Review Nurse-PA/UM
Atlanta, GA ยท On-site
The Review Nurse conducts prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members for the team's defined review types while meeting and exceeding contract ...
Quick apply
Atlanta, GA ยท On-site
The Review Nurse conducts prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members for the team's defined review types while meeting and exceeding contract ...
Quick apply
Atlanta, GA ยท On-site
The Review Nurse conducts prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members for the team's defined review types while meeting and exceeding contract ...
Atlanta, GA ยท On-site
The Review Nurse conducts prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members for the team's defined review types while meeting and exceeding contract ...
Atlanta, GA ยท On-site
The Review Nurse conducts prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members for the team's defined review types while meeting and exceeding contract ...
Atlanta, GA ยท On-site
Hybrid Review Nurse Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", may be ...
New
Atlanta, GA ยท On-site
Hybrid Review Nurse Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", may be ...
New
Atlanta, GA ยท On-site
$3.0K - $3.1K/wk
Utilization Review Shift: 09:30 AM to 08:00 PM 13 weeks contract Description: * Utilization Review RN - Target Review * Health Plan Insurance (no acute care) * BLS (AHA) * RN state license Company ...
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Atlanta, GA ยท On-site
$3.0K - $3.1K/wk
Utilization Review Shift: 09:30 AM to 08:00 PM 13 weeks contract Description: * Utilization Review RN - Target Review * Health Plan Insurance (no acute care) * BLS (AHA) * RN state license Company ...
Augusta, GA ยท On-site
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Augusta, GA ยท On-site
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Atlanta, GA ยท On-site
$36.63 - $48.85/hr
Analyzes quality and statistical data for the assigned property under review. Develops a summary of collateral and communicate to the customer for the lending decision. Basic Qualifications - High ...
Atlanta, GA ยท On-site
$36.63 - $48.85/hr
Analyzes quality and statistical data for the assigned property under review. Develops a summary of collateral and communicate to the customer for the lending decision. Basic Qualifications - High ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Augusta, GA ยท On-site
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Augusta, GA ยท On-site
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Atlanta, GA ยท On-site
$2.7K/wk
Details Client Name Kaiser Permanente - Georgia Regional Offices Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37796653 Job Title RN - Utilization Review Weekly ...
Atlanta, GA ยท On-site
$2.7K/wk
Details Client Name Kaiser Permanente - Georgia Regional Offices Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 37796653 Job Title RN - Utilization Review Weekly ...
Augusta, GA ยท On-site
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Augusta, GA ยท On-site
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Augusta, GA ยท On-site
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Augusta, GA ยท On-site
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Atlanta, GA ยท On-site +1
$60/hr
Mandarin Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Familiarity with document review workflows Examples: Privilege ...
Atlanta, GA ยท On-site +1
$60/hr
Mandarin Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Familiarity with document review workflows Examples: Privilege ...
Atlanta, GA ยท On-site +1
$60/hr
Mandarin Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Familiarity with document review workflows Examples: Privilege ...
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Atlanta, GA ยท On-site +1
$60/hr
Mandarin Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Familiarity with document review workflows Examples: Privilege ...
Atlanta, GA ยท On-site
$75K - $78K/yr
The scope of work consists of a desk review and does not include an opinion of value and there is no confirmation of data. All communications, including uploading and downloading of reports, occurs ...
Quick apply
Atlanta, GA ยท On-site
$75K - $78K/yr
The scope of work consists of a desk review and does not include an opinion of value and there is no confirmation of data. All communications, including uploading and downloading of reports, occurs ...
Oversees Clinical Review Specialist as indicated. Maintains necessary documentation and communication with internal and external customers. This role is PRN and requires (6) 8-hour days per month ...
Oversees Clinical Review Specialist as indicated. Maintains necessary documentation and communication with internal and external customers. This role is PRN and requires (6) 8-hour days per month ...
The Utilization Review (UR) Coordinator collaborates with a multidisciplinary team, including physicians, nurses, patient access staff, billing personnel, and external payers, to ensure patients ...
The Utilization Review (UR) Coordinator collaborates with a multidisciplinary team, including physicians, nurses, patient access staff, billing personnel, and external payers, to ensure patients ...
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours ...
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours ...
Oversees Clinical Review Specialist as indicated. Maintains necessary documentation and communication with internal and external customers. This role is PRN and requires (6) 8-hour days per month ...
Oversees Clinical Review Specialist as indicated. Maintains necessary documentation and communication with internal and external customers. This role is PRN and requires (6) 8-hour days per month ...
Utilization Review * Discipline: RN * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel UR RN Will complete Utilization review and case ...
Utilization Review * Discipline: RN * Start Date: 08/31/2026 * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel UR RN Will complete Utilization review and case ...
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Requirements: Active RN license (State License required) BLS ...
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Requirements: Active RN license (State License required) BLS ...
$8.98 - $12.72
13% of jobs
$15.47 is the 25th percentile. Wages below this are outliers.
$12.72 - $16.46
17% of jobs
$16.46 - $20.20
15% of jobs
The median wage is $21.67 / hr.
$20.20 - $23.94
15% of jobs
$23.94 - $27.68
14% of jobs
$28.38 is the 75th percentile. Wages above this are outliers.
$27.68 - $31.42
13% of jobs
$31.42 - $35.16
6% of jobs
$35.16 - $38.90
4% of jobs
$38.90 - $42.64
2% of jobs
$42.64 - $46.38
1% of jobs
$46.38 - $50.12
1% of jobs
$8
$25
$50
| Aspect | Review | Quality Assurance Specialist |
|---|---|---|
| Primary Role | Evaluate and provide feedback on content, products, or services | Develop and implement testing processes to ensure product quality |
| Required Skills | Attention to detail, communication, analytical skills | Testing techniques, problem-solving, process improvement |
| Work Environment | Office, remote, or client sites | Office, lab, or production environments |
| Certifications | Not always required, but certifications like Content Review or Editing may help | Quality assurance certifications such as ASQ CQE or ISTQB |
While both roles focus on quality, a Review primarily assesses content or products for accuracy and clarity, providing feedback for improvement. A Quality Assurance Specialist develops testing protocols and ensures products meet quality standards through systematic testing. Understanding these differences helps job seekers identify the right career path or job opportunity in quality-related fields.
The most popular types of Review jobs in Georgia are:
Cities in Georgia with the most Review job openings:

Full-time
Medical, Dental, Life, Retirement, PTO
Re-posted 10 days ago
Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", may be the place for you!
Alliant is recruiting a Hybrid Review Nurse for its Prior Authorization and Utilization Management (PA/UM) team. The Review Nurse conducts prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members for the team’s defined review types while meeting and exceeding contract expectations. The primary responsibilities of the Nurse Reviewers are listed below.
In this position, the ideal candidate will:
Knowledge, skills and abilities required for this position include:
Education, experience and training required and preferred for the position are below:
Required:
Preferred:
Alliant knows that people thrive when they feel supported, so we offer work/life balance, competitive benefits including medical, dental life, disability, paid-time off, retirement with match and contribution, disability, employee assistance program, parental leave, and other well-being resources. If interested, click the apply icon above to apply.
Alliant Health Group and subsidiaries, dba Alliant Health Solutions ("the Company) is an Equal Opportunity Employer and Drug Free Workplace. In compliance with the American's with Disability Act (ADA) and Amendments Act (ADAAA), all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, gender identity, national origin, disability or veteran status. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, please let us know. Likewise, if you are limited in the ability to access or use this online application process and need an alternative method for applying, we will determine an alternative method for you to apply. Please contact 678-527-3000.
Sourced by ZipRecruiter
Health care and social assistance
51 - 200 Employees
Atlanta, GA, US
1970