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Utilization Management Jobs in Stockbridge, GA (NOW HIRING)

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 (Must be willing to work weekends and holidays) Location: Virtual: This role enables associates to work ...

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

Acadia Healthcare

Utilization Specialist

Riverdale, GA · On-site

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.

Wellstar Health System

UM Manager-Onsite

Marietta, GA · On-site

Wellstar Utilization Management Leadership Opportunity 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 ...

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All JobsUtilization Management JobsUtilization Management Jobs in Stockbridge, GA

Utilization Management information

See Stockbridge, GA salary details

$33.3K

$76.3K

$139K

How much do utilization management jobs pay per year?

As of Sep 4, 2026, the average yearly pay for utilization management in Stockbridge, GA is $76,308.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,000.00 and $89,100.00 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 the most commonly searched types of Utilization Management jobs in Stockbridge, GA?

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

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

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

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

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

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

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

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Stockbridge, GA as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $76,308 per year, or $36.7 per hour.

Manager Utilization Management-Behavioral Health

Piedmont Healthcare Inc.

Atlanta, GA • On-site

Full-time

Re-posted 5 days ago

Piedmont Healthcare rating

7.1

Company rating: 7.1 out of 10

Based on 468 frontline employees who took The Breakroom Quiz

380th of 898 rated healthcare providers

Job description

Provide system-level leadership and operational oversight of the Behavioral Health Utilization Review (UR) and Utilization Management (UM) processes across two hospital campuses and multiple Behavioral Health programs, including inpatient, ED-based, and specialty BH services. Responsible for ensuring consistent, compliant, and effective UR operations that support appropriate level-of-care determination, medical necessity, denial prevention, and financial performance. Serves as a primary point of contact and collaborative partner with multiple system teams, including but not limited to Revenue Cycle, Case Management, Compliance, Finance, HIM, Epic, Physician Advisors, and Executive Leadership, to align utilization practices with regulatory, payer, and organizational expectations.
Education
  • Bachelors Degree in Nursing, Business Administration, Health Administration, Social Work, or a closely related field Required
Work Experience
  • 5 years of experience in Behavioral Health Utilization Management and Utilization Review processes using medical necessity criteria (InterQual and/or Milliman).

  • 2 years Experience requirement above, to include, 2 years of demonstrated leadership or management experience in a hospital, medical practice, or other healthcare setting Required

  • Experience working in a system-level or multi-site environment Preferred
Licenses and Certifications
  • RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required or

  • LPC-Licensed Professional Counselor Required or

  • LMSW - Licensed Medical Social Worker - State Licensure Required or

  • LCSW- License Clinical Social Worker Required or

  • Licensed Marriage and Family Therapist (LMFT) Required

  • IQCI Certification Required

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