Atlanta, GA · On-site
$1.5K - $1.6K/wk
Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Atlanta, Georgia Start Date: October 5, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute ...
Atlanta, GA · On-site
$1.5K - $1.6K/wk
Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Atlanta, Georgia Start Date: October 5, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute ...
Atlanta, GA · On-site
$1.5K - $1.6K/wk
Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Atlanta, Georgia Start Date: October 5, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute ...
Atlanta, GA · On-site
$1.5K - $1.6K/wk
Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Atlanta, Georgia Start Date: October 5, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute ...
... reviews, and supporting contract operations. This role requires strong cross-functional ... contract utilization, and maintain alignment with customer expectations. Your work will have ...
... reviews, and supporting contract operations. This role requires strong cross-functional ... contract utilization, and maintain alignment with customer expectations. Your work will have ...
Will also be responsible for utilization review/management. The role focuses on reviewing cases for ... Additional experience may be required by State contracts or regulations if the Medical Director is ...
New
Will also be responsible for utilization review/management. The role focuses on reviewing cases for ... Additional experience may be required by State contracts or regulations if the Medical Director is ...
New
Will also be responsible for utilization review/management. The role focuses on reviewing cases for ... Additional experience may be required by State contracts or regulations if the Medical Director is ...
New
Will also be responsible for utilization review/management. The role focuses on reviewing cases for ... Additional experience may be required by State contracts or regulations if the Medical Director is ...
New
Atlanta, GA · On-site
Remains knowledgeable of contract benefits and current, relevant state and Federal regulations ... Monitors utilization trends in the market area, keeping appropriate management informed. Initiates ...
Atlanta, GA · On-site
Remains knowledgeable of contract benefits and current, relevant state and Federal regulations ... Monitors utilization trends in the market area, keeping appropriate management informed. Initiates ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Quick apply
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Atlanta, GA · On-site
Strong assessment, discharge planning, and utilization review skills Description: The RN Case ... contracts to our workforce. Our experienced team takes the time to get to know both our clients and ...
Atlanta, GA · On-site
Strong assessment, discharge planning, and utilization review skills Description: The RN Case ... contracts to our workforce. Our experienced team takes the time to get to know both our clients and ...
Atlanta, GA · On-site
$114K - $136K/yr
This role supports key clinical pharmacy programs, including Drug Utilization Review (DUR), Drug ... contracts) based on medical necessity criteria, and coordinates with internal stakeholders or ...
Atlanta, GA · On-site
$114K - $136K/yr
This role supports key clinical pharmacy programs, including Drug Utilization Review (DUR), Drug ... contracts) based on medical necessity criteria, and coordinates with internal stakeholders or ...
$114K - $136K/yr
This role supports key clinical pharmacy programs, including Drug Utilization Review (DUR), Drug ... contracts) based on medical necessity criteria, and coordinates with internal stakeholders or ...
$114K - $136K/yr
This role supports key clinical pharmacy programs, including Drug Utilization Review (DUR), Drug ... contracts) based on medical necessity criteria, and coordinates with internal stakeholders or ...
Atlanta, GA · On-site
... contracts and regulatory guidelines Develop comprehensive audit rationales supported by clinical ... utilization review determinations Excellent written communication skills with the ability to ...
Atlanta, GA · On-site
... contracts and regulatory guidelines Develop comprehensive audit rationales supported by clinical ... utilization review determinations Excellent written communication skills with the ability to ...
Atlanta, GA · On-site
Reviews the utilization reports with the Supervisor to assure appropriateness of reviews and makes adjustments based on findings. Remains knowledgeable of contract benefits and current, relevant ...
Atlanta, GA · On-site
Reviews the utilization reports with the Supervisor to assure appropriateness of reviews and makes adjustments based on findings. Remains knowledgeable of contract benefits and current, relevant ...
Reviews the utilization reports with the Supervisor to assure appropriateness of reviews and makes adjustments based on findings. Remains knowledgeable of contract benefits and current, relevant ...
Reviews the utilization reports with the Supervisor to assure appropriateness of reviews and makes adjustments based on findings. Remains knowledgeable of contract benefits and current, relevant ...
... utilization management, clinical variation reduction, technology assessment, contract optimization ... Coordinate clinical review, stakeholder feedback, product trials, decision-making, and ...
