Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case ... and utilization review/management expertise * Expanded credentials as an expert in Independent ...
RN - Utilization Management
Atlanta, GA · On-site
Master's degree Preferred Work Experience * 2 years of experience in an acute, post-acute or payer setting Required * 3 years of utilization review or care management experience Preferred Licenses ...
RN - Utilization Management
Atlanta, GA · On-site
Master's degree Preferred Work Experience * 2 years of experience in an acute, post-acute or payer setting Required * 3 years of utilization review or care management experience Preferred Licenses ...
RN Case Manager
Atlanta, GA · On-site
Acute Hospital * Long Term Acute Care/Rehab/Skilled Nursing Case Management/Utilization Review: * Admission Criteria * Care coordination * Discharge Planning * Utilize InterQual Criteria * Utilize ...
RN Case Manager
Atlanta, GA · On-site
Acute Hospital * Long Term Acute Care/Rehab/Skilled Nursing Case Management/Utilization Review: * Admission Criteria * Care coordination * Discharge Planning * Utilize InterQual Criteria * Utilize ...
Conduct utilization review through concurrent and continued stay reviews. * Monitor patient length of stay and identify barriers to discharge. * Ensure compliance with Medicare regulatory guidelines ...
Conduct utilization review through concurrent and continued stay reviews. * Monitor patient length of stay and identify barriers to discharge. * Ensure compliance with Medicare regulatory guidelines ...
... utilization review and discharge planning preferred Shift: Days | 8:30 AM - 5:00 PM | 40 hours/week" Medlivo Job ID #KAISJP00247851. Pay package is based on 8 hour shifts and 40 hours per week ...
... utilization review and discharge planning preferred Shift: Days | 8:30 AM - 5:00 PM | 40 hours/week" Medlivo Job ID #KAISJP00247851. Pay package is based on 8 hour shifts and 40 hours per week ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
Travel Nurse RN - Case Management - $3,050 per week
Atlanta, GA · On-site
$3.0K/wk
... utilization review and discharge planning preferred Shift: Days | 8:30 AM - 5:00 PM | 40 hours/week" Medlivo Job ID #KAISJP00247851. Pay package is based on 8 hour shifts and 40 hours per week ...
New
Travel Nurse RN - Case Management - $3,050 per week
Atlanta, GA · On-site
$3.0K/wk
... utilization review and discharge planning preferred Shift: Days | 8:30 AM - 5:00 PM | 40 hours/week" Medlivo Job ID #KAISJP00247851. Pay package is based on 8 hour shifts and 40 hours per week ...
New
Registered Nurse (RN) - Case Management
Atlanta, GA · On-site
$1.8K/wk
... Title Utilization Review Nurse - Clinical Schedule Monday-Friday Requirements - RN licensure: GA or Compact license required at time of submission - Minimum 3 years relevant experience ...
Registered Nurse (RN) - Case Management
Atlanta, GA · On-site
$1.8K/wk
... Title Utilization Review Nurse - Clinical Schedule Monday-Friday Requirements - RN licensure: GA or Compact license required at time of submission - Minimum 3 years relevant experience ...
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. * Coordination of medically appropriate care where ...
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. * Coordination of medically appropriate care where ...
RN Case Manager
Atlanta, GA · On-site
Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...
RN Case Manager
Atlanta, GA · On-site
Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. * Coordination of medically appropriate care where ...
Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines. * Coordination of medically appropriate care where ...
Nurse Case Manager (RN)
Decatur, GA · On-site
$59K - $100K/yr
Clinical pathway, Navigator, or Utilization Review. Shifts available: day shift, night shift, and mid shift Job types available: full time, part time, and per diem Employer features: Academic medical ...
Nurse Case Manager (RN)
Decatur, GA · On-site
$59K - $100K/yr
Clinical pathway, Navigator, or Utilization Review. Shifts available: day shift, night shift, and mid shift Job types available: full time, part time, and per diem Employer features: Academic medical ...
Nurse Case Manager (RN)
Atlanta, GA · On-site
$59K - $100K/yr
Clinical pathway, Navigator, or Utilization Review. Shifts available: day shift, night shift, and mid shift Job types available: full time, part time, and per diem Employer features: 401(K) ...
Nurse Case Manager (RN)
Atlanta, GA · On-site
$59K - $100K/yr
Clinical pathway, Navigator, or Utilization Review. Shifts available: day shift, night shift, and mid shift Job types available: full time, part time, and per diem Employer features: 401(K) ...
Manager Case Management (RN)
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.
Manager Case Management (RN)
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.
Travel Nurse RN - Case Management - $2,090 per week
Atlanta, GA · On-site
$2.0K/wk
Utilization Review * Length of Stay Management * Resource Coordination * Patient Advocacy * Medicare Compliance * IMM & MOON Documentation * Interdisciplinary Collaboration * Clinical Documentation
Travel Nurse RN - Case Management - $2,090 per week
Atlanta, GA · On-site
$2.0K/wk
Utilization Review * Length of Stay Management * Resource Coordination * Patient Advocacy * Medicare Compliance * IMM & MOON Documentation * Interdisciplinary Collaboration * Clinical Documentation
Travel Nurse RN - Case Management - $2,075 per week
Atlanta, GA · On-site
$2.0K/wk
Patient choice requirements Ideal Candidate: • Strong critical thinking and communication skills • Experience collaborating with interdisciplinary teams • Knowledge of utilization review and ...
Travel Nurse RN - Case Management - $2,075 per week
Atlanta, GA · On-site
$2.0K/wk
Patient choice requirements Ideal Candidate: • Strong critical thinking and communication skills • Experience collaborating with interdisciplinary teams • Knowledge of utilization review and ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
Will work collaboratively with all members of the healthcare team to improve patient throughput and length of stay (LOS) performance of the organization. 3+years Audit/appeals or utilization review ...
Will work collaboratively with all members of the healthcare team to improve patient throughput and length of stay (LOS) performance of the organization. 3+years Audit/appeals or utilization review ...
Utilization Review 1099 information
See Decatur, GA salary details
$20.89 - $25.11
2% of jobs
$25.11 - $29.34
9% of jobs
$32.23 is the 25th percentile. Wages below this are outliers.
$29.34 - $33.56
21% of jobs
The median wage is $36.98 / hr.
$33.56 - $37.79
23% of jobs
$37.79 - $42.01
13% of jobs
$45.30 is the 75th percentile. Wages above this are outliers.
$42.01 - $46.24
10% of jobs
$46.24 - $50.46
8% of jobs
$50.46 - $54.68
5% of jobs
$54.68 - $58.91
5% of jobs
$58.91 - $63.13
2% of jobs
$63.13 - $67.36
2% of jobs
$20
$41
$67
How much do utilization review 1099 jobs pay per hour?
As of Jul 12, 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?
| 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 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:
Full-time
Re-posted 29 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:
Requirements
Benefits
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.
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.
About Dane Street
Sourced by ZipRecruiter
Company size
51 - 200 Employees
Headquarters location
Boston, MA, US
Year founded
2008