Norcross, GA · On-site
$32.25 - $43.50/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Norcross, GA · On-site
$32.25 - $43.50/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Union City, GA · On-site
$32.75 - $44.50/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Union City, GA · On-site
$32.75 - $44.50/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Chamblee, GA · On-site
$33.25 - $45.25/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Chamblee, GA · On-site
$33.25 - $45.25/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Atlanta, GA · On-site
$32.75 - $44.25/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Atlanta, GA · On-site
$32.75 - $44.25/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Fairburn, GA · On-site
$32.75 - $44.50/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Fairburn, GA · On-site
$32.75 - $44.50/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Avondale Estates, GA · On-site
$33.25 - $45/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Avondale Estates, GA · On-site
$33.25 - $45/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
East Point, GA · On-site
$32.75 - $44.25/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
East Point, GA · On-site
$32.75 - $44.25/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Forest Park, GA · On-site
$32.75 - $44.50/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Forest Park, GA · On-site
$32.75 - $44.50/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Sandy Springs, GA · On-site
$33.75 - $45.75/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Sandy Springs, GA · On-site
$33.75 - $45.75/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Atlanta, GA · On-site
$44.14/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Atlanta, GA · On-site
$44.14/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Smyrna, GA · On-site
$33.25 - $45/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Smyrna, GA · On-site
$33.25 - $45/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Decatur, GA · On-site
$33.25 - $45/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Decatur, GA · On-site
$33.25 - $45/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Lithonia, GA · On-site
$31 - $42/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Lithonia, GA · On-site
$31 - $42/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
College Park, GA · On-site
$32.75 - $44.25/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
College Park, GA · On-site
$32.75 - $44.25/hr
Manages patient assignments and changes in schedule, as needed. Addresses customer concerns or complaints in a timely manner and escalates to the manager, as needed. Essential Responsibilities:
Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...
Atlanta, GA · Remote
$24.12 - $29.39/hr
Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...
Atlanta, GA · Remote
$24.12 - $29.39/hr
Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...
Utilization Management Department: * Verify insurance eligibility and submit notice of admission (NOA) for inpatient and observation admissions to the identified primary and secondary insurances ...
Atlanta, GA · On-site
$32.75 - $44.25/hr
Lead RN Utilization Management Job Summary: Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Lead RN coordinates activities of ...
Atlanta, GA · On-site
$32.75 - $44.25/hr
Lead RN Utilization Management Job Summary: Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Lead RN coordinates activities of ...
Atlanta, GA · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ...
Atlanta, GA · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ...
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 ...
$33.3K - $42.9K
15% of jobs
$42.9K - $52.5K
8% of jobs
$53.9K is the 25th percentile. Wages below this are outliers.
$52.5K - $62.1K
15% of jobs
The median wage is $68.2K / yr.
$62.1K - $71.7K
20% of jobs
$71.7K - $81.3K
11% of jobs
$86.1K is the 75th percentile. Wages above this are outliers.
$81.3K - $90.9K
13% of jobs
$90.9K - $100.5K
5% of jobs
$100.5K - $110.2K
3% of jobs
$110.2K - $119.8K
4% of jobs
$119.8K - $129.4K
3% of jobs
$129.4K - $139K
3% of jobs
$33.3K
$76.3K
$139K
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.
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.
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.
The most popular types of Utilization Management jobs in Stockbridge, GA are:
For Utilization Management jobs in Stockbridge, GA, the most frequently searched job titles are:
The top searched job categories for Utilization Management jobs in Stockbridge, GA are:
Cities near Stockbridge, GA with the most Utilization Management job openings:
$32.25 - $43.50/hr
Full-time
This job post has expired 3 days ago. Applications are no longer accepted.
