... Resource Utilization * Participates in interdisciplinary team meetings and Case Management ... responsibilities * Maintains accountability for acute inpatient Social Work functions How to Apply:
Quick apply
... Resource Utilization * Participates in interdisciplinary team meetings and Case Management ... responsibilities * Maintains accountability for acute inpatient Social Work functions How to Apply:
Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...
Case Management Authorization. Spec IP
Atlanta, GA · Remote
$24.12 - $29.39/hr
Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...
Case Management Authorization. Spec IP
Atlanta, GA · Remote
$24.12 - $29.39/hr
Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...
Lead RN Utilization Management
Atlanta, GA · On-site
$44.14/hr
Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities: * Coordinates day-to-day patient care activities within the ...
Lead RN Utilization Management
Atlanta, GA · On-site
$44.14/hr
Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities: * Coordinates day-to-day patient care activities within the ...
Case Manager
Alpharetta, GA · Remote
$19.50 - $25.25/hr
Candidates need 2-3 years of Behavioral Health Experience, and 3-5 years of Utilization Management or Manager Care Experience. She is also looking for candidates with inpatient, outpatient, and ...
Case Manager
Alpharetta, GA · Remote
$19.50 - $25.25/hr
Candidates need 2-3 years of Behavioral Health Experience, and 3-5 years of Utilization Management or Manager Care Experience. She is also looking for candidates with inpatient, outpatient, and ...
Manager Case Management (RN)
Atlanta, GA · On-site
Demonstrates competencies in case management and utilization review. * Facilitates effective use of hospital resources through coordination of long stay review and other capacity management processes.
Manager Case Management (RN)
Atlanta, GA · On-site
Demonstrates competencies in case management and utilization review. * Facilitates effective use of hospital resources through coordination of long stay review and other capacity management processes.
Director of Clinical & Cost Containment, Employee Benefits
Atlanta, GA · On-site +1
$76K - $104K/yr
Evaluate and validate cost containment vendor solutions (Rx carve-outs, case management, utilization review, reference-based pricing, direct contracting) presented to clients * Provide clinical ...
Director of Clinical & Cost Containment, Employee Benefits
Atlanta, GA · On-site +1
$76K - $104K/yr
Evaluate and validate cost containment vendor solutions (Rx carve-outs, case management, utilization review, reference-based pricing, direct contracting) presented to clients * Provide clinical ...
Director of Clinical & Cost Containment, Employee Benefits
Atlanta, GA · Remote
$76K - $104K/yr
Evaluate and validate cost containment vendor solutions (Rx carve-outs, case management, utilization review, reference-based pricing, direct contracting) presented to clients * Provide clinical ...
Director of Clinical & Cost Containment, Employee Benefits
Atlanta, GA · Remote
$76K - $104K/yr
Evaluate and validate cost containment vendor solutions (Rx carve-outs, case management, utilization review, reference-based pricing, direct contracting) presented to clients * Provide clinical ...
Senior Director Clinical Quality and Policy
$78K - $106K/yr
This leader will be accountable for key clinical functions including Utilization Management, Clinical Review, and Clinical Quality, while also helping shape the organization's broader clinical ...
Senior Director Clinical Quality and Policy
$78K - $106K/yr
This leader will be accountable for key clinical functions including Utilization Management, Clinical Review, and Clinical Quality, while also helping shape the organization's broader clinical ...
Atlanta, GA - Medical Director (Behavioral Health) - Health Plan Position Purpose: Assist the VP of Clinical Programs to direct and coordinate the physician component of the utilization management ...
Atlanta, GA - Medical Director (Behavioral Health) - Health Plan Position Purpose: Assist the VP of Clinical Programs to direct and coordinate the physician component of the utilization management ...
CRM Specialist
Smyrna, GA · On-site
$22 - $25/hr
User adoption and CRM utilization rates.
Underwriting Quality Manager
Atlanta, GA · On-site
$104K - $114K/yr
Review underwriting quality, pricing compliance, portfolio management utilization, management controls and provide senior management with commentary on the overall underwriting, go-forward critical ...
Underwriting Quality Manager
Atlanta, GA · On-site
$104K - $114K/yr
Review underwriting quality, pricing compliance, portfolio management utilization, management controls and provide senior management with commentary on the overall underwriting, go-forward critical ...
Underwriting Quality Manager
Atlanta, GA · On-site
$104K - $114K/yr
Review underwriting quality, pricing compliance, portfolio management utilization, management controls and provide senior management with commentary on the overall underwriting, go-forward critical ...
Underwriting Quality Manager
Atlanta, GA · On-site
$104K - $114K/yr
Review underwriting quality, pricing compliance, portfolio management utilization, management controls and provide senior management with commentary on the overall underwriting, go-forward critical ...
Supports and facilitates the design, development and implementation of Utilization Management data collection methodologies and studies in the respective functional areas. Displays and analyzes data ...
Supports and facilitates the design, development and implementation of Utilization Management data collection methodologies and studies in the respective functional areas. Displays and analyzes data ...
Supports and facilitates the design, development and implementation of Utilization Management data collection methodologies and studies in the respective functional areas. Displays and analyzes data ...
