Quality Utilization Reviewer II

Website Children's of Alabama

Job Summary

The Nurse Reviewer 2 is responsible for performing inpatient admission reviews, concurrent reviews and observation reviews primarily for BCBS AL patients, based on InterQual criteria and local policies. However, Nurse Reviewer 2 should also be capable of performing reviews for AL Medicaid and other commercial payers as needed.


    • Graduate of an accredited School of Nursing


    • 5 years experience in hospital setting or related fields (i.e. 3rd party payer)
    • Utilization review experience preferred

Licensures, Certifications, and/or Registries

    • Current AL RN License