Atlanta, GA · On-site
$1.8K - $2.5K/wk
Utilization Review * Discipline: RN * Start Date: 09/14/2026 * Duration: 13 weeks * 40 hours per ... Industry experienced workforce management team * Licensure and certification reimbursement About ...
New
Atlanta, GA · On-site
$1.8K - $2.5K/wk
Utilization Review * Discipline: RN * Start Date: 09/14/2026 * Duration: 13 weeks * 40 hours per ... Industry experienced workforce management team * Licensure and certification reimbursement About ...
New
Atlanta, GA · On-site
$2.1K/wk
Utilization Review * Discipline: RN * Start Date: 09/14/2026 * Duration: 13 weeks * 40 hours per ... Industry experienced workforce management team * Licensure and certification reimbursement About ...
New
Atlanta, GA · On-site
$2.1K/wk
Utilization Review * Discipline: RN * Start Date: 09/14/2026 * Duration: 13 weeks * 40 hours per ... Industry experienced workforce management team * Licensure and certification reimbursement About ...
New
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 ...
Mableton, GA · On-site
... Utilization Management program; assumes responsibility for implementing standards of practice, evidenced based medical guidelines, departmental policies and procedures, and maintaining and guiding ...
New
Mableton, GA · On-site
... Utilization Management program; assumes responsibility for implementing standards of practice, evidenced based medical guidelines, departmental policies and procedures, and maintaining and guiding ...
New
Sandy Springs, GA · On-site
... Utilization Management program; assumes responsibility for implementing standards of practice, evidenced based medical guidelines, departmental policies and procedures, and maintaining and guiding ...
New
Sandy Springs, GA · On-site
... Utilization Management program; assumes responsibility for implementing standards of practice, evidenced based medical guidelines, departmental policies and procedures, and maintaining and guiding ...
New
Smyrna, GA · On-site
... Utilization Management program; assumes responsibility for implementing standards of practice, evidenced based medical guidelines, departmental policies and procedures, and maintaining and guiding ...
New
Smyrna, GA · On-site
... Utilization Management program; assumes responsibility for implementing standards of practice, evidenced based medical guidelines, departmental policies and procedures, and maintaining and guiding ...
New
Vinnings, GA · On-site
... Utilization Management program; assumes responsibility for implementing standards of practice, evidenced based medical guidelines, departmental policies and procedures, and maintaining and guiding ...
New
Vinnings, GA · On-site
... Utilization Management program; assumes responsibility for implementing standards of practice, evidenced based medical guidelines, departmental policies and procedures, and maintaining and guiding ...
New
Marietta, GA · On-site
Resource for Utilization Review within continuum of care.* Sustain professional competency; pursue clinical skill development and specialty certification.* Facilitate case management across the ...
Marietta, GA · On-site
Resource for Utilization Review within continuum of care.* Sustain professional competency; pursue clinical skill development and specialty certification.* Facilitate case management across the ...
Marietta, GA · On-site
... Utilization Management program; assumes responsibility for implementing standards of practice, evidenced based medical guidelines, departmental policies and procedures, and maintaining and guiding ...
Marietta, GA · On-site
... Utilization Management program; assumes responsibility for implementing standards of practice, evidenced based medical guidelines, departmental policies and procedures, and maintaining and guiding ...
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 ...
Atlanta, GA · On-site
Demonstrates competencies in case management and utilization review. * Facilitates effective use of hospital resources through coordination of long stay review and other capacity management processes.
Atlanta, GA · On-site
Demonstrates competencies in case management and utilization review. * Facilitates effective use of hospital resources through coordination of long stay review and other capacity management processes.
... Resource Utilization * Participates in interdisciplinary team meetings and Case Management ... responsibilities * Maintains accountability for acute inpatient Social Work functions How to Apply:
Quick apply
... Resource Utilization * Participates in interdisciplinary team meetings and Case Management ... responsibilities * Maintains accountability for acute inpatient Social Work functions How to Apply:
Establish category roadmaps that drive value, standardization, utilization management, and supplier optimization. * Collaborate with physicians, clinicians, value analysis teams, and operational ...