Supports and facilitates the design, development and implementation of Utilization Management data collection methodologies and studies in the respective functional areas. Displays and analyzes data ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
Supports and facilitates the design, development and implementation of Utilization Management data collection methodologies and studies in the respective functional areas. Displays and analyzes data ...
Supports and facilitates the design, development and implementation of Utilization Management data collection methodologies and studies in the respective functional areas. Displays and analyzes data ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
Manager Utilization Management information
See Atlanta, GA salary details
$37.5K - $48.7K
9% of jobs
$57K is the 25th percentile. Wages below this are outliers.
$48.7K - $60K
22% of jobs
$60K - $71.2K
11% of jobs
The median wage is $78.1K / yr.
$71.2K - $82.4K
14% of jobs
$82.4K - $93.7K
12% of jobs
$100.7K is the 75th percentile. Wages above this are outliers.
$93.7K - $104.9K
13% of jobs
$104.9K - $116.1K
13% of jobs
$116.1K - $127.4K
5% of jobs
$127.4K - $138.6K
2% of jobs
$138.6K - $149.8K
0% of jobs
$149.8K - $161.1K
0% of jobs
$37.5K
$87.5K
$161.1K
How much do manager utilization management jobs pay per year?
As of Aug 6, 2026, the average yearly pay for manager utilization management in Atlanta, GA is $87,522.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,200.00 and $105,300.00 per year, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a manager utilization management?
To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.
What is the difference between Manager Utilization Management vs Utilization Review Nurse?
| Aspect | Manager Utilization Management | Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or utilization review certifications | RN, with certifications in utilization review or case management |
| Work Environment | Supervises teams, manages policies, oversees utilization review processes | Performs patient chart reviews, assesses medical necessity, collaborates with providers |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare organizations |
| Search & Comparison Intent | Yes | Yes |
While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.
What are some common challenges faced by a manager utilization management, and how can they effectively address them?
Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.
What does a manager utilization management do?
A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.
What are the most commonly searched types of Utilization Management jobs in Atlanta, GA? The most popular types of Utilization Management jobs in Atlanta, GA are:
What are popular job titles related to Manager Utilization Management jobs in Atlanta, GA? For Manager Utilization Management jobs in Atlanta, GA, the most frequently searched job titles are:
- Cvs Utilization Management Nurse
- Temporary Utilization Review Nurse
- Remote Telephonic Nurse
- Weekend Physician Advisor Utilization Review
- Online Health Information Management Faculty
- Registered Nurse No Weekends No Holidays
- Rn Case Management No Experience
- Telephonic Nurse Case Manager
- Nurse Case Management
- Rn Utilization Management
What job categories do people searching Manager Utilization Management jobs in Atlanta, GA look for? The top searched job categories for Manager Utilization Management jobs in Atlanta, GA are:
What cities near Atlanta, GA are hiring for Manager Utilization Management jobs? Cities near Atlanta, GA with the most Manager Utilization Management job openings:
Job description
RN Director of Case Management
Northern Georgia
The RN Director of Case Management serves as a subject matter expert in Case Management, demonstrating solid leadership, trust-building, team building, and Change Management abilities to drive departmental success and initiatives. The RN Director of Case Management has an executive presence, excellent communication and presentation skills, proven motivational leadership, and a strong record of delivering results and meeting goals. The RN Director manages daily operations, engages interdisciplinary teams and stakeholders, and is accountable for achieving clinical, service, and financial outcomes.
Qualifications:
- Registered Nurse (RN) with acute hospital nursing experience required
- Bachelor Degree in Nursing required
- Director of Case Management in an Acute Hospital Setting required
- Masters in Nursing (MSN) preferred
- Certification in Case Management (CCM/ACM) preferred within 2 years of hire
Responsibilities:
- Self-starter who manages multiple priorities, work independently on projects, adapt quickly to change
- Provides strategic leadership and operational oversight for all Case Management, Discharge Planning, Social Work, and Access Control functions
- Coordinates the development and implementation of standardized workflows and systems to support effective Care Coordination
- Collaborates with physicians, nursing leadership, and senior administration to optimize patient flow, reduce length of stay, and improve outcomes
- Ensures timely pre-certification for post-acute services and minimizes organizational financial risk
- Identifies opportunities for clinical process improvement and works with providers to implement clinical pathways
- Manages departmental budget, staffing, and performance to maximize productivity and efficiency
- Oversees data collection, analysis, and reporting of key performance indicators including avoidable days, LOS, and Resource Utilization
- Participates in interdisciplinary team meetings and Case Management responsibilities
- Maintains accountability for acute inpatient Social Work functions
How to Apply:
Interested candidates, please submit your resume to Michelle Boeckmann at Michelle@CMRecruiter.com.
Visit www.HealthcareRecruitmentPartners.com/Careers for full details and additional Case Management/Utilization Management opportunities. Feel free to share this information with colleagues who may be interested.
Contact Michelle Boeckmann | President, Case Management Recruitment
Direct: 615-465-0292 | Michelle@CMRecruiter.com
www.HealthcareRecruitmentPartners.com/Careers
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About Healthcare Recruitment Partners
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1 - 10 Employees
Headquarters location
Franklin, TN, US
Year founded
2016