Utilization Specialist
Riverdale, 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
Riverdale, 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
Riverdale, 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
Riverdale, 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 ...
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 ...
Utilization Review Specialist
Decatur, GA · On-site
Essential Duties, Tasks, and Responsibilities: • Serve as liaison between managed care ... Assist with enrolling clients in Patient Assistance Programs (PAPs) to support access to ...
Utilization Review Specialist
Decatur, GA · On-site
Essential Duties, Tasks, and Responsibilities: • Serve as liaison between managed care ... Assist with enrolling clients in Patient Assistance Programs (PAPs) to support access to ...
Serve as liaison between managed care organizations (MCOs) and clinical staff to ensure timely ... Assist with enrolling clients in Patient Assistance Programs (PAPs) to support access to ...
Serve as liaison between managed care organizations (MCOs) and clinical staff to ensure timely ... Assist with enrolling clients in Patient Assistance Programs (PAPs) to support access to ...
Serve as liaison between managed care organizations (MCOs) and clinical staff to ensure timely ... Assist with enrolling clients in Patient Assistance Programs (PAPs) to support access to ...
Serve as liaison between managed care organizations (MCOs) and clinical staff to ensure timely ... Assist with enrolling clients in Patient Assistance Programs (PAPs) to support access to ...
Utilization Review Specialist
Decatur, GA · On-site
Serve as liaison between managed care organizations (MCOs) and clinical staff to ensure timely ... * Assist with enrolling clients in Patient Assistance Programs (PAPs) to support access to ...
Utilization Review Specialist
Decatur, GA · On-site
Serve as liaison between managed care organizations (MCOs) and clinical staff to ensure timely ... * Assist with enrolling clients in Patient Assistance Programs (PAPs) to support access to ...
... as manage an active UR assignment/caseload. The UR RN Preceptor will be regarded as a clinical ... The UR RN Preceptor will assist with the development of both clinical and administrative skills by ...
... as manage an active UR assignment/caseload. The UR RN Preceptor will be regarded as a clinical ... The UR RN Preceptor will assist with the development of both clinical and administrative skills by ...
... as manage an active UR assignment/caseload. The UR RN Preceptor will be regarded as a clinical ... The UR RN Preceptor will assist with the development of both clinical and administrative skills by ...
... as manage an active UR assignment/caseload. The UR RN Preceptor will be regarded as a clinical ... The UR RN Preceptor will assist with the development of both clinical and administrative skills by ...
... as manage an active UR assignment/caseload. The UR RN Preceptor will be regarded as a clinical ... The UR RN Preceptor will assist with the development of both clinical and administrative skills by ...
... as manage an active UR assignment/caseload. The UR RN Preceptor will be regarded as a clinical ... The UR RN Preceptor will assist with the development of both clinical and administrative skills by ...
... as manage an active UR assignment/caseload. The UR RN Preceptor will be regarded as a clinical ... The UR RN Preceptor will assist with the development of both clinical and administrative skills by ...
... as manage an active UR assignment/caseload. The UR RN Preceptor will be regarded as a clinical ... The UR RN Preceptor will assist with the development of both clinical and administrative skills by ...
... as manage an active UR assignment/caseload. The UR RN Preceptor will be regarded as a clinical ... The UR RN Preceptor will assist with the development of both clinical and administrative skills by ...
... as manage an active UR assignment/caseload. The UR RN Preceptor will be regarded as a clinical ... The UR RN Preceptor will assist with the development of both clinical and administrative skills by ...
Clinical Utilization Review Nurse Preceptor / RN
$49.77 - $57.70/hr
... as manage an active UR assignment/caseload. The UR RN Preceptor will be regarded as a clinical ... The UR RN Preceptor will assist with the development of both clinical and administrative skills by ...
Clinical Utilization Review Nurse Preceptor / RN
$49.77 - $57.70/hr
... as manage an active UR assignment/caseload. The UR RN Preceptor will be regarded as a clinical ... The UR RN Preceptor will assist with the development of both clinical and administrative skills by ...
Personnel Management: * Serve as the primary point of contact for field employee personnel matters ... Track personnel utilization and workload distribution. * Assist with project startup and closeout ...
Personnel Management: * Serve as the primary point of contact for field employee personnel matters ... Track personnel utilization and workload distribution. * Assist with project startup and closeout ...
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 ...
Field Medical Director, Vascular Surgeon
Atlanta, GA · On-site
$130 - $140/hr
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 ...
Field Medical Director, Vascular Surgeon
Atlanta, GA · On-site
$130 - $140/hr
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 ...
Promote knowledge sharing and best practices across offices and practice groups. * Assist with the ... Experience with workforce planning, utilization management, workflow coordination, and performance ...
Promote knowledge sharing and best practices across offices and practice groups. * Assist with the ... Experience with workforce planning, utilization management, workflow coordination, and performance ...
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 ...
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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 Assistant information
See Hampton, GA salary details
$28.4K - $32K
1% of jobs
$32K - $35.6K
4% of jobs
$35.6K - $39.2K
7% of jobs
$41.6K is the 25th percentile. Wages below this are outliers.
$39.2K - $42.8K
18% of jobs
The median wage is $45.4K / yr.
$42.8K - $46.4K
27% of jobs
$48.7K is the 75th percentile. Wages above this are outliers.
$46.4K - $50K
28% of jobs
$50K - $53.6K
7% of jobs
$53.6K - $57.2K
3% of jobs
$57.2K - $60.8K
2% of jobs
$60.8K - $64.4K
1% of jobs
$64.4K - $68K
1% of jobs
$28.4K
$47.4K
$68K
How much do utilization management assistant jobs pay per year?
As of Aug 16, 2026, the average yearly pay for utilization management assistant in Hampton, GA is $47,379.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,100.00 and $47,500.00 per year, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a utilization management assistant?
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 skills do you need for utilization management assistant?
A utilization management assistant needs strong organizational skills, attention to detail, and knowledge of healthcare policies and insurance procedures. Good communication skills and proficiency with electronic health records (EHR) systems are also important for coordinating patient information and supporting case reviews.
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 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 cities near Hampton, GA are hiring for Utilization Management Assistant jobs?
Cities near Hampton, GA with the most Utilization Management Assistant job openings:
Acadia Healthcare rating
6.2
Based on 190 frontline employees who took The Breakroom Quiz
701st of 887 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
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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