ZipRecruiter

Log In

1

Utilization Management Jobs in Georgia (NOW HIRING)

LCMC Health

Your job is more than a job The Director, System Utilization Management (UM) provides strategic and operational leadership for utilization review, and resource management functions across the health ...

next page

Showing results 1-20

All JobsUtilization Management JobsUtilization Management Jobs in Georgia

Utilization Management information

See Georgia salary details

$32.9K

$75.6K

$137.6K

How much do utilization management jobs pay per year?

As of Jun 14, 2026, the average yearly pay for 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 jobs pay 4000 a week without a degree?

Utilization Management roles typically require healthcare or insurance industry knowledge and often a relevant certification rather than a degree. High-paying jobs that can reach $4,000 a week without a degree include sales positions, real estate brokers, commercial pilots, or skilled trades like electricians and plumbers, especially with experience and certifications. These roles often involve commission, bonuses, or overtime to achieve such earnings.

What jobs pay $2000 a day?

Jobs that can pay $2000 a day typically include specialized roles such as senior management, high-level consultants, certain medical specialists, and experienced legal professionals. These positions often require advanced skills, extensive experience, and sometimes certifications, and they may involve freelance or contract work with high hourly or project-based rates.

What are the key skills and qualifications needed to thrive in the Utilization Management position, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What is a Utilization Management job?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What is the least stressful healthcare job?

Utilization management roles are often considered less stressful compared to direct patient care jobs because they involve reviewing medical necessity and insurance claims rather than providing hands-on treatment. These positions typically have regular hours, less physical demand, and focus on administrative tasks, making them a lower-stress option within healthcare. However, stress levels can vary based on workplace environment and individual preferences.

What does utilization management do?

Utilization management is a healthcare job that involves reviewing and approving or denying medical services to ensure they are necessary and appropriate. It helps control healthcare costs and maintains quality by evaluating treatment plans, often using guidelines and data analysis. Professionals in this role typically work with insurance companies, healthcare providers, and use tools like medical records and clinical criteria.

What are the typical daily responsibilities of a Utilization Management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

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 are popular job titles related to Utilization Management jobs in Georgia? For Utilization Management jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Georgia look for? The top searched job categories for Utilization Management jobs in Georgia are:
What cities in Georgia are hiring for Utilization Management jobs? Cities in Georgia with the most Utilization Management job openings:
Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Georgia as of June 2026, with employment types broken down into 82% Full Time, 14% Part Time, and 4% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $75,558 per year, or $36.3 per hour.
Director, Utilization Management

Director, Utilization Management

Emory Healthcare

Atlanta, GA • On-site

Full-time

Posted 22 days ago

Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 210 frontline employees who took The Breakroom Quiz

159th of 872 rated healthcare providers

Job description

Overview
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
  • Comprehensive health benefits that start day 1
  • Student Loan Repayment Assistance & Reimbursement Programs
  • Family-focused benefits
  • Wellness incentives
  • Ongoing mentorship, development, and leadership programs
  • And more

Work Location: Atlanta, GA
Description
The Director of Utilization Management plays a pivotal role in our healthcare system by overseeing and optimizing the utilization of resources and services across our organization.
Utilization management includes, but is not limited to, analyzing entrance into care environments from multiple perspectives including payors, healthcare system, patient/family, and providers; ensuring appropriate and high quality care in the most appropriate setting and most appropriate cost; analyzing the effectiveness of treatment before, during and after care delivery; and, developing relationships with and educating payors, healthcare executives, patients and families, and providers.
This position is responsible for developing and implementing utilization management strategies that align with our commitment to high quality and safe care, outstanding patient experience, cost-effectiveness, and regulatory compliance.
Strategic Planning:
  • Develop and execute utilization management strategies that align with the organization's mission, vision, and values
  • Collaborate with senior leadership to establish short-term and long-term objectives

Team Leadership:
  • Lead and manage a team of utilization management professionals, including nurses, case managers, and analysts, to ensure efficient and effective utilization of resources

Utilization Review:
  • Implement systemwide utilization review processes and policies to assess the appropriateness of healthcare services, medical treatments, and length of stay
  • Make recommendations for adjustments as needed

Quality and Process Improvement:
  • Collaborate with the Office of Quality to continuously improve care delivery processes and outcomes
  • Ensure adherence to quality standards and regulations

Operational Efficiency:
  • Develop and monitor utilization management programs that control internal and external costs without compromising the quality of care, making data-driven decisions to reduce unnecessary resource utilization

Data Analysis:
  • Utilize data and analytics to identify trends, opportunities for improvement, and areas where resource utilization can be optimized
  • Educate direct reports in utilization of data and analytics to drive performance improvement
  • Regularly report findings and recommendations to the executive team

Regulatory Compliance:
  • Stay informed about healthcare regulations and reimbursement policies, ensuring that the organization complies with all relevant laws and guidelines
  • Ensure that each direct report is aware of these and practices the same

Interdepartmental Collaboration:
  • Foster effective communication and collaboration with various departments, including medical staff, finance, nursing, and administration, to ensure seamless utilization management

Education and Training:
  • Provide training and education to staff members regarding utilization management processes, policies, and best practices

Reporting: Prepare and present regular reports to senior leadership on utilization management initiatives, outcomes, and performance indicators
Required Minimum Qualifications:
  • Masters degree in healthcare management, nursing, or a related field
  • Valid healthcare administration license or certification (e.g., Registered Nurse, Certified Professional in Healthcare Management)
  • Proven leadership experience in utilization management or a related field within the healthcare industry
  • In-depth knowledge of healthcare regulations, insurance, and reimbursement policies
  • Strong analytical, problem-solving, and data-driven decision-making skills
  • Excellent interpersonal, communication, and presentation skills
  • Ability to lead, motivate, and develop a high-performing team
  • Strong project management, process improvement, and organizational skills

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

What Emory Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply