews, concurrent reviews and observation reviews.
• Apply InterQual criteria and local policies for BCBS AL and other payers.
• Coordinate with Utilization Management on main campus and weekends.

Skills

RN AL Single State

RN AL NLC Multi State

RN Non-AL NLC Multi State

Basic Life Support

Education

Associate of Science Nursing

Job description

Children's of Alabama in Birmingham seeks a Nurse Reviewer 3 for Utilization Management at the Main Campus Lee Building. The role covers inpatient admission reviews, concurrent and observation reviews for BCBS AL, applying InterQual criteria and local policies.

Schedule is full-time, days, with on-call rotating weekend coverage. Requirements include Alabama RN licensure (single state or multi-state), Basic Life Support, and an Associate Degree in Nursing, plus at least 5 years of staff-level