Registered Nurse (RNs)
naphcare
Director of Utilization Management, Prisons
naphcare· Leadership
About this role
Overview
NaphCare is hiring a Director Of Utilization, Prisons to join our team at the Corporate Headquaters located in Birmingham, AL
NaphCare is a family owned, healthcare technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 35 years. Come join our team of over 6000 employees and growing! NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do.
NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare.
NaphCare Full Time Benefits:
- Prescriptions free of charge through our health plan
- Health, dental & vision insurance that starts day one!
- We offer low-cost benefits to our employees and their families
- Employment Assistance Program (EAP) services
- 401K and Roth with company contribution that starts day one!
- Tuition Assistance
- Referral bonuses
- On-site education
- Free Continuing Education!
- Term life insurance at no cost to the employee
- Generous paid time off & paid holidays
NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up to date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing.
With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different.
We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership.
Responsibilities
Responsibilities for Director Of Utilization, Prisons
- Understanding of the principles and concepts of medical quality assurance and utilization review
- Develop, implement, and administer the quality assurance and utilization review processes
- Monitor and report on the quality of all facets of the medical care provided to patients
- Determine need, if any, for intervention, and discussing with physicians
- Reviews requests from providers regarding medical necessity of requested services for patients
- Reviews and audits patients' medical records as indicated to determine medical necessity
- Utilizes nationally recognized criteria to determine medical necessity of requested services
Qualifications
Qualifications for Director Of Utilization, Prisons:
- A current and unrestricted RN license
- a minimum of 6 years’ experience in an acute care setting and 4 years’ experience in utilization review and/or case management
- Excellent communication and interpersonal skills
- attention to detail and decision-making skills are essential
- Valid CPR card
Frequently Asked Questions
Is the salary disclosed for the Director of Utilization Management, Prisons position at naphcare?
The salary for this Director of Utilization Management, Prisons role at naphcare is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Director of Utilization Management, Prisons position at naphcare located?
This Director of Utilization Management, Prisons role at naphcare is based in Birmingham, AL, US. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Director of Utilization Management, Prisons role at naphcare full-time or part-time?
This is listed as a FULL TIME position. It is posted as a Director of Utilization Management, Prisons role in the Leadership department at naphcare.
Which team or department does the Director of Utilization Management, Prisons at naphcare belong to?
This Director of Utilization Management, Prisons position is part of the Leadership department at naphcare. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Director of Utilization Management, Prisons position at naphcare?
Click the "Apply Now" button on this page. You will be redirected to naphcare's official application portal hosted on icims where you can submit your application directly.
When was the Director of Utilization Management, Prisons job at naphcare posted?
This Director of Utilization Management, Prisons position at naphcare was posted on Sep 24, 2026. Apply as soon as possible — early applications are often reviewed first.
Director of Utilization Management, Prisons
naphcare
You'll be redirected to naphcare's official application page on icims.