Establish category roadmaps that drive value, standardization, utilization management, and supplier optimization. * Collaborate with physicians, clinicians, value analysis teams, and operational ...
Decatur, GA · On-site
Description The Utilization Review Specialist coordinates insurance authorizations for individual ... Serve as liaison between managed care organizations (MCOs) and clinical staff to ensure timely ...
Decatur, GA · On-site
Description The Utilization Review Specialist coordinates insurance authorizations for individual ... Serve as liaison between managed care organizations (MCOs) and clinical staff to ensure timely ...
Decatur, GA · On-site
Essential Duties, Tasks, and Responsibilities: • Serve as liaison between managed care ... utilization reviews, determinations, and communications in the electronic medical record (EMR ...
Decatur, GA · On-site
Essential Duties, Tasks, and Responsibilities: • Serve as liaison between managed care ... utilization reviews, determinations, and communications in the electronic medical record (EMR ...
Decatur, GA · On-site
The Utilization Review Specialist coordinates insurance authorizations for individual therapy and ... Serve as liaison between managed care organizations (MCOs) and clinical staff to ensure timely ...
Quick apply
Decatur, GA · On-site
The Utilization Review Specialist coordinates insurance authorizations for individual therapy and ... Serve as liaison between managed care organizations (MCOs) and clinical staff to ensure timely ...
Decatur, GA · On-site
Description The Utilization Review Specialist coordinates insurance authorizations for individual ... Serve as liaison between managed care organizations (MCOs) and clinical staff to ensure timely ...
Decatur, GA · On-site
Description The Utilization Review Specialist coordinates insurance authorizations for individual ... Serve as liaison between managed care organizations (MCOs) and clinical staff to ensure timely ...
Active RN license (State License required) BLS Certification Recent Acute Care Case Management ... utilization review and discharge planning preferred Shift: Days | 8:30 AM - 5:00 PM | 40 hours/week ...
Active RN license (State License required) BLS Certification Recent Acute Care Case Management ... utilization review and discharge planning preferred Shift: Days | 8:30 AM - 5:00 PM | 40 hours/week ...
... utilization management, clinical variation reduction, technology assessment, contract optimization, and measurable improvements in cost, quality, outcomes, and operational performance. The Manager ...
... utilization management, clinical variation reduction, technology assessment, contract optimization, and measurable improvements in cost, quality, outcomes, and operational performance. The Manager ...
Vinnings, GA · On-site
$31.75 - $43/hr
This includes utilization management, patient advocacy, and monitoring quality indicators to demonstrate outcomes for the team resulting from the service provided. Collaborates with all team members ...
New
Vinnings, GA · On-site
$31.75 - $43/hr
This includes utilization management, patient advocacy, and monitoring quality indicators to demonstrate outcomes for the team resulting from the service provided. Collaborates with all team members ...
New
$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
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.
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.
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:
$1.8K - $2.5K/wk
Contractor
Medical, Dental, Vision, Life, Retirement
This job post has expired today. Applications are no longer accepted.
AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Atlanta, Georgia.
Job Description & RequirementsJob Description & Requirements
RN Case Manager Utilization Review (UR)
StartDate: 9/14/2026 Pay Rate: $1800.00 - $2500.00
POSITION SUMMARY Utilization Review (UR)
POSITION DUTIES Non-Core Continuum
Utilization Management experience needed
MINIMUM REQUIRED QUALIFICATIONS RN
PREFERRED QUALIFICATIONS Kaiser Experience Preferred
LENGTH OF ASSIGNMENT 13 weeks
SHIFT / HOURS PER WEEK 08:30 AM to 05:00 PM (40 hours); EOW
SYSTEMS EPIC
START DATE 09/14/26
Facility Location
With its alluring charm and energetic buzz, Atlanta beckons newcomers from near and far. Part Southern belle, part economic powerhouse, the capital of Georgia is a favorite destination for travel nurses in search of career-boosting assignments, while the city’s numerous entertainment options and warm Southern hospitality make it a great place to call home.
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:
AMN Healthcare Revenue Cycle Job ID #3571557. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager Utilization Review (UR)
About AMN Healthcare Revenue CycleAMN 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.
