ZipRecruiter

Log In

2

No Experience Utilization Management Nurse Jobs in Decatur, GA

Lancesoft INC

Utilization Review RN

Atlanta, GA · On-site

$3.0K - $3.1K/wk

Health Plan Insurance (no acute care) * BLS (AHA) * RN state license Company Description LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global ...

Oscar Health

Utilization Review Nurse

Atlanta, GA · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...

Alliant Health Group

Review Nurse-PA/UM

Atlanta, GA · On-site

Alliant is recruiting a Hybrid Review Nurse for its Prior Authorization and Utilization Management ... Computer literate, experience with MS Windows products * Ability to type 30-50 words per minute

previous pagenext page

Showing results 21-40

All JobsUtilization Management Nurse JobsNo Experience Utilization Management Nurse JobsNo Experience Utilization Management Nurse Jobs in Decatur, GA

No Experience Utilization Management Nurse information

See Decatur, GA salary details

$38.1K

$87.4K

$159.1K

How much do no experience utilization management nurse jobs pay per year?

As of Aug 21, 2026, the average yearly pay for no experience utilization management nurse in Decatur, GA is $87,365.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,000.00 and $102,000.00 per year, depending on experience, location, and employer.

What is a no experience utilization management nurse?

A No Experience Utilization Management Nurse job is an entry-level role for registered nurses (RNs) transitioning into utilization management without prior experience in the field. These nurses review medical records, evaluate the necessity of treatments, and coordinate care to ensure patients receive appropriate services while managing healthcare costs. They typically work for insurance companies, hospitals, or healthcare organizations, often in remote or office-based settings. Training and mentorship are usually provided to help new nurses develop the required skills for the role.

What are the key skills and qualifications needed to thrive as a no experience utilization management nurse?

To thrive as a No Experience Utilization Management Nurse, you generally need a current RN license, a strong understanding of clinical nursing concepts, and a willingness to learn about healthcare review processes. Familiarity with electronic health records (EHRs), utilization management software, and standard coding systems like ICD-10 is advantageous, though training is often provided for entry-level candidates. Attention to detail, critical thinking, strong organizational skills, and clear communication are important soft skills in this field. These qualifications ensure you can accurately review patient cases, coordinate effectively with healthcare teams, and make appropriate coverage determinations based on clinical criteria.

What types of training and support can I expect as a no experience utilization management nurse?

As a No Experience Utilization Management Nurse, you'll typically receive comprehensive onboarding and training focused on utilization review protocols, clinical documentation requirements, and the use of review software tools. Many employers pair new nurses with mentors or experienced team members to guide you through the early learning curve and help you get comfortable with non-bedside aspects of nursing. Regular team meetings and ongoing education opportunities are common, allowing you to build expertise in reviewing medical necessity, insurance guidelines, and collaboration with physicians and case managers. This supportive environment is designed to help you confidently transition into the field and grow your skills in utilization management nursing.

What are the most commonly searched types of Utilization Management Nurse jobs in Decatur, GA?

The most popular types of Utilization Management Nurse jobs in Decatur, GA are:

What are popular job titles related to No Experience Utilization Management Nurse jobs in Decatur, GA?

For No Experience Utilization Management Nurse jobs in Decatur, GA, the most frequently searched job titles are:

What job categories do people searching No Experience Utilization Management Nurse jobs in Decatur, GA look for?

The top searched job categories for No Experience Utilization Management Nurse jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for No Experience Utilization Management Nurse jobs?

Cities near Decatur, GA with the most No Experience Utilization Management Nurse job openings:

No Experience Utilization Management Nurse jobs near you
Infographic showing various No Experience Utilization Management Nurse job openings in Decatur, GA 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 $87,365 per year, or $42 per hour.

Utilization Specialist

RiverWoods Behavioral Health

Riverdale, GA • On-site

Part-time

Re-posted 5 days ago

Job description

Overview

PURPOSE STATEMENT: 

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

Responsibilities

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. 
Qualifications

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  (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

Employment Type: PART_TIME

Apply