Act as liaison between managed care organizations and the facility professional clinical staff ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Act as liaison between managed care organizations and the facility professional clinical staff ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Utilization Specialist
Valdosta, GA · On-site
Act as liaison between managed care organizations and the facility professional clinical staff ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Utilization Specialist
Valdosta, GA · On-site
Act as liaison between managed care organizations and the facility professional clinical staff ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Act as liaison between managed care organizations and the facility professional clinical staff ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Act as liaison between managed care organizations and the facility professional clinical staff ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Act as liaison between managed care organizations and the facility professional clinical staff ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Act as liaison between managed care organizations and the facility professional clinical staff ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Under the leadership of the Director of Case Management, the Case Manager Assistant will function as an active member of the CM/ Utilization Review team. In their role as the Case Manager Assistant ...
Quick apply
Under the leadership of the Director of Case Management, the Case Manager Assistant will function as an active member of the CM/ Utilization Review team. In their role as the Case Manager Assistant ...
Under the leadership of the Director of Case Management, the Case Manager Assistant will function as an active member of the CM/ Utilization Review team. In their role as the Case Manager Assistant ...
Under the leadership of the Director of Case Management, the Case Manager Assistant will function as an active member of the CM/ Utilization Review team. In their role as the Case Manager Assistant ...
Physician Advisor- Utilization Management & Clinical Documentation Integrity- ONSITE
Athens, GA · On-site
DRG assignment * Assist with case mix index (CMI) improvement initiatives * Review complex cases for documentation opportunities that accurately reflect patient acuity Utilization Management & Length ...
Physician Advisor- Utilization Management & Clinical Documentation Integrity- ONSITE
Athens, GA · On-site
DRG assignment * Assist with case mix index (CMI) improvement initiatives * Review complex cases for documentation opportunities that accurately reflect patient acuity Utilization Management & Length ...
Senior Pharmacist - Strategy
$56 - $67.25/hr
... Assist in the development and implementation of utilization management programs including but not limited to: prior authorization, dose and duration edits, quantity limits, step therapy edits ...
Senior Pharmacist - Strategy
$56 - $67.25/hr
... Assist in the development and implementation of utilization management programs including but not limited to: prior authorization, dose and duration edits, quantity limits, step therapy edits ...
Atlanta, GA - Medical Director (Behavioral Health) - Health Plan Position Purpose: Assist the VP of Clinical Programs to direct and coordinate the physician component of the utilization management ...
Atlanta, GA - Medical Director (Behavioral Health) - Health Plan Position Purpose: Assist the VP of Clinical Programs to direct and coordinate the physician component of the utilization management ...
(Hybrid Georgia) Supervisor, Care Management
Atlanta, GA · Hybrid
$140K/yr
Communicate assessment findings, care plan goals, interventions and outcomes to PCP, patients and caregivers in a timely manner * Assist in utilization management by reviewing patients risk factors ...
(Hybrid Georgia) Supervisor, Care Management
Atlanta, GA · Hybrid
$140K/yr
Communicate assessment findings, care plan goals, interventions and outcomes to PCP, patients and caregivers in a timely manner * Assist in utilization management by reviewing patients risk factors ...
(Hybrid Georgia) Supervisor, Care Management
Atlanta, GA · Hybrid
$140K/yr
Communicate assessment findings, care plan goals, interventions and outcomes to PCP, patients and caregivers in a timely manner * Assist in utilization management by reviewing patients risk factors ...
(Hybrid Georgia) Supervisor, Care Management
Atlanta, GA · Hybrid
$140K/yr
Communicate assessment findings, care plan goals, interventions and outcomes to PCP, patients and caregivers in a timely manner * Assist in utilization management by reviewing patients risk factors ...
... for utilization management while working in conjunction with the Senior Medical Director. May assist the Senior Medical Director in research activities/questions. Qualifications - Required and ...
... for utilization management while working in conjunction with the Senior Medical Director. May assist the Senior Medical Director in research activities/questions. Qualifications - Required and ...
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * On a requested basis, may ...
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * On a requested basis, may ...
... Assistant ... We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI ...
... Assistant ... We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI ...
Hospital Medicine Physician Assistant
Springfield, GA · On-site
$150K/yr
... Assistant ... We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI ...
Hospital Medicine Physician Assistant
Springfield, GA · On-site
$150K/yr
... Assistant ... We focus on utilization management (UM), compliance, and clinical documentation improvement (CDI ...
Clinical Care Navigator - Licensed Clinician - Remote US - Sat-Sun
Hinesville, GA · On-site +1
$64K - $102K/yr
... utilization management review and authorization of behavioral health (BH) and substance use disorder (SUD) services ranging from outpatient counseling to inpatient levels of care. May assist with ...
Clinical Care Navigator - Licensed Clinician - Remote US - Sat-Sun
Hinesville, GA · On-site +1
$64K - $102K/yr
... utilization management review and authorization of behavioral health (BH) and substance use disorder (SUD) services ranging from outpatient counseling to inpatient levels of care. May assist with ...
Clinical Care Navigator - Licensed Clinician - Remote US - PT Nights
Hinesville, GA · On-site +1
$64K - $102K/yr
... utilization management review and authorization of behavioral health (BH) and substance use disorder (SUD) services ranging from outpatient counseling to inpatient levels of care. May assist with ...
