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

Personalize treatments, anticipate client needs, and encourage rebooking and reviews. * Clinic Operations: Prepare treatment rooms, flip rooms between clients, and maintain clinic cleanliness. Follow ...

Maintain and review patients' records including posting tests and examination results * Administer medications in accordance with physician orders * Check rooms daily for necessary supplies * Respond ...

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Maintain and review patients' records including posting tests and examination results * Administer medications in accordance with physician orders * Check rooms daily for necessary supplies * Respond ...

... review patients' records including posting tests and examination results You will administer medications in accordance with physician orders You will check rooms daily for necessary supplies You will ...

Showing results 21-40

Utilization Review 1099 information

See Springfield, GA salary details

$17

$34

$56

How much do utilization review 1099 jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for utilization review 1099 in Springfield, GA is $34.93, according to ZipRecruiter salary data. Most workers in this role earn between $27.60 and $40.10 per hour, depending on experience, location, and employer.

What are some typical challenges faced by utilization review 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?

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?

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 Springfield, GA? For Utilization Review 1099 jobs in Springfield, GA, the most frequently searched job titles are:
What cities near Springfield, GA are hiring for Utilization Review 1099 jobs? Cities near Springfield, GA with the most Utilization Review 1099 job openings:
Infographic showing various Utilization Review 1099 job openings in Springfield, GA as of June 2026, with employment types broken down into 2% As Needed, 81% Full Time, 10% Part Time, and 7% Contract. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $72,649 per year, or $34.9 per hour.

