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Utilization Case Manager Jobs in Newnan, GA (NOW HIRING)

Rehabilitation Hospital of Newnan

Case Manager

Tyrone, GA · On-site

$29.80 - $42.83/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

New

Rehabilitation Hospital of Newnan

Case Manager

Newnan, GA · On-site

$29.80 - $42.83/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

New

Encompass Health

Case Manager

Atlanta, GA · On-site

$19.25 - $24.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

Encompass Health Corporation

Case Manager

Newnan, GA · On-site

$18 - $23.25/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

Encompass Health

Case Manager

Newnan, GA · On-site

$18 - $23.25/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

Rehabilitation Hospital of Newnan

Case Manager

Senoia, GA · On-site

$29.80 - $42.83/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

New

Shepherd Center

PRN Case Manager

Atlanta, GA · On-site

$19.25 - $24.75/hr

Job Profile Summary The Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management ...

genex

Telephonic Nurse Case Manager

Atlanta, GA

Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services, and Case Management in a cooperative effort with other ...

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Utilization Case Manager information

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How much do utilization case manager jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for utilization case manager in Newnan, GA is $32.93, according to ZipRecruiter salary data. Most workers in this role earn between $26.68 and $34.71 per hour, depending on experience, location, and employer.

What is a utilization case manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

What are the key skills and qualifications needed to thrive as a utilization case manager?

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

How does a utilization case manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

What is the difference between Utilization Case Manager vs Utilization Review Nurse?

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What degree do I need for utilization case manager?

Utilization case managers typically need at least a bachelor's degree in healthcare, social work, nursing, or a related field. Some positions may prefer or require a master's degree or relevant certifications, such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ).

What job categories do people searching Utilization Case Manager jobs in Newnan, GA look for?

The top searched job categories for Utilization Case Manager jobs in Newnan, GA are:

What cities near Newnan, GA are hiring for Utilization Case Manager jobs?

Cities near Newnan, GA with the most Utilization Case Manager job openings:

Utilization Case Manager jobs near you

Travel Nurse RN - Case Manager, Utilization Review - $2,150 per week

Jonesboro, GA • On-site

AMN Healthcare Nursing
See more jobs at AMN Healthcare Nursingexternal

$2.1K/wk

Other

Medical, Dental, Vision, Life, Retirement

Posted 8 days ago

Job description

AMN Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Jonesboro, Georgia.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 09/14/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

Job Description & Requirements
RN Case Manager
StartDate: 9/14/2026 Pay Rate: $1800.00 - $2500.00
POSITION SUMMARY RN Case Manager
POSITION DUTIES Responsible for working collaboratively with physician partners to optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve care, developing a safe discharge plan to include recommending alternative levels and sites of care when appropriate. The activities will include daily review of hospital care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, social workers, members and providers, quality improvement reviews, and education of the member/family, provider and hospital staff. Achieves desired utilization and quality outcomes and promotes high customer satisfaction to the population served.
MINIMUM REQUIRED QUALIFICATIONS GA license; Basic Qualifications: • Minimum two (2) years of RN experience in patient care delivery or completion of Master's degree in Case Management Program in lieu of minimum years of experience.
PREFERRED QUALIFICATIONS • Minimum five (5) years of clinical nursing experience in a hospital setting. • Minimum five (5) years of professional practice experience in an acute care setting. • Minimum two (2) years of experience in utilization review, case management, and discharge planning preferred. • Bachelor's Degree in Nursing, Health Care or Master's degree in Case Management. • Complex Case Management Certification preferred.
LENGTH OF ASSIGNMENT 13 weeks
SHIFT / HOURS PER WEEK 8:00-5:00; EOW
SYSTEMS Epic
START DATE 9/14/26
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:

  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

American Mobile Healthcare Job ID #3566226. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager

About AMN Healthcare Nursing

AMN Healthcare is a leader in Nurse staffing. Our relationships with numerous healthcare facilities - including hospitals, home health agencies, and long-term care facilities - enable us to offer the most current travel nurse, local staffing, rapid response and crisis nurse jobs nationwide. We''re committed to finding you the best nursing job to fit your career goals. AMN Healthcare is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female applicants to apply.

Benefits
  • Company provided housing options
  • Medical benefits
  • Dental benefits
  • Continuing Education

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