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Utilization Manager Jobs in Suwanee, GA (NOW HIRING)

Lancesoft INC

Utilization Review RN

Atlanta, GA · On-site

$3.0K - $3.1K/wk

Utilization Review Shift: 09:30 AM to 08:00 PM 13 weeks contract Description: * Utilization Review RN - Target Review * Health Plan Insurance (no acute care) * BLS (AHA) * RN state license Company ...

Integrated Resources INC

Case Manager

Alpharetta, GA · Remote

$19.50 - $25.25/hr

Collects and analyzes utilization data. Assists with discharge planning and ambulatory follow up ... Knowledge of utilization management procedures, mental health and substance abuse community ...

Humana

Compliance UM Nurse (Wed - Sun)

Atlanta, GA · On-site

Become a part of our caring community The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent ...

Alliant Health Solutions

Review Nurse-PA/UM

Atlanta, GA · On-site

Alliant is recruiting a Hybrid Review Nurse for its Prior Authorization and Utilization Management (PA/UM) team. The Review Nurse conducts prior approval and precertification reviews for Georgia Fee ...

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Showing results 21-40

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Suwanee, GA

Utilization Manager information

See Suwanee, GA salary details

$36.3K

$84.7K

$155.9K

How much do utilization manager jobs pay per year?

As of Aug 11, 2026, the average yearly pay for utilization manager in Suwanee, GA is $84,710.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,400.00 and $101,900.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a utilization manager?

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What are some common challenges faced by utilization managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What is a utilization manager?

A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound in similar settings, often working under Utilization Managers

In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.

More about Utilization Manager jobs
What job categories do people searching Utilization Manager jobs in Suwanee, GA look for? The top searched job categories for Utilization Manager jobs in Suwanee, GA are:
What cities near Suwanee, GA are hiring for Utilization Manager jobs? Cities near Suwanee, GA with the most Utilization Manager job openings:
Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Suwanee, GA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $84,710 per year, or $40.7 per hour.

Travel Nurse RN - Utilization Review

Medlivo

Atlanta, GA • On-site

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 4 days ago

Job description

Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Description:
UR RN
Will complete Utilization review and case management and discharge planning will Need experience in MCG
EPIC Experience

Medlivo Job ID #KAISJP00253804. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

About Medlivo


Benefits
  • Dental benefits
  • Vision benefits
  • 401k retirement plan
  • Health Care FSA
  • Life insurance
  • Sick pay
  • Holiday Pay
  • Medical benefits

Apply