The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Reviewing and making approval/denial determinations for all member transportation requests that are outside of the geographical mileage guidelines and reviewing requests to non-covered Medicaid ...
Quick apply
Reviewing and making approval/denial determinations for all member transportation requests that are outside of the geographical mileage guidelines and reviewing requests to non-covered Medicaid ...
RN Utilization Review (UR)
Atlanta, GA · On-site
$3.0K/wk
Travel Pay: $3058/weekly Local Pay: $70/hr on W2 Job Summary Performs utilization review to ensure appropriate level of care, medical necessity, and compliance with payer and regulatory guidelines.
RN Utilization Review (UR)
Atlanta, GA · On-site
$3.0K/wk
Travel Pay: $3058/weekly Local Pay: $70/hr on W2 Job Summary Performs utilization review to ensure appropriate level of care, medical necessity, and compliance with payer and regulatory guidelines.
Utilization Review Nurse (RN)
Augusta, GA · On-site
$60 - $80/hr
Utilization Review Nurse, RN Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
New
Utilization Review Nurse (RN)
Augusta, GA · On-site
$60 - $80/hr
Utilization Review Nurse, RN Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
New
Utilization Review Nurse (RN)
Augusta, GA · On-site
Utilization Review Nurse . Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
Utilization Review Nurse (RN)
Augusta, GA · On-site
Utilization Review Nurse . Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
Utilization Review Nurse (RN)
Augusta, GA · On-site
Utilization Review Nurse, RN Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
Utilization Review Nurse (RN)
Augusta, GA · On-site
Utilization Review Nurse, RN Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
Utilization Review Nurse (RN)
Augusta, GA · On-site
Utilization Review Nurse . Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
Utilization Review Nurse (RN)
Augusta, GA · On-site
Utilization Review Nurse . Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
Utilization Review Nurse (RN)
Augusta, GA · On-site
Utilization Review Nurse . Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
Utilization Review Nurse (RN)
Augusta, GA · On-site
Utilization Review Nurse . Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
Responsibilities Utilization Review (UR) / Utilization Management (UM) Coordinator Opportunity Turning Point Care Center provides comprehensive behavioral health care for adults experiencing chemical ...
Responsibilities Utilization Review (UR) / Utilization Management (UM) Coordinator Opportunity Turning Point Care Center provides comprehensive behavioral health care for adults experiencing chemical ...
Utilization Review Nurse, RN Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
Utilization Review Nurse, RN Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
Utilization Review Nurse (RN)
Augusta, GA · On-site
Utilization Review Nurse, RN Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
Utilization Review Nurse (RN)
Augusta, GA · On-site
Utilization Review Nurse, RN Under the direction of the Director of Utilization Management. Website: Job Duties/ Responsibilities: * Review clinical content of medical records * Participate in ...
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Requirements: Active RN license (State License required) BLS ...
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Requirements: Active RN license (State License required) BLS ...
Responsibilities Utilization Review (UR) / Utilization Management (UM) Coordinator Opportunity Turning Point Care Center provides comprehensive behavioral health care for adults experiencing chemical ...
Responsibilities Utilization Review (UR) / Utilization Management (UM) Coordinator Opportunity Turning Point Care Center provides comprehensive behavioral health care for adults experiencing chemical ...
Emory Healthcare Clinical Utilization Review Nurse Preceptor Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits ...
Emory Healthcare Clinical Utilization Review Nurse Preceptor Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits ...
Clinical Utilization Review Nurse Preceptor / RN
Atlanta, GA · On-site
$100 - $125/hr
And more Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN ...
Clinical Utilization Review Nurse Preceptor / RN
Atlanta, GA · On-site
$100 - $125/hr
And more Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN ...
And more Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN ...
And more Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN ...
Clinical Utilization Review Nurse Preceptor / RN
$49.77 - $57.70/hr
And more The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor must be ...
Clinical Utilization Review Nurse Preceptor / RN
$49.77 - $57.70/hr
And more The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor must be ...
And more Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN ...
And more Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN ...
Responsible for the planning, organization, and daily operations of the Utilization Review (UR) program to ensure accurate patient status determination, regulatory compliance, and optimal ...