Asst. Medical Director - Bluffton Community Hospital Emergency Department

Beaufort Memorial Hospital

Bluffton, SC • On-site

Full-time

Re-posted 20 days ago


Beaufort Memorial Hospital rating

6.4

Company rating: 6.4 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

748th of 1,055 rated hospitals


Job description

About the Organization
Join the team that's redefining healthcare in the Lowcountry. At Beaufort Memorial Hospital, we're not just filling positions, we're building the future of healthcare.
As the largest locally governed healthcare system between Charleston and Savannah, Beaufort Memorial is experiencing unprecedented growth, innovation, and transformation. With a new hospital in the horizon, expanded services, significant investments in workforce development, and a renewed commitment to employee experience, there has never been a more exciting time to join our team. Our People team has recently undergone a strategic transformation, bringing together some of the brightest minds in talent acquisition, workforce development, employee engagement, leadership development, analytics, and human resources. We've reimagined how we attract, develop, engage, and retain exceptional talent because we believe our employees deserve the same level of excellence that we provide to our patients.
Why Beaufort Memorial? At Beaufort Memorial, you'll find more than a job - you'll find purpose, opportunity, and a team that is invested in your success. Whether you're an experienced healthcare professional, a new graduate, or someone looking to grow your career, you'll have access to career pathways, leadership development, educational opportunities, mentorships, recognition programs, and a culture built on collaboration, accountability, and compassion. If you're looking for an organization where your voice matters, your contributions are recognized, and your career can thrive, we invite you to explore what is possible at Beaufort Memorial Hospital. Beaufort Memorial is a locally governed, community-focused healthcare system that offers competitive compensation and comprehensive benefits. Beaufort Memorial offers career growth, advancement opportunities, workforce education, and career pathway initiatives. Come be a part of something bigger!
Position
Physician
Location
Bluffton Community Hospital
Full-Time/Part-Time
Full-Time
Shift
-not applicable-
Exempt/Non-Exempt
Non-Exempt
Description
JOB SUMMARY:
Emergency Medicine Physicians are responsible for the evaluation, diagnosis, and treatment of emergency medical conditions and injuries while providing clinical leadership and supervision of Advanced Practice Providers (APPs) in accordance with hospital policy and state regulations.
This role offers the opportunity to practice broad-spectrum emergency medicine in a collegial, community-focused environment with strong administrative and specialty support.
No trauma designation
12-Hour Shifts
Mix of adult and pediatric patients
APP coverage with physician supervision
Hospital-employed position with competitive compensation and comprehensive benefits or 1099 option
Specialty coverage and transfer agreements for higher-acuity cases
Supportive medical staff and leadership team
Core Clinical Responsibilities
Provide direct patient care in the Emergency Department.
Maintain board certification and appropriate state licensure.
Model high standards of clinical excellence, professionalism, and ethical conduct.
Support evidence-based practice and implementation of clinical guidelines.
Participate in quality assurance and peer review activities.
Medical Leadership & Oversight
Work in conjunction with BMH medical director to provide leadership for all ED physicians and advanced practice providers (APPs) at Bluffton Community Hospital and Hilton Head Island FSED.
Establish and enforce clinical policies, protocols, and standards of care.
Oversee physician credentialing, onboarding, mentoring, and performance evaluations.
Address clinical performance issues and promote professional development.
Serve as liaison between ED providers and hospital administration.
Quality & Performance Improvement
Lead quality improvement (QI) initiatives to enhance patient safety, outcomes, and satisfaction.
Monitor key performance metrics (e.g., door-to-provider time, length of stay, LWBS rates).
Ensure compliance with regulatory and accreditation standards (e.g., CMS, Joint Commission).
Oversee morbidity and mortality reviews and case discussions.
Promote patient-centered care and service excellence.
Operations & Throughput Management
Collaborate with Director of Hospital-Based Physician Services and nursing leadership to optimize patient flow.
Develop strategies to reduce ED length of stay and improve efficiency.
Participate in disaster preparedness and emergency management planning.
Assist in staffing models and scheduling oversight.
Support implementation of new technologies and workflow improvements.
Financial & Strategic Responsibilities
Contribute to budget planning and cost containment initiatives.
Monitor resource utilization and productivity benchmarks.
Compliance & Risk Management
Ensure compliance with EMTALA and other federal/state regulations.
Partner with risk management on adverse event review and mitigation strategies.
Promote documentation accuracy and coding compliance.
Address medico-legal issues in collaboration with hospital leadership.
Education & Community Engagement
Encourage continuing medical education and professional development.
Represent the ED in medical staff meetings and hospital committees.
Foster collaborative relationships with EMS, specialists, and community providers.
EMTALA Compliance
Comply fully with the Emergency Medical Treatment and Labor Act (EMTALA) by providing an appropriate Medical Screening Examination (MSE) to all individuals presenting to the Emergency Department and determining the presence or absence of an emergency medical condition.
Stabilize patients with identified emergency medical conditions within the capability and capacity of the facility or arrange appropriate transfer in accordance with EMTALA regulations and hospital policies.
Ensure all transfers are medically appropriate, properly documented, and coordinated with receiving facilities and transport services.
Collaborate with nursing staff and ancillary services to ensure EMTALA compliance is maintained at all times.
Participate in EMTALA-related education, audits, and quality improvement initiatives as required.
JOB QUALIFICATIONS:
EDUCATION:
M.D. or D.O. degree from an accredited medical school
Completion of an ACGME- or AOA-accredited Emergency Medicine residency program
Previous leadership experience preferred
Licensure & Certification:
Current, unrestricted South Carolina medical license (M.D. or D.O.)
Active state and federal controlled substance licenses
Board certification in Emergency Medicine (ABEM or AOBEM).)
ONGOING COMPETENCIES
+ Annual Review of Fire/Safety/Disaster Plan
WORKING CONDITIONS:
Significant standing, sitting, bending, and some lifting; good manual dexterity, vision and hearing required. Must be able to communicate effectively with patients and colleagues in a fast-paced office environment. Must be able to multi-task and handle a variety of issues at one time. The work environment demands described above are representative of those that an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
Position Requirements
Certifications/Licenses:
  • Current, unrestricted South Carolina medical license (M.D. or D.O.)
  • Active state and federal controlled substance licenses
  • Board certification in Emergency Medicine (ABEM or AOBEM).

EOE Statement
Beaufort Memorial Hospital is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
This position is currently accepting applications.

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About Beaufort Memorial Hospital

Sourced by ZipRecruiter

Beaufort Memorial, a not-for-profit hospital founded in 1944 on the banks of the Atlantic Intracoastal Waterway, is licensed for 201 beds (169 acute, 14 rehabilitation and 18 mental health). We are an acute-care hospital, a regional referral center and the largest medical facility between Savannah, Ga., and Charleston, S.C. Read our most recent Report to the Community. Fully accredited by The Joint Commission, Beaufort Memorial boasts a dedicated, high-quality medical staff of nearly 230 board-certified or board-eligible providers. Our mission is to enhance the quality of life in the Lowcountry through improved health, innovative partnerships and superior care.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Beaufort, SC, US

Year founded

1944

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