... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Board-Certified Orthopedic Surgeon
East Point, GA · On-site
$137.76 - $275.52/hr
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Board-Certified Orthopedic Surgeon
East Point, GA · On-site
$137.76 - $275.52/hr
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
... peer review services, trusted by insurance carriers and organizations across the country for ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Inpatient Care Management Nurse - Remote
Atlanta, GA · Remote
$60K - $107K/yr
... in Utilization Review, either within an Acute Inpatient Hospital setting or within a health insurance company * Proficiency in computer skills - Windows, IM, Excel (Microsoft Suite), Outlook ...
Inpatient Care Management Nurse - Remote
Atlanta, GA · Remote
$60K - $107K/yr
... in Utilization Review, either within an Acute Inpatient Hospital setting or within a health insurance company * Proficiency in computer skills - Windows, IM, Excel (Microsoft Suite), Outlook ...
Inpatient Care Management Nurse RN - Remote
Atlanta, GA · Remote
$60K - $107K/yr
... in Utilization Review, either within an Acute Inpatient Hospital setting or within a health insurance company * Managed care experience * Experience performing discharge planning *All employees ...
New
Inpatient Care Management Nurse RN - Remote
Atlanta, GA · Remote
$60K - $107K/yr
... in Utilization Review, either within an Acute Inpatient Hospital setting or within a health insurance company * Managed care experience * Experience performing discharge planning *All employees ...
New
Utilization Management Department: * Verify insurance eligibility and submit notice of admission ... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission ... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission ... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission ... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission ... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission ... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission ... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission ... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ...
Case Management Authorization. Spec IP
Atlanta, GA · Remote
$24.12 - $29.39/hr
Utilization Management Department: * Verify insurance eligibility and submit notice of admission ... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ...
Case Management Authorization. Spec IP
Atlanta, GA · Remote
$24.12 - $29.39/hr
Utilization Management Department: * Verify insurance eligibility and submit notice of admission ... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ...
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance ... Acquisition and maintenance of Insurance License(s) may be required to comply with state ...
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance ... Acquisition and maintenance of Insurance License(s) may be required to comply with state ...
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance ... Acquisition and maintenance of Insurance License(s) may be required to comply with state ...
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance ... Acquisition and maintenance of Insurance License(s) may be required to comply with state ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission ... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission ... Cycle, Utilization Review Medical Directors, and other required departments. ADDITIONAL ...
Field Medical Director, Vascular Surgeon
Atlanta, GA · On-site
$130 - $140/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... insurance benefits) to qualifying employees. All compensation determinations are based on the ...
Field Medical Director, Vascular Surgeon
Atlanta, GA · On-site
$130 - $140/hr
... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance ... insurance benefits) to qualifying employees. All compensation determinations are based on the ...
Sr. Quality of Care Review Nurse
Atlanta, GA · Remote
$83K - $109K/yr
We're hiring a Sr. Quality of Care Review Nurse to join our Quality team. Oscar is the first health ... insurance experience a plus. * Experience with NCQA accreditation standards for utilization ...
Quick apply
Sr. Quality of Care Review Nurse
Atlanta, GA · Remote
$83K - $109K/yr
We're hiring a Sr. Quality of Care Review Nurse to join our Quality team. Oscar is the first health ... insurance experience a plus. * Experience with NCQA accreditation standards for utilization ...
Admissions RN - $10K Sign On
Norcross, GA · On-site
... utilization review processes to assure continuity for the most appropriate level of care for ... Perform insurance benefit verifications and secure initial pre-authorization for treatment and ...
Admissions RN - $10K Sign On
Norcross, GA · On-site
... utilization review processes to assure continuity for the most appropriate level of care for ... Perform insurance benefit verifications and secure initial pre-authorization for treatment and ...
... utilization review processes to assure continuity for the most appropriate level of care for ... Perform insurance benefit verifications and secure initial pre-authorization for treatment and ...
... utilization review processes to assure continuity for the most appropriate level of care for ... Perform insurance benefit verifications and secure initial pre-authorization for treatment and ...
Heavy Highway Construction Superintendent
Norcross, GA · On-site
$102K - $120K/yr
Benefits: * Dental insurance * Health insurance * Vision insurance * 401(k) Heavy Civil ... Monitor project costs, labor productivity, and equipment utilization. * Review plans ...
Quick apply
Heavy Highway Construction Superintendent
Norcross, GA · On-site
$102K - $120K/yr
Benefits: * Dental insurance * Health insurance * Vision insurance * 401(k) Heavy Civil ... Monitor project costs, labor productivity, and equipment utilization. * Review plans ...
