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🥝 Quality Utilization Reviewer I
Children's of Alabama | Birmingham, United States | Posted June 19, 2026
Job Description
Job Summary 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). Education Graduate of an accredited School of Nursing or Social Work. Experience 2 years experience in hospital setting or related field (i.e. 3rd party payer) Utilization review experience preferred. Licensures, Certifications, and/or Registries Current AL licensure as LPN, RN or LCSW Additional Information
Main Campus Children's of Alabama