Responsible for the planning, organization, and daily operations of the Utilization Review (UR) program to ensure accurate patient status determination, regulatory compliance, and optimal ...
And more Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN ...
And more Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN ...
Utilization Review 1099 information
What is a utilization review 1099?
What are the key skills and qualifications needed to thrive as a utilization review 1099?
What are some typical challenges faced by utilization review 1099 contractors, and how can they be managed?
What is the difference between Utilization Review 1099 vs Utilization Review Nurse?
| Aspect | Utilization Review 1099 | Utilization Review Nurse |
|---|---|---|
| Credentials | Varies; often self-employed or independent contractors | Registered Nurse (RN) license required |
| Work Environment | Remote or freelance; contract basis | Healthcare facilities, insurance companies, or clinics |
| Employer/Industry Usage | Freelance or independent consulting in healthcare | Hospitals, insurance providers, healthcare organizations |
| Work Focus | Reviewing medical necessity for insurance claims | Assessing patient records, making clinical decisions |
Utilization Review 1099 typically refers to independent contractors reviewing insurance claims, often working remotely. Utilization Review Nurse is a licensed RN performing clinical assessments within healthcare settings. While both roles involve utilization review, the 1099 role emphasizes independent contracting, whereas the nurse role requires clinical credentials and direct patient or clinical record involvement.
What are popular job titles related to Utilization Review 1099 jobs in Georgia?
For Utilization Review 1099 jobs in Georgia, the most frequently searched job titles are:
- Flex Schedule Remote Utilization Review Nurse
- Night Utilization Review Nurse
- Freelance Utilization Review Nurse
- Weekend Physician Advisor Utilization Review
- Evening Utilization Review Nurse
- Part Time Utilization Review Nurse
- Medical Claim Review Nurse
- Remote Concurrent Review Nurse
- Utilization Review Rn
- Per Diem Utilization Review Nurse
What job categories do people searching Utilization Review 1099 jobs in Georgia look for?
The top searched job categories for Utilization Review 1099 jobs in Georgia are:
- Temporary Aetna Utilization Review Nurse
- Lpn Utilization Review Work From Home
- From Home International Utilization Review Nurse
- Review Nurse
- Remote Preservice Review Nurse
- From Home Anthem Utilization Review Nurse
- Per Diem Remote Occupational Therapy Utilization Review
- Remote Anthem Utilization Review Nurse
- Online Utilization Review
- Anthem Utilization Review Nurse
What cities in Georgia are hiring for Utilization Review 1099 jobs?
Cities in Georgia with the most Utilization Review 1099 job openings:

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 15 days ago
Universal Health Services rating
6.8
Based on 255 frontline employees who took The Breakroom Quiz
496th of 898 rated healthcare providers
Job description
Lighthouse Care Center of Augusta is seeking a dedicated, compassionate Director of Utilization Review to add to our growing team.
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
Website: https://www.LighthouseCareCenters.com
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical content; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the collection, analysis and articulation of required clinical data to insurance providers to obtain authorizations and ensure coordination with treatment services. The population served are patients' whose lives are disrupted or complicated by mental illness, behavioral disturbance, substance issues or inability to function or maintain in the community.
Job Duties/Responsibilities:
- Working manager who oversees the Utilization Review coordinators
- Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff
- Authorizing entities to ensure initial precertification and continued authorization is achieved
- Responsible for aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems (Midas)
Benefit Highlights:
- Referral Bonus Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career development opportunities within UHS and its 300+ Subsidiaries!
- More information is available on our Benefits Guest Website: uhsguest.com
About Universal Health Services:
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.
From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Qualifications
Education and Experience:
- Masters Degree in nursing, social work, mental health counseling, or related field
- Minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting
- Including one year of managing a related function preferred
- Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities
Certifications, License, Registration:
Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred
EEO Statement:
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Qualifications:Education and Experience:
- Masters Degree in nursing, social work, mental health counseling, or related field
- Minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting
- Including one year of managing a related function preferred
- Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities
Certifications, License, Registration:
Required with licensure, APRN, LPC, LMSW, LCSW, RN preferred
EEO Statement:
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Education:UNAVAILABLEEmployment Type: FULL_TIMEWhat Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US