Nurse Reviewer 1
Atlanta, GA · On-site
Conducts initial medical necessity review of exception preauthorization requests for services ... Familiarity with Utilization Management Guidelines, ICD-10 and CPT-4 coding, and managed health ...
Nurse Reviewer 1
Atlanta, GA · On-site
Conducts initial medical necessity review of exception preauthorization requests for services ... Familiarity with Utilization Management Guidelines, ICD-10 and CPT-4 coding, and managed health ...
Conducts initial medical necessity review of exception preauthorization requests for services ... Familiarity with Utilization Management Guidelines, ICD-10 and CPT-4 coding, and managed health ...
Conducts initial medical necessity review of exception preauthorization requests for services ... Familiarity with Utilization Management Guidelines, ICD-10 and CPT-4 coding, and managed health ...
Insurance Utilization Review information
See Atlanta, GA salary details
$20.57 - $24.74
2% of jobs
$24.74 - $28.90
9% of jobs
$31.74 is the 25th percentile. Wages below this are outliers.
$28.90 - $33.06
21% of jobs
The median wage is $36.43 / hr.
$33.06 - $37.22
23% of jobs
$37.22 - $41.38
13% of jobs
$44.62 is the 75th percentile. Wages above this are outliers.
$41.38 - $45.54
10% of jobs
$45.54 - $49.70
8% of jobs
$49.70 - $53.86
5% of jobs
$53.86 - $58.02
5% of jobs
$58.02 - $62.18
2% of jobs
$62.18 - $66.35
2% of jobs
$20
$40
$66
How much do insurance utilization review jobs pay per hour?
As of Aug 9, 2026, the average hourly pay for insurance utilization review in Atlanta, GA is $40.66, according to ZipRecruiter salary data. Most workers in this role earn between $32.12 and $46.68 per hour, depending on experience, location, and employer.
What are the most common challenges faced by insurance utilization review professionals?
One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.
What are the key skills and qualifications needed to thrive in insurance utilization review?
To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.
What is an insurance utilization review?
An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.
What are the most commonly searched types of Insurance Utilization Review jobs in Atlanta, GA? The most popular types of Insurance Utilization Review jobs in Atlanta, GA are:
What are popular job titles related to Insurance Utilization Review jobs in Atlanta, GA? For Insurance Utilization Review jobs in Atlanta, GA, the most frequently searched job titles are:
- Utilization Review Nurse
- Utilization Management
- Behavioral Health Utilization Review
- Home Based Utilization Review Nurse
- Temporary Utilization Review Nurse
- Remote Utilization Review Nurse
- Flex Schedule Remote Utilization Review Nurse
- Contract Utilization Review Nurse
- Night Shift Remote Utilization Review Nurse
- Remote Utilization Review Rn
What job categories do people searching Insurance Utilization Review jobs in Atlanta, GA look for? The top searched job categories for Insurance Utilization Review jobs in Atlanta, GA are:
- Nurse Practitioner Utilization Review
- Weekend Utilization Review
- Authorization Utilization Review Bcba
- Dental Utilization Review
- Remote Navihealth Utilization Review
- Therapy Utilization Review
- Online Utilization Review
- Remote Insurance Utilization Review
- Remote Weekend Utilization Review
- Remote International Utilization Review Nurse
Full-time
Re-posted 27 days ago
Job description
Dane Street is expanding our physician panel! We are seeking a skilled and board-certified Orthopedic Surgeon in East Point, GA to join our team for Independent Medical Examinations (IMEs). This role offers flexible scheduling, allowing you to select or decline assignments based on your availability. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.
Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations.
Key Responsibilities:
Requirements
Benefits
If you are a dedicated Orthopedic Surgeon looking for a flexible opportunity to apply your expertise in an IME capacity, we encourage you to apply.
Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations.
Key Responsibilities:
- Thorough review of Medical Records
- Perform in-person evaluations of patients with orthopedic issues
- Respond to clinical queries to support claims management
- Deliver detailed IME reports within an expected turnaround time of 5 days
Requirements
- Board-certification required.
- Previous experience in performing IMEs is preferred.
- Strong analytical skills and excellent communication abilities are a plus
Benefits
- Robust opportunity for supplemental income
- Schedule flexibility and predictable work hours-conduct exams and reviews based on your schedule availability
- No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions.
- Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
- Expanded credentials as an expert in Independent Medical Exams
- Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal
If you are a dedicated Orthopedic Surgeon looking for a flexible opportunity to apply your expertise in an IME capacity, we encourage you to apply.
About Dane Street
Sourced by ZipRecruiter
Company size
51 - 200 Employees
Headquarters location
Boston, MA, US
Year founded
2008