... utilization management, clinical variation reduction, technology assessment, contract optimization ... Coordinate clinical review, stakeholder feedback, product trials, decision-making, and ...
Atlanta, GA · On-site
... contract. * Performs accurate data entry of clinical review and decision information into Prior ... Utilization Review Services. * Performs other tasks and duties as assigned. Knowledge, skills ...
Quick apply
Atlanta, GA · On-site
... contract. * Performs accurate data entry of clinical review and decision information into Prior ... Utilization Review Services. * Performs other tasks and duties as assigned. Knowledge, skills ...
Optimize enterprise contract portfolio through effective utilization of GPO agreements, local ... Conduct supplier business reviews and performance evaluations. * Evaluate supplier innovation and ...
Optimize enterprise contract portfolio through effective utilization of GPO agreements, local ... Conduct supplier business reviews and performance evaluations. * Evaluate supplier innovation and ...
$20.89 - $25.11
2% of jobs
$25.11 - $29.34
9% of jobs
$32.23 is the 25th percentile. Wages below this are outliers.
$29.34 - $33.56
21% of jobs
The median wage is $36.98 / hr.
$33.56 - $37.79
23% of jobs
$37.79 - $42.01
13% of jobs
$45.30 is the 75th percentile. Wages above this are outliers.
$42.01 - $46.24
10% of jobs
$46.24 - $50.46
8% of jobs
$50.46 - $54.68
5% of jobs
$54.68 - $58.91
5% of jobs
$58.91 - $63.13
2% of jobs
$63.13 - $67.36
2% of jobs
$20
$41
$67
A Contract Utilization Review job involves analyzing and evaluating the usage of contracts to ensure compliance, cost-effectiveness, and efficiency. Professionals in this role review contract terms, monitor vendor performance, and assess utilization data to optimize contract value. They may work in industries such as healthcare, government, or procurement, ensuring that agreements are being properly executed. The goal is to identify areas for improvement, reduce waste, and enhance operational efficiency.
A typical day in Contract Utilization Review involves reviewing patient medical records, ensuring adherence to payer contracts and regulatory standards, and communicating with healthcare providers to validate medical necessity of services. Professionals in this role often collaborate with clinical staff, case managers, and insurance representatives to resolve discrepancies or authorization issues. The work is detail-oriented and deadline-driven, making organizational skills vital. This dynamic position offers significant opportunities to learn more about healthcare regulations and may serve as a stepping stone toward more advanced roles in healthcare administration or compliance.
To thrive in Contract Utilization Review, you need a solid understanding of medical terminology, insurance policies, and contract compliance, often supported by a healthcare-related degree or certification in utilization management. Familiarity with utilization review software, electronic medical records (EMR), and knowledge of regulatory standards such as CMS guidelines is essential. Strong analytical thinking, attention to detail, and effective communication skills are crucial for collaborating with care teams and insurers. These abilities ensure reviews are accurate, contracts are properly administered, and patient care meets organizational and payer requirements.
The most popular types of Utilization Review jobs in Decatur, GA are:
For Contract Utilization Review jobs in Decatur, GA, the most frequently searched job titles are:
The top searched job categories for Contract Utilization Review jobs in Decatur, GA are:
Cities near Decatur, GA with the most Contract Utilization Review job openings:
Atlanta, GA • On-site
$1.5K - $1.6K/wk
Contractor
Medical, Dental, Vision
Posted 4 days ago
GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Atlanta, Georgia.
Job Description & RequirementsContract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Atlanta, Georgia
Start Date: October 5, 2026
Profession: Registered Nurse (RN)
Facility: Short Term Acute Care
Estimated Pay: $1546.05 - $1641.05
Duration:11 weeks
Specialty:Case Management/Utilization Review
Shift: Day
Shift Details: null Day
Job Type: Travel
*Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.
Benefits:
GQR Healthcare Job ID #852354. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse (RN)
About GQR HealthcareGQR’s Healthcare team specializes in connecting experts within the industry to highly skilled healthcare professionals across the US market.
In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives. Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality.
Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.
Sourced by ZipRecruiter
Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality. Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.
Recruiting and staffing services
201 - 500 Employees
Austin, TX, US
2019
