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Overnight Utilization Management Jobs (NOW HIRING)

HealthONE

Utilization Management Nurse

Dalton, GA · On-site

Job Title Utilization Management Nurse Job Purpose The Utilization Management Nurse performs ... Must be able to drive a vehicle and daytime/overnight travel as required. Benefits * 401K (4% Match ...

CareConnect

Utilization Review RN

Greenvale, NY · On-site

Responds to outstanding utilization management issues and inquiries made via overnight voicemail and /or emails. * Develops and maintains cooperative relationships with other parts of the ...

CareConnect

Utilization Review RN

Greenvale, NY

Responds to outstanding utilization management issues and inquiries made via overnight voicemail and /or emails. * Develops and maintains cooperative relationships with other parts of the ...

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How much do overnight utilization management jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for overnight utilization management in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.
What are the most commonly searched types of Utilization Management jobs? The most popular types of Utilization Management jobs are:
Overnight Utilization Management jobs near you
Utilization Management Nurse

Utilization Management Nurse

HealthONE

Dalton, GA • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Job Title

Utilization Management Nurse

Job Purpose

The Utilization Management Nurse performs comprehensive clinical reviews of requested services utilizing clinical criteria, received through various mechanisms.

Essential Job Duties
  • Initiate referrals to ensure appropriate coordination of care.
  • Seek the advice of the Medical Director when appropriate, according to policy.
  • Assists non-clinical staff in performance of administrative reviews.
  • Performing comprehensive provider and member appeals, denial interpretation for letters, retrospective claim review, special review requests, and UM pre-certifications and appeals, utilizing medical appropriateness criteria, clinical judgement, and contractual eligibility.
  • Regular and predictable attendance.
  • Consistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practice.
  • Works to encourage and promote Company culture throughout the organization.
  • Other duties as may be assigned
Qualifications
  • 3 years Clinical experience preferred
  • 1-2 years of Utilization Review preferred
  • Proficient in Microsoft Office (Outlook, Word, Excel)
  • Working knowledge of NCQA preferred
  • Must be able to work in an independent and creative manner.
  • Ability to manage multiple projects and priorities
  • Adaptive to high pace and changing environment
  • Customer service oriented
  • Proficient in interpreting benefits, contract language and medical policy/medical review criteria
  • Current, active Compact State license in Nursing (RN).
Physical Requirements

Prolonged periods of sitting at a desk and working on a computer. Moderate to significant amount of stress in meeting deadlines and dealing with day-to-day responsibilities. Must be able to drive a vehicle and daytime/overnight travel as required.

Benefits
  • 401K (4% Match, Immediate Vesting)
  • Accident insurance
  • Competitive salary
  • Critical Illness Insurance
  • Dental Insurance
  • Employee Assistance Program
  • Flexible Spending Account
  • Health & Wellness Program
  • Health Savings Account
  • Life & AD&D Insurance
  • Long Term Disability
  • Medical Insurance
  • Paid Time Off
  • Pet Insurance
  • Short Term Disability
  • Vision Insurance
Pre-Employment Screening

Drug Screen and Background Check Required

HealthOne Is An Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, disability, sex, age, ethnic or national origin, marital status, sexual orientation, gender identity or presentation, pregnancy, genetics, veteran status, or any other status protected by state or federal law.

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