Registered Nurse - Utilization Review (ED)

Registered Nurse (RN) – Emergency Department Utilization Review | Cullman, Alabama

Overview

Join a collaborative healthcare team as an on-site Registered Nurse (RN) specializing in Emergency Department Utilization Review in Cullman, Alabama. This 13-week contract nursing opportunity is ideal for an acute-care RN with experience in utilization management, medical necessity review, or hospital case management.

In this important role, you will support accurate admission and observation decisions, promote appropriate resource utilization, and facilitate clear communication among emergency physicians, hospitalists, case managers, nursing staff, and utilization review teams.

Located in Cullman, Alabama, this opportunity offers the chance to work in a welcoming North Alabama community known for its scenic surroundings and convenient access to outdoor recreation while making a meaningful impact in a hospital-based clinical environment.

Registered Nurse Job Details

• Job Title: Emergency Department Utilization Review Registered Nurse
• Location: On-site in Cullman, Alabama
• Assignment: 13-week contract nursing assignment
• Start Date: November 2, 2026
• Schedule: Day shifts, Monday through Friday
• Shift Duration: 8 hours
• Shifts per Week: 5
• Hours per Week: 40
• Estimated Weekly Pay: $2,600–$2,790
• Work Setting: Emergency Department utilization review in a hospital-based clinical environment

RN Utilization Review Job Requirements

• Active Alabama Registered Nurse (RN) license
• At least 1 year of acute-care nursing, utilization review, case management, or related hospital experience
• Experience evaluating medical necessity and inpatient versus observation status
• Working knowledge of InterQual or comparable utilization review criteria
• Understanding of clinical documentation requirements and escalation processes
• Strong written, verbal, and physician-facing communication skills
• Ability to work independently and make sound clinical judgments in a fast-paced Emergency Department environment
• Electronic medical record experience; Cerner experience is preferred

Emergency Department Utilization Review Responsibilities

• Conduct proactive utilization review for Emergency Department patients who may require admission or observation
• Assess medical necessity and determine whether documentation supports the proposed level of care
• Apply appropriate utilization review criteria to support inpatient and observation status decisions
• Communicate directly with emergency physicians, hospitalists, nursing staff, case managers, and other clinical partners
• Identify discrepancies between clinical presentation, provider documentation, and requested admission status
• Request additional documentation or clarification from providers when needed
• Escalate complex utilization concerns to the appropriate physician advisor or clinical leadership
• Support timely transitions from the Emergency Department to inpatient utilization review and case management teams
• Review extended observation cases and collaborate on appropriate next steps
• Document utilization findings, decisions, and provider communications in the electronic medical record
• Participate in huddles, physician discussions, and multidisciplinary collaboration
• Identify workflow trends and recommend opportunities to improve utilization review processes and patient flow

Apply now for this Registered Nurse utilization review opportunity in Cullman, Alabama, and join a collaborative hospital-based healthcare team in North Alabama.

Benefits

401K with Matching, Healthcare, Dental and Vision

Equal Opportunity

We are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.