Clinical Care Navigator - Licensed Clinician - Remote US - PT Nights
Hinesville, GA · On-site +1
$64K - $102K/yr
... utilization management review and authorization of behavioral health (BH) and substance use disorder (SUD) services ranging from outpatient counseling to inpatient levels of care. May assist with ...
Assistant Manager
Atlanta, GA · On-site
$52K - $55K/hr
... utilization of parking resources. The Assistant Manager will act as a liaison between staff ... Operational Management * Assist in managing day-to-day parking operations, including staffing ...
Quick apply
Assistant Manager
Atlanta, GA · On-site
$52K - $55K/hr
... utilization of parking resources. The Assistant Manager will act as a liaison between staff ... Operational Management * Assist in managing day-to-day parking operations, including staffing ...
Assistant Manager
Atlanta, GA · On-site
$52K - $55K/yr
... utilization of parking resources. The Assistant Manager will act as a liaison between staff ... Operational Management * Assist in managing day-to-day parking operations, including staffing ...
Assistant Manager
Atlanta, GA · On-site
$52K - $55K/yr
... utilization of parking resources. The Assistant Manager will act as a liaison between staff ... Operational Management * Assist in managing day-to-day parking operations, including staffing ...
... utilization management review programs. The Manager will lead the nurse case management team to ... Ensures appropriate compliance with all legislation, corporate policies, and programs. * Assist ...
... utilization management review programs. The Manager will lead the nurse case management team to ... Ensures appropriate compliance with all legislation, corporate policies, and programs. * Assist ...
Utilization Management Assistant information
See Georgia salary details
$24.5K - $27.6K
1% of jobs
$27.6K - $30.7K
4% of jobs
$30.7K - $33.8K
7% of jobs
$35.9K is the 25th percentile. Wages below this are outliers.
$33.8K - $36.9K
18% of jobs
The median wage is $39.2K / yr.
$36.9K - $40K
27% of jobs
$42K is the 75th percentile. Wages above this are outliers.
$40K - $43.1K
28% of jobs
$43.1K - $46.2K
7% of jobs
$46.2K - $49.4K
3% of jobs
$49.4K - $52.5K
2% of jobs
$52.5K - $55.6K
1% of jobs
$55.6K - $58.7K
1% of jobs
$24.5K
$40.9K
$58.7K
How much do utilization management assistant jobs pay per year?
As of Jun 13, 2026, the average yearly pay for utilization management assistant in Georgia is $40,865.00, according to ZipRecruiter salary data. Most workers in this role earn between $35,500.00 and $41,000.00 per year, depending on experience, location, and employer.
Is being a MOA a good entry level job?
A Medical Office Assistant (MOA) role is often considered a good entry-level job in healthcare, as it provides foundational skills in administrative tasks, patient communication, and medical record management. It typically requires minimal prior experience and can serve as a stepping stone to more advanced healthcare positions or certifications.
What are the key skills and qualifications needed to thrive as a Utilization Management Assistant, and why are they important?
To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.
What jobs pay 2000 a day?
Jobs that can pay around $2,000 a day typically include specialized roles such as surgeons, anesthesiologists, corporate lawyers, or high-level consultants, often requiring advanced degrees, certifications, and significant experience. Freelance or contract work in fields like software development, project management, or executive consulting can also reach this level with the right client base and project scope.
What does a utilization review assistant do?
A utilization review assistant supports healthcare providers by reviewing patient cases to determine the necessity, appropriateness, and efficiency of medical services. They collect and analyze medical records, assist in coordinating care, and ensure compliance with insurance and healthcare policies, often using specialized software. This role requires attention to detail and knowledge of healthcare regulations.
What are some common challenges Utilization Management Assistants face when working with insurance pre-authorizations?
Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.
What is the highest paid assistant job?
Among assistant roles, executive assistants and administrative assistants with specialized skills or experience in industries like finance or law tend to have the highest salaries. Senior or executive assistants often earn higher wages, especially when supporting top executives and requiring advanced organizational or technical skills.
What is a Utilization Management Assistant?
A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.
What are the most commonly searched types of Utilization Management jobs in Georgia? The most popular types of Utilization Management jobs in Georgia are:
What cities in Georgia are hiring for Utilization Management Assistant jobs? Cities in Georgia with the most Utilization Management Assistant job openings:
Acadia Healthcare rating
6.2
Based on 185 frontline employees who took The Breakroom Quiz
692nd of 872 rated healthcare providers
Job description
PURPOSE STATEMENT:
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
ESSENTIAL FUNCTIONS:
- Act as liaison between managed care organizations and the facility professional clinical staff.
- Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
- Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
- Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
- Conduct quality reviews for medical necessity and services provided.
- Facilitate peer review calls between facility and external organizations.
- Initiate and complete the formal appeal process for denied admissions or continued stay.
- Assist the admissions department with pre-certifications of care.
- Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Required Education: High school diploma or equivalent.
- Preferred Education: Associate's, Bachelor's, or Master’s degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
- Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
- First aid may be required based on state or facility requirements.
ADDITIONAL REGULATORY REQUIREMENTS:
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
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About Acadia Healthcare
Sourced by ZipRecruiter
Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Franklin, TN, US
Year founded
2005