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Case Manager Utilization Review Nurse Jobs in Springfield, GA

- RN Case Manager - On Call (2610927) RN Case Manager - On Call - 2610927 Description REGISTERED NURSE CASE MANAGER (RN) - On-Call. F/T & PRN Available. HOSPICE SERVICES Join the PruittHealth Hospice ...

Make a Lasting Difference as a Hospice Registered Nurse Case Manager (RNCM)! Are you a compassionate Registered Nurse (RN) who finds purpose in supporting patients and families through meaningful ...

RN Case Manager

Savannah, GA · On-site

$78K - $83K/yr

Overview Make a Lasting Difference as a Hospice Registered Nurse Case Manager (RNCM)! Are you a compassionate Registered Nurse (RN) who finds purpose in supporting patients and families through ...

RN Case Manager

Savannah, GA · On-site

$78K - $83K/yr

Overview Make a Lasting Difference as a Hospice Registered Nurse Case Manager (RNCM)! Are you a compassionate Registered Nurse (RN) who finds purpose in supporting patients and families through ...

RN Case Manager BONUS

Bluffton, SC · On-site

$78K - $83K/yr

Overview Make a Lasting Difference as a Hospice Registered Nurse Case Manager (RNCM)! *** $5,000 Sign On Bonus *** Are you a compassionate Registered Nurse (RN) who finds purpose in supporting ...

RN Case Manager BONUS

Bluffton, SC · On-site

$78K - $83K/yr

Overview Make a Lasting Difference as a Hospice Registered Nurse Case Manager (RNCM)! *** $5,000 Sign On Bonus *** Are you a compassionate Registered Nurse (RN) who finds purpose in supporting ...

Make a Lasting Difference as a Hospice Registered Nurse Case Manager (RNCM)! *** $5,000 Sign On Bonus *** Are you a compassionate Registered Nurse (RN) who finds purpose in supporting patients and ...

Showing results 21-40

Case Manager Utilization Review Nurse information

See Springfield, GA salary details

$15

$39

$66

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

As of Sep 6, 2026, the average hourly pay for case manager utilization review nurse in Springfield, GA is $39.27, according to ZipRecruiter salary data. Most workers in this role earn between $29.18 and $47.45 per hour, depending on experience, location, and employer.

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.

How does a case manager utilization review nurse 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 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 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.

What are popular job titles related to Case Manager Utilization Review Nurse jobs in Springfield, GA?

For Case Manager Utilization Review Nurse jobs in Springfield, GA, the most frequently searched job titles are:

What cities near Springfield, GA are hiring for Case Manager Utilization Review Nurse jobs?

Cities near Springfield, GA with the most Case Manager Utilization Review Nurse job openings:

Infographic showing various Case Manager Utilization Review Nurse job openings in Springfield, GA as of August 2026, with employment types broken down into 76% Full Time, 13% Part Time, and 11% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $81,672 per year, or $39.3 per hour.

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago


Key responsibilities

  • Support patients and families through every step of their care journey by coordinating services and developing care plans.

  • Guide patients and families through program orientation, discharge planning, and education to encourage participation in treatment planning.

  • Collaborate with the interdisciplinary team to ensure seamless, patient-centered care and communicate needs across the care team.


Memorial Health rating

7.0

Company rating: 7.0 out of 10

Based on 178 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers


Job description

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: RN Case Manager 

Job Summary and Qualifications

As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient’s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care. 

Your responsibilities will include:

  • Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights 
  • Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences 
  • Developing and implementing individualized treatment plans that reflect the patient’s strengths, needs, and personal recovery goals 
  • Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team 
  • Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care 
  • Promoting HCA Healthcare’s values of compassion, respect, and excellence through every patient and family interaction 
What qualifications you will need:
  • (RN) Registered Nurse
  • Associate Degree
  • 3 years experience Required Years of Experience
  • Pediatric experience is required
Benefits

Memorial Health University Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Memorial Health University Medical Center has provided quality healthcare services since 1955, giving patients access to highly-trained physicians and advanced technology. Our 600+ bed hospital is one of the region's leading acute care facilities that serves 35 counties across southeast Georgia and southern South Carolina. Located in Savannah, Georgia, we are a regional referral center for heart care, cancer care, trauma care, children's care, high-risk pregnancies and high-risk newborn care. Our hospital includes the region's only Level I trauma center and children's hospital, as well as the Savannah campus of Mercer University School of Medicine.

At Memorial Health, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our RN Case Manager opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!

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


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