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Rn Utilization Management Jobs in Georgia (NOW HIRING)

Medlivo

Travel Nurse RN - Med Surg

Atlanta, GA · On-site

$1.9K - $2.6K/wk

Travel Must-Have Requirements • Active Georgia RN license required. • Recent 2 years of Case Management experience required with Strong discharge planning and care coordination skills • ...

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 ...

UHS

Utilization Review Nurse (RN)

Augusta, GA

Under the direction of the Director of Utilization Management. Website: Job Duties ... Registered Nurse (RN) preferred or License Professional Nurse (LPN) * Current GA or Multistate ...

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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 Sep 4, 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.

Travel Nurse RN - Utilization Review

Medlivo

Atlanta, GA • On-site

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 27 days ago

Job description

Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Description:
UR RN
Will complete Utilization review and case management and discharge planning will Need experience in MCG
EPIC Experience

Medlivo Job ID #KAISJP00253804. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

About Medlivo


Benefits
  • Dental benefits
  • Vision benefits
  • 401k retirement plan
  • Health Care FSA
  • Life insurance
  • Sick pay
  • Holiday Pay
  • Medical benefits

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