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Utilization Management Nurse Jobs in Decatur, GA

WellStar Health System

UM Nurse (RN)

Marietta, GA · On-site

Wellstar Utilization Management Nurse How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor ...

Wellstar Health System

UM Nurse (RN)

Marietta, GA · On-site

The Utilization Management (UM) Nurse is responsible for conducting medical necessity reviews up to 12 hours per day, on any of the 7 days per week, utilizing Indicia for Case Management, and ...

WellStar Health System

UM Nurse RN-Onsite

Marietta, GA · On-site

Hospital Utilization Management (UM) Nurse How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and ...

Wellstar Health System

UM Nurse RN-Onsite

Marietta, GA · On-site

As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between the clinical floor and administrative compliance. Unlike remote roles, this position relies heavily on real ...

Acadia Healthcare

Utilization Specialist

Riverdale, GA · On-site

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 ...

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All JobsUtilization Management Nurse JobsUtilization Management Nurse Jobs in Decatur, GA

Utilization Management Nurse information

See Decatur, GA salary details

$38.1K

$87.4K

$159.1K

How much do utilization management nurse jobs pay per year?

As of Sep 9, 2026, the average yearly pay for utilization management nurse in Decatur, GA is $87,365.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,000.00 and $102,000.00 per year, depending on experience, location, and employer.

What is a utilization management nurse?

A Utilization Management Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients. They review medical records and treatment plans to ensure that care meets established guidelines and is cost-effective. Utilization Management Nurses work with healthcare providers, insurance companies, and patients to coordinate care and prevent unnecessary procedures or hospitalizations. Their goal is to support high-quality patient care while managing healthcare costs.

What does a utilization management nurse do?

A utilization management nurse ensures that healthcare services are administered appropriately. Their job responsibilities include working in a hospital, health practice, or other clinical setting reviewing patient clinical records, drafting clinical appeals, and overseeing staff members. The qualifications for a utilization management nurse include a nursing degree and a registered nursing license. Most people in this job also have career experience in case management and utilization review.

What are the key skills and qualifications needed to thrive as a utilization management nurse?

To thrive as a Utilization Management Nurse, you need a registered nursing license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical management software, InterQual or Milliman guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, communication, and negotiation skills help you coordinate with providers and advocate for patients. These competencies ensure appropriate resource use, compliance with regulations, and optimal patient outcomes.

What are some common challenges a utilization management nurse faces when coordinating care between providers and insurance companies?

A Utilization Management Nurse often navigates the challenge of balancing patient advocacy with insurance guidelines, ensuring that care recommendations meet both clinical standards and payer requirements. Communicating complex medical information to both providers and insurance representatives can be demanding, especially when there are disagreements about coverage or medical necessity. Additionally, staying updated on changing policies and maintaining thorough documentation under tight deadlines are frequent aspects of the role. Strong collaboration skills and attention to detail are essential for success in this position.

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

AspectUtilization Management NurseCase Manager
CredentialsRN license, certifications in utilization reviewRN license, case management certification often preferred
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, community health agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of servicesCoordinating patient care and discharge planning

Utilization Management Nurses primarily focus on reviewing medical necessity and approving healthcare services, while Case Managers coordinate patient care and facilitate discharge planning. Both roles require RN licensure and work within healthcare or insurance settings, but their core responsibilities differ in scope and focus.

More about Utilization Management Nurse jobs

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The most popular types of Utilization Management Nurse jobs in Decatur, GA are:

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For Utilization Management Nurse jobs in Decatur, GA, the most frequently searched job titles are:

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The top searched job categories for Utilization Management Nurse jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Utilization Management Nurse jobs?

Cities near Decatur, GA with the most Utilization Management Nurse job openings:

Utilization Management Nurse jobs near you
Infographic showing various Utilization Management Nurse job openings in Decatur, GA as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $87,365 per year, or $42 per hour.

Travel RN Utilization Management

Marietta, GA • On-site

AMN Healthcare Revenue Cycle
See more jobs at AMN Healthcare Revenue Cycleexternal

$1.8K - $2.5K/wk

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 14 days ago

Job description

AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Marietta, Georgia.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 09/21/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

Job Description & Requirements
RN Utilization Management
StartDate: 9/21/2026 Pay Rate: $1800.00 - $2500.00

POSITION SUMMARY – RN Utilization Management

POSITION DUTIES – Primary link between the clinical floor and administrative compliance. Relies heavily on real-time, face-to-face interaction with doctors, patients, and interdisciplinary teams to optimize hospital resources. Responsible for performing admission and concurrent medical record reviews to ensure patients are in the correct Patient Class (e.g., Inpatient vs. Outpatient with Observation). Directly influence the hospital's throughput, length of stay, and reimbursement accuracy.

MINIMUM REQUIRED QUALIFICATIONS –

  • GA/compact RN license
  • Associates or Diploma in Nursing (from an accredited college or university)
  • AHA BLS
  • 3+ years strong clinical knowledge with clinical practice/experience
  • Knowledgeable about case management process and about utilizing screening criteria in review of clinical data and identifying variance
  • Epic experience

PREFERRED QUALIFICATIONS – Bachelors degree in Nursing

LENGTH OF ASSIGNMENT – 13 weeks

SHIFT / HOURS PER WEEK – Dayshift, 40hrs/wk

SYSTEMS – Epic

START DATE – ASAP


Facility Location
Marietta, GA is a community of about 60,000 residents located just northwest of Atlanta. Healthcare is the community’s top employer here, and a number of university and community colleges are offered. You’ll also find a weekly farmers market and numerous cultural and public events in the historic downtown town square, which is also the home of Theatre in the Square. The city’s many museums include the Marietta Gone with the Wind Museum, also called "Scarlett on the Square."
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.

AMN Healthcare Revenue Cycle Job ID #3568309. 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 Utilization Management

About AMN Healthcare Revenue Cycle

AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

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

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