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Utilization Management Jobs in Lithonia, GA (NOW HIRING)

Elevance Health

Utilization Management Rep I

Atlanta, GA · On-site

$15.96 - $18/hr

Utilization Management Representative I Shift: Monday-Friday (Must be willing to work weekends and holidays) Location: Virtual: This role enables associates to work virtually full-time, except for ...

Elevance Health

Utilization Management Rep I

Atlanta, GA · On-site

$15.96 - $18/hr

Utilization Management Rep I Utilization Management Representative I Shift: Monday-Friday Location: Virtual: This role enables associates to work virtually full-time, except for required in-person ...

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All JobsUtilization Management JobsUtilization Management Jobs in Lithonia, GA

Utilization Management information

See Lithonia, GA salary details

$35.6K

$81.7K

$148.8K

How much do utilization management jobs pay per year?

As of Aug 24, 2026, the average yearly pay for utilization management in Lithonia, GA is $81,694.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,900.00 and $95,400.00 per year, depending on experience, location, and employer.

What is utilization management?

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 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 key skills and qualifications needed to thrive in utilization management, 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 degree is needed for utilization management?

Utilization management professionals typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Some roles may require a master's degree or professional certifications such as Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Experience in healthcare settings and knowledge of medical terminology and insurance processes are also important.

What are popular job titles related to Utilization Management jobs in Lithonia, GA?

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

What job categories do people searching Utilization Management jobs in Lithonia, GA look for?

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

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

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

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Lithonia, GA as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 24% Part Time, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $81,694 per year, or $39.3 per hour.

Utilization Management Coordinator

VEST MONROE LLC

Monroe, GA • On-site

$25 - $28/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago

Job description

JOIN OUR TEAM AS A FULL-TIME UTILIZATION MANAGEMENT COORDINATOR!
Your Work MattersHow will you make a difference?
Are you an empathetic and dedicated professional seeking to positively impact the mental well-being of individuals? Your opportunity awaits at Ridgeview Institute Monroe!
As a Utilization Management Coordinator, you'll be an integral part of our treatment team, providing continuous care, supervision, and positive role modeling to patients across various age groups from adolescent to geriatrics. Working under the guidance of a Utilization Management Coordinator, you'll contribute to creating a therapeutic environment that fosters patient support and well-being.
If you are passionate about mental health care and ready to make a meaningful difference in the lives of patients, join us at Ridgeview Institute Monroe. Here you will be a crucial member of our dynamic and compassionate healthcare team, where your dedication as a Utilization Management Coordinator (UM) will positively impact the overall treatment experience for our diverse patient population.
  1. Review the treatment plan and advocate for additional services as indicated.
  2. Promote effective use of resources for patients.
  3. Ensure that patient rights are upheld.
  4. Maintain ongoing contact with the attending physician, program manager, nurse manager, and various members of the team.
  5. Collaborate with the treatment team regarding continued stay and discharge planning issues.
  6. Advocate that the patient is placed in the appropriate level of care and program.
  7. Interface with program staff to facilitate a smooth transition at the time of transfer or discharge.
  8. Maintain documentation related to case management activities.
  9. Assure tracking of insurance reviews, and that reviews are completed in a timely manner.
  10. Maintain statistical reports and prepare documentation of significant findings.

Your Experience Matters What we're looking for:
  • Education: Bachelor's or Master's degree from an accredited college or university in social work, mental health, nursing, or related degree preferred.
  • Experience: A minimum of two (2) years' experience in a healthcare setting or managed care company, with experience in patient assessment, treatment planning, utilization management, and/or case management.

Your Care MattersWhat we provide for our team:
  • 401(k) + matching
  • Health insurance
  • 100% company-paid life insurance coverage up to 2x your annual salary
  • Vision insurance
  • Dental insurance
  • 100% company-paid short and long term disability insurance
  • Paid time off
  • Paid Holidays
  • Employee engagement events
  • Employee assistance program
  • Employee recognition program
  • Free parking

Disclaimer: Benefits are subject to change at the discretion of Ridgeview Institute Monroe.
Compensation:
This is a full-time role and the expected compensation range for this role is $25.00 - $28.00 hourly. We're eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Utilization Management Coordinator!
Get to know us Outstanding Care, Compassionate People, Unparalleled Service
Welcome to Ridgeview Institute Monroe (RIM), a leading mental health care hospital in Monroe, GA, dedicated to setting the standard for excellence in psychiatric treatment since 2017. Our hospital offers a full continuum of care, including specialized programs for adolescents, adults, and older adults, including a specialized women's program. We are committed to providing evidence-based treatment approaches to assist our patients in achieving their treatment goals.
At Ridgeview Institute Monroe, we believe in the power of community and collaboration. Our team works closely with the community to build an efficient, comprehensive, and seamless continuum of care. We take pride in offering dynamic, challenging, and highly rewarding positions that will positively impact you and those in our care. You'll have the opportunity to work closely with a team of experts, ensuring our patients receive personalized services that guide them towards achieving their treatment goals.
Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Ridgeview Institute Monroe.
To learn more about Ridgeview Institute Monroe, visit us at: https://ridgeviewinstitute.com/monroe/
TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.
Individuals Maintaining Positive Attitude and Commitment To Service
At Ridgeview Institute Monroe, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

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