ZipRecruiter

Log In

1

Rn Utilization Management Jobs in Georgia (NOW HIRING)

HealthONE

Utilization Management Nurse

Dalton, GA · On-site

Job Title Utilization Management Nurse The Utilization Management Nurse performs comprehensive ... Current, active Compact State license in Nursing (RN) Physical Requirements Prolonged periods of ...

next page

Showing results 1-20

All JobsRn Utilization Management JobsRn Utilization Management Jobs in Georgia

Rn Utilization Management information

See Georgia salary details

$32.9K

$75.6K

$137.6K

How much do rn utilization management jobs pay per year?

As of Aug 22, 2026, the average yearly pay for rn utilization management in Georgia is $75,558.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,500.00 and $88,200.00 per year, depending on experience, location, and employer.

What is an RN Utilization Management?

RN Utilization Management nurses are registered nurses who specialize in reviewing healthcare services to ensure patients receive appropriate and cost-effective care. They evaluate the necessity, efficiency, and quality of medical treatments and procedures, often working with insurance companies, hospitals, or healthcare organizations. Their responsibilities include reviewing patient records, coordinating with clinical staff, making coverage recommendations, and ensuring compliance with healthcare regulations. This role helps manage healthcare costs while maintaining high standards of patient care.

What skills and qualifications are needed to thrive as an RN Utilization Management?

To thrive as an RN Utilization Management Nurse, you need a current RN license, strong clinical assessment skills, and experience in care coordination or case management. Familiarity with utilization review tools, electronic health records, and knowledge of insurance guidelines or InterQual/MCG criteria are typically required. Exceptional communication, critical thinking, and negotiation skills help facilitate collaboration among providers, payers, and patients. These abilities are crucial for ensuring appropriate resource use, compliance with regulations, and optimal patient outcomes.

How does an RN Utilization Management typically collaborate with physicians and other healthcare team members?

RN Utilization Management professionals work closely with physicians, case managers, and insurance representatives to ensure patients receive appropriate, high-quality care while managing healthcare costs. They review patient records, communicate clinical findings, and may participate in interdisciplinary meetings to discuss care plans and discharge needs. Building strong relationships and maintaining open lines of communication with the care team is essential for timely authorizations and effective care coordination. This collaborative approach helps optimize patient outcomes and resource utilization.

What is the difference between Rn Utilization Management vs Rn Case Management?

AspectRn Utilization ManagementRn Case Management
CertificationsRN license, possibly certifications in utilization reviewRN license, case management certification often preferred
Work EnvironmentUtilization review departments, insurance companies, hospitalsCommunity clinics, hospitals, insurance companies
Primary FocusReviewing medical necessity and appropriateness of servicesCoordinating patient care and discharge planning

Both roles require an RN license, but Rn Utilization Management focuses on reviewing the necessity of services, while Rn Case Management emphasizes coordinating patient care. Understanding these differences helps professionals choose the right career path and employers.

How to get into utilization management as an RN?

To become an RN in utilization management, gain experience as a registered nurse, often in case management or clinical roles, and obtain knowledge of healthcare policies and insurance processes. Certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) can enhance prospects. Strong communication skills and familiarity with electronic health records (EHR) systems are also beneficial.

What are popular job titles related to Rn Utilization Management jobs in Georgia?

For Rn Utilization Management jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Rn Utilization Management jobs in Georgia look for?

The top searched job categories for Rn Utilization Management jobs in Georgia are:

What cities in Georgia are hiring for Rn Utilization Management jobs?

Cities in Georgia with the most Rn Utilization Management job openings:

Rn Utilization Management jobs near you
Infographic showing various Rn Utilization Management job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 13% Part Time, 7% Contract, and 3% Nights. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $75,558 per year, or $36.3 per hour.

Lead RN Utilization Management

Kaiser Permanente

Atlanta, GA • On-site

$44.14 - $56.66/hr

Other

Re-posted 5 days ago

Job description

Description:
Job Summary:
Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Lead RN coordinates activities of the interdisciplinary team and monitors departmental throughput to ensure the delivery of high quality, safe, effective, and efficient care. Serves as a subject matter expert and resource for clinical teams on departmental processes and workflows. Demonstrates sound decision-making and the ability to be self-directed. Manages patient assignments and changes in schedule, as needed. 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 department and acts as a resource for the healthcare team, providers, and ancillary departments.
  • Acts independently to manage multiple scheduling tasks and assignments.
  • Evaluates emergency situations and leads the nursing response to clinical emergencies.
  • Phishes the schedule daily (2-3 days in advance) for proactive planning.
  • Conducts daily equipment checks and ensures that quality controls are completed.
  • Continuous rounding within the department to ensure patient throughput and flow, assisting as needed.
  • Ensures clear communication with the healthcare team, providers, and management team using multiple avenues, including email, teams chat, and huddles.
  • Responds to inquiries from patients, providers, healthcare team, and internal/external customers and supports resolution.
  • Participates in departmental Quality Assurance activities and supports compliance with regulatory procedures and standards.
  • Serves as a preceptor, resource, and mentor for new members of the healthcare team and nursing students.
  • Participates in departmental orientation, training, and competency validation of new staff (after completion of validator training).
  • Provide at least one (1) training in-service each year.
  • May perform other duties as assigned.
Basic Qualifications:
Experience
  • Minimum two (2) years of current RN clinical experience.
  • Minimum two (2) years of clinical experience in area of specialty.
Education
  • Associates degree in nursing.
  • High School Diploma or General Education Development (GED) required.
License, Certification, Registration
  • Registered Professional Nurse License (Georgia) required at hire
  • Basic Life Support required at hire
Additional Requirements:
  • N/A
Preferred Qualifications:
  • Specialty Certification at time of hire or within 1 (one) year.
  • Bachelors (BSN) degree.

Primary Location: Georgia,Atlanta,Regional Office - 9 Piedmont
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Sun, Mon, Tue, Wed, Thu, Fri, Sat
Working Hours Start: 08:30 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Onsite
Employee Status: Regular
Employee Group/Union Affiliation: GUP|UFCW|Local 1996
Job Level: Individual Contributor
Department: Regional Office - 9 Piedmont - Utilization Management - 2808
Pay Range: $44.14 - $56.66 / hour Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: No
On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

Apply