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Live In Cigna Utilization Review Nurse Jobs in Decatur, GA

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...

Clinical Review Nurse II (US)

Atlanta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical Review Nurse II Sign on Bonus: $3500. Anticipated Job Posting End Date: 08/14/2026 ... Medical management or Utilization Review experience is preferred. For candidates working in person ...

Clinical Review Nurse II (US)

Atlanta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical Review Nurse II Sign on Bonus: $3500. Anticipated Job Posting End Date: 08/14/2026 ... Medical management or Utilization Review experience is preferred. For candidates working in person ...

Clinical Review Nurse Lead

Atlanta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical Review Nurse Lead Virtual: This role enables associates to work virtually full-time, with ... Ensures consistency in benefit application. * May lead cross-functional teams, projects ...

Clinical Review Nurse Lead

Atlanta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical Review Nurse Lead Virtual: This role enables associates to work virtually full-time, with ... Ensures consistency in benefit application. * May lead cross-functional teams, projects ...

Clinical Review Nurse Lead

Atlanta, GA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical Review Nurse Lead Clinical Review Nurse Lead Virtual: This role enables associates to work ... Ensures consistency in benefit application. * May lead cross-functional teams, projects ...

LIVE IN CAREGIVER CNA, HHA, PCA

GA · On-site

$54K - $63K/yr

FCP Live-In is hiring for Live-In Caregiver positions throughout Massachusetts, Connecticut, Rhode ... You are a certified CNA, HHA, PCA and have experience working with the elderly. Successful ...

Showing results 41-60

Live In Cigna Utilization Review Nurse information

See Decatur, GA salary details

$20

$41

$67

How much do live in cigna utilization review nurse jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for live in cigna utilization review nurse in Decatur, GA is $41.28, according to ZipRecruiter salary data. Most workers in this role earn between $32.64 and $47.40 per hour, depending on experience, location, and employer.

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Cities near Decatur, GA with the most Live In Cigna Utilization Review Nurse job openings:

Infographic showing various Live In Cigna Utilization Review Nurse job openings in Decatur, GA as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $85,865 per year, or $41.3 per hour.

Utilization Specialist

Acadia Healthcare

Riverdale, GA • On-site

Full-time

Re-posted 15 hours ago


Acadia Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

699th of 888 rated healthcare providers


Job description

PURPOSE STATEMENT: 

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.  


ESSENTIAL FUNCTIONS: 

  • Act as liaison between managed care organizations and the facility professional clinical staff. 
  • Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. 
  • Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.  
  • Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. 
  • Conduct quality reviews for medical necessity and services provided.   
  • Facilitate peer review calls between facility and external organizations.  
  • Initiate and complete the formal appeal process for denied admissions or continued stay.  
  • Assist the admissions department with pre-certifications of care.  
  • Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates. 

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

  • Required Education: High school diploma or equivalent. 
  • Preferred Education: Associate's, Bachelor's, or Master’s degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field. 
  • Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred 

LICENSES/DESIGNATIONS/CERTIFICATIONS:  

  • Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. 
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.   
  • First aid may be required based on state or facility requirements. 

 

ADDITIONAL REGULATORY REQUIREMENTS: 

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances


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About Acadia Healthcare

Sourced by ZipRecruiter

Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Franklin, TN, US

Year founded

2005

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