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Utilization Review 1099 Jobs in Decatur, GA (NOW HIRING)

Ascensa Health

Nurse Case Manager

Atlanta, GA · On-site

$30 - $35/hr

Manage utilization review processes to ensure that healthcare services are medically necessary and align with payer guidelines. * Provide education and support to patients regarding medication ...

CVS Health

Case Manager, Registered Nurse

Atlanta, GA · Remote

$54K - $155K/yr

... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years' experience with MCG, NCCN and/or Lexicomp. * Bilingual in Spanish preferred. Education * Diploma or ...

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All JobsUtilization Review 1099 JobsUtilization Review 1099 Jobs in Decatur, GA

Utilization Review 1099 information

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$20

$41

$67

How much do utilization review 1099 jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for utilization review 1099 in Decatur, GA is $41.28, according to ZipRecruiter salary data. Most workers in this role earn between $32.64 and $47.40 per hour, depending on experience, location, and employer.

What are some typical challenges faced by Utilization Review professionals working as 1099 contractors, and how can they be managed?

Utilization Review professionals working as 1099 contractors often face challenges such as fluctuating caseloads, varying client requirements, and the need to stay current with changing regulations independently. Unlike full-time employees, contractors must also manage their own schedules, billing, and sometimes provide their own resources and training. To succeed, it's important to establish clear communication with clients, maintain up-to-date credentials, and leverage professional networks or continuing education resources to stay informed about industry changes.

What are the key skills and qualifications needed to thrive as a Utilization Review 1099, and why are they important?

To thrive as a Utilization Review 1099 professional, you need a strong clinical background (often as a registered nurse or similar), experience with medical necessity criteria, and familiarity with insurance guidelines. Proficiency with utilization management software, electronic health records (EHRs), and knowledge of regulatory requirements are typically required, along with URAC or CCM certification being advantageous. Excellent analytical thinking, attention to detail, and effective communication skills are essential for collaborating with healthcare providers and payers. These skills ensure accurate, efficient review of patient care for coverage decisions, compliance, and cost-effective healthcare delivery.

What is a Utilization Review 1099 position?

A Utilization Review 1099 position refers to a healthcare professional, often a nurse or therapist, who works as an independent contractor (not a direct employee) to review medical cases for necessity and efficiency. The '1099' designation means they receive a Form 1099 for tax purposes and are responsible for their own taxes. Utilization Review specialists evaluate patient records to ensure treatments are appropriate and meet insurance or regulatory guidelines. These roles are often remote and offer flexible hours, but do not provide traditional employee benefits.

What is the difference between Utilization Review 1099 vs Utilization Review Nurse?

AspectUtilization Review 1099Utilization Review Nurse
CredentialsVaries; often self-employed or independent contractorsRegistered Nurse (RN) license required
Work EnvironmentRemote or freelance; contract basisHealthcare facilities, insurance companies, or clinics
Employer/Industry UsageFreelance or independent consulting in healthcareHospitals, insurance providers, healthcare organizations
Work FocusReviewing medical necessity for insurance claimsAssessing 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 Decatur, GA? For Utilization Review 1099 jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Utilization Review 1099 jobs in Decatur, GA look for? The top searched job categories for Utilization Review 1099 jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Utilization Review 1099 jobs? Cities near Decatur, GA with the most Utilization Review 1099 job openings:
Utilization Review 1099 jobs near you
Board-Certified Orthopedic Surgeon

Board-Certified Orthopedic Surgeon

Dane Street, LLC

East Point, GA • On-site

Other

Posted 26 days ago

Job description

Dane Street is expanding our physician panel! We are seeking a skilled and board-certified Orthopedic Surgeon in East Point, GA to join our team for Independent Medical Examinations (IMEs). This role offers flexible scheduling, allowing you to select or decline assignments based on your availability. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Dane Street is a national leader in Independent Medical Examinations (IMEs) and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations.

Key Responsibilities:

  • Thorough review of Medical Records
  • Perform in-person evaluations of patients with orthopedic issues
  • Respond to clinical queries to support claims management
  • Deliver detailed IME reports within an expected turnaround time of 5 days

Requirements

        • Board-certification required.
        • Previous experience in performing IMEs is preferred.
        • Strong analytical skills and excellent communication abilities are a plus

Benefits

  • Robust opportunity for supplemental income
  • Schedule flexibility and predictable work hours-conduct exams and reviews based on your schedule availability
  • No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions.
  • Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
  • Expanded credentials as an expert in Independent Medical Exams 
  • Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal

If you are a dedicated Orthopedic Surgeon looking for a flexible opportunity to apply your expertise in an IME capacity, we encourage you to apply.

Apply