Quality Utilization Reviewer I - Children's of Alabama

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).

Graduate of an accredited School of Nursing or Social Work.

2 years experience in hospital setting or related field (i.e. 3rd party payer)

Utilization review experience preferred.

Current AL licensure as LPN, RN or LCSW