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Hca Utilization Review Jobs in Georgia (NOW HIRING)

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Hca Utilization Review information

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$18

$35

$58

How much do hca utilization review jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for hca utilization review in Georgia is $35.70, according to ZipRecruiter salary data. Most workers in this role earn between $28.22 and $41.01 per hour, depending on experience, location, and employer.

What is an HCA Utilization Review?

An HCA Utilization Review job involves evaluating medical services to ensure they are necessary, cost-effective, and meet quality standards. Professionals in this role review patient records, coordinate with healthcare providers, and ensure treatments align with insurance guidelines and hospital policies. They play a key role in optimizing resource utilization, preventing unnecessary procedures, and ensuring compliance with regulations. Strong analytical skills and knowledge of medical terminology are essential for success in this position.

What does an HCA Utilization Review do?

In HCA Utilization Review, your day usually involves reviewing patient medical records, assessing the necessity and appropriateness of proposed treatments, and communicating decisions to physicians and case managers. You may also participate in interdisciplinary meetings, liaise with insurance providers for authorization, and document your findings in healthcare management systems. The role is collaborative, requiring you to interact with diverse medical and administrative teams to align patient care with policy guidelines. This blend of independent evaluation and team collaboration makes each day varied and impactful for patient outcomes.

What are the key skills and qualifications needed for an HCA Utilization Review?

To thrive as a HCA Utilization Review professional, you need a solid foundation in medical terminology, clinical assessment, and insurance guidelines, often supported by a healthcare-related degree or nursing license. Familiarity with utilization review software, electronic health records (EHR) systems, and certifications like CCM (Certified Case Manager) are highly beneficial. Excellent analytical thinking, attention to detail, and strong communication skills help you effectively evaluate patient records and collaborate with providers. These competencies are key to ensuring appropriate care utilization, supporting cost-effective treatment decisions, and maintaining regulatory compliance.

What are the most commonly searched types of Hca Utilization Review jobs in Georgia?

The most popular types of Hca Utilization Review jobs in Georgia are:

Infographic showing various Hca Utilization Review job openings in Georgia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $74,260 per year, or $35.7 per hour.

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago


Memorial Health rating

7.0

Company rating: 7.0 out of 10

Based on 176 frontline employees who took The Breakroom Quiz

414th of 887 rated healthcare providers


Job description

This position is incentive eligible.

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Hospital Laboratory Director with Memorial Health University Medical Center you can be a part of an organization that is devoted to giving back!

Job Summary and Qualifications

  • Directs operations, programs and activities to meet organizational and regulatory requirements and to drive innovation.
  • Ensures adequate and qualified staffing for the department through timeliness and consistency of staff hiring, orientation, competency, training, performance feedback and performance management.
  • Develops and recognizes staff through coaching and regular feedback.
  • Serves as a role model for employee output and conduct.
  • Sets and executes department strategies to meet goals for service, quality, regulatory compliance, financial, patient satisfaction and personnel management.
  • Proactively and regularly seeks feedback and input from internal and external sources. Evaluates and incorporates feedback into the department improvement and planning process to improve care delivery.
  • Oversees the financial operation for the laboratory by monitoring resource utilization, identifying variances and opportunities, and adjusting as needed to meet service and fiscal goals. Prepares Monthly Operating Review report.
  • Assures compliance with standards set forth by accrediting agencies: CAP, JCAHO, CLIA, FDA and CMS. Develops and implements policies and procedures and verifies annual review of all policies and procedures.
  • Manages key vendor relationships and supply contracts in coordination with Laboratory Services and Supply Chain guidance.
  • Develops and implements a communication plan to ensure that department personnel are well informed. Fosters open communication by offering, encouraging, and accepting suggestions from staff regarding department operations
  • Directs and organizes operations through the appropriate, delegation of responsibilities and authority in accordance with regulatory guidelines. Monitors and evaluates the activities of the staff and provides management, coaching, guidance, delegation opportunities, and on-the-job training and re-training as necessary to ensure operational efficiency and adherence to policies and procedures

What qualifications you will need:

  • Baccalaureate Degree in Medical Technology, Biomedical Science, Biology or Chemistry required.
  • Master’s Degree preferred
  • National Certification as a Medical Technologist required.
  • 3 years or more of progressive laboratory management experience is required with complex laboratory operations, required.
  • Hospital clinical laboratory experience preferred
  • This role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations (unless a medical or religious exemption is approved).
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.

Integrated Regional Labs is a full service providerfor clinical laboratory and anatomic pathology services, providing hospitals, physicians, and clients withtimely diagnostic information for patient care. Our infrastructure includes a fullyautomated esoteric core laboratory in Fort Lauderdale, a histology and microbiology operation in Largo,Florida, and a network of hospital based rapid-response laboratories present in fourHCA Healthcare divisions within the state of Florida. Our core laboratories support more than250 acute and rehab hospitals, physician practices, surgery centers and commercialaccounts.

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 thedelivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Hospital Laboratory Director opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and 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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