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Case Manager Utilization Review Nurse Jobs in Decatur, GA

Bestica Healthcare

RN Case Manager

Atlanta, GA · On-site

Acute Hospital * Long Term Acute Care/Rehab/Skilled Nursing Case Management/Utilization Review: * Admission Criteria * Care coordination * Discharge Planning * Utilize InterQual Criteria * Utilize ...

AmTrust Financial Services, Inc.

Medical Case Manager

GA · On-site

Our nurses will be empathetic informative medical resources for our injured employees and they will ... Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance ...

genex

Telephonic Nurse Case Manager

Atlanta, GA · On-site

... and Case Management in a cooperative effort with other parties which helps address the issues of ... Responsible for the performance of Utilization Review services, including pre-admission ...

genex

Telephonic Nurse Case Manager

Atlanta, GA · On-site

... and Case Management in a cooperative effort with other parties which helps address the issues of ... Responsible for the performance of Utilization Review services, including pre-admission ...

Genex

Telephonic Nurse Case Manager

Atlanta, GA · On-site

Responsible for the performance of Utilization Review services, including pre-admission ... case management process. Works as an intermediary between carriers, attorneys, medical care ...

American Traveler

Travel RN Case Manager

Atlanta, GA · On-site

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...

Colorwave Inc

Nurse Case Manager (RN)

Atlanta, GA · On-site

$59K - $100K/yr

Nurse Case Manager (RN) Hospitals on Incredible Health are actively hiring and accepting ... Clinical pathway, Navigator, or Utilization Review. Shifts available: day shift, night shift, and ...

American Traveler

Travel RN Case Manager

Atlanta, GA · On-site

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...

American Traveler

Travel RN Case Manager

Atlanta, GA · On-site

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...

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Showing results 1-20

All JobsCase Utilization Review Nurse JobsCase Manager Utilization Review Nurse JobsCase Manager Utilization Review Nurse Jobs in Decatur, GA

Case Manager Utilization Review Nurse information

See Decatur, GA salary details

$18

$46

$78

How much do case manager utilization review nurse jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for case manager utilization review nurse in Decatur, GA is $46.41, according to ZipRecruiter salary data. Most workers in this role earn between $34.52 and $56.11 per hour, depending on experience, location, and employer.

What is the difference between Case Manager Utilization Review Nurse vs Case Manager?

AspectCase Manager Utilization Review NurseCase Manager
CredentialsRN license, certification in utilization review (e.g., URAC)RN license, case management certification (e.g., CCM)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

While both roles involve patient care coordination, the Case Manager Utilization Review Nurse primarily focuses on reviewing medical necessity and insurance approvals, whereas the Case Manager handles broader patient care coordination and discharge planning. Both roles require nursing credentials and are vital in healthcare settings, but their specific responsibilities differ.

How do Case Manager Utilization Review Nurses typically collaborate with physicians and other healthcare providers?

Case Manager Utilization Review Nurses regularly work with physicians, social workers, and other healthcare professionals to ensure patients receive appropriate care while managing resource utilization. They often participate in interdisciplinary team meetings to discuss care plans, review patient progress, and address any barriers to discharge. Building strong communication channels and maintaining up-to-date clinical knowledge are essential, as nurses must advocate for patients while also supporting evidence-based practices and regulatory compliance. This collaborative environment helps streamline patient care and optimize outcomes.

What is a Case Manager Utilization Review Nurse?

A Case Manager Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, coordinate with healthcare providers, and ensure that treatments meet established guidelines and insurance requirements. Their goal is to optimize patient outcomes while controlling healthcare costs and ensuring compliance with regulations. These nurses also help facilitate communication between patients, providers, and payers to support effective care management.

What are the key skills and qualifications needed to thrive as a Case Manager Utilization Review Nurse, and why are they important?

To excel as a Case Manager Utilization Review Nurse, you need a solid background in nursing, strong clinical assessment skills, and a valid RN license, often with case management certification. Familiarity with utilization review software, electronic health record (EHR) systems, and knowledge of insurance and regulatory guidelines is essential. Exceptional communication, critical thinking, and negotiation abilities set top performers apart in this role. These qualifications ensure effective patient advocacy, cost-effective care, and compliance with healthcare standards.
What are popular job titles related to Case Manager Utilization Review Nurse jobs in Decatur, GA? For Case Manager Utilization Review Nurse jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Case Manager Utilization Review Nurse jobs in Decatur, GA look for? The top searched job categories for Case Manager Utilization Review Nurse jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Case Manager Utilization Review Nurse jobs? Cities near Decatur, GA with the most Case Manager Utilization Review Nurse job openings:
Case Manager Utilization Review Nurse jobs near you
Travel Nurse RN - Case Manager, Utilization Review - $2,910 per week

Travel Nurse RN - Case Manager, Utilization Review - $2,910 per week

American Traveler

Atlanta, GA • On-site

$2.9K/wk

Other

Medical, Dental, Vision, Life, Retirement

Posted 5 days ago

Job description

American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Atlanta, Georgia.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel
Assignment Overview
  • Shift: Days, 5x8hrs
  • Hours: 40 hrs/wk
  • Start Date: Feb 2, 2026
  • Length: 13 weeks
  • Openings: 1
Description

American Traveler is seeking an RN for a Utilization Review Case Management position requiring an active GA or compact RN license and BLS certification.

Details
  • Work in a Utilization Review Case Management role, likely within a hospital setting
  • Utilizes EPIC EMR for documentation
Requirements
  • Active GA or compact RN license required
  • Current BLS certification required
  • All licenses and certifications must be active at time of consideration
  • Experience with EPIC EMR is required
Additional Information
  • Role involves performing utilization review and case management functions
  • Local candidates are accepted at the same pay rate as travelers
  • Candidates may not exceed two years of total assignment without a mandatory 90-day break
  • The last 4 digits of SSN and date of birth are required for consideration

American Traveler Job ID #P-658548. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Utilization Review

About American Traveler

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.

With our team behind you, you can relax and enjoy a rewarding travel career.

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

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