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Utilization Review Assistant Jobs in Georgia (NOW HIRING)

Genex

Telephonic Nurse Case Manager

Atlanta, GA · On-site

Responsible for the performance of Utilization Review services, including pre-admission ... assist in training/orientation of new staff as requested. • Monitors functions assigned to non ...

genex

Telephonic Nurse Case Manager

Atlanta, GA · On-site

Responsible for the performance of Utilization Review services, including pre-admission ... May assist in training/orientation of new staff as requested. Monitors functions assigned to non ...

genex

Telephonic Nurse Case Manager

Atlanta, GA · On-site

Responsible for the performance of Utilization Review services, including pre-admission ... May assist in training/orientation of new staff as requested. Monitors functions assigned to non ...

Newport Healthcare

Psychiatrist Adolescents

Atlanta, GA · On-site

$200 - $230/hr

Utilization Review Rockstar: Assist with utilization reviews for clients and provide cross-coverage to the Psychiatry team when needed. Flexibility is key, and you'll be the go-to person when the ...

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All JobsUtilization Review JobsUtilization Review Assistant JobsUtilization Review Assistant Jobs in Georgia

Utilization Review Assistant information

See Georgia salary details

$8

$24

$49

How much do utilization review assistant jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for utilization review assistant in Georgia is $24.08, according to ZipRecruiter salary data. Most workers in this role earn between $13.65 and $29.55 per hour, depending on experience, location, and employer.

What is a utilization review assistant?

A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.

What does a utilization review assistant do?

A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

What skills and qualifications are needed to be a utilization review assistant?

To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.

How do I get into a utilization review assistant?

To become a utilization review assistant, candidates typically need a high school diploma or equivalent, with some roles preferring healthcare-related certifications or experience. Strong organizational skills, attention to detail, and familiarity with medical records and insurance processes are important; some positions may require knowledge of healthcare management software. Gaining relevant experience or certifications can improve job prospects in this field.

What are the most commonly searched types of Utilization Review jobs in Georgia?

The most popular types of Utilization Review jobs in Georgia are:

What are popular job titles related to Utilization Review Assistant jobs in Georgia?

For Utilization Review Assistant jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Utilization Review Assistant jobs in Georgia look for?

The top searched job categories for Utilization Review Assistant jobs in Georgia are:

What cities in Georgia are hiring for Utilization Review Assistant jobs?

Cities in Georgia with the most Utilization Review Assistant job openings:

Utilization Review Assistant jobs near you
Infographic showing various Utilization Review Assistant job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, 1% Temporary, and 4% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $50,081 per year, or $24.1 per hour.

Psychiatry Physician General Psychiatrist - Physicians Only Apply - Perm

Necnic Group

Atlanta, GA • On-site

Full-time

Re-posted 8 days ago

Job description

Medical Doctors Only Apply. A Psychiatry Physician General Psychiatrist practice is seeking a qualified physician for Atlanta, GA. This and other physician jobs brought to you by ExactMD.


Atlanta, GA - Medical Director (Behavioral Health) - Health Plan
Position Purpose: Assist the VP of Clinical Programs to direct and coordinate the physician component of the utilization management functions for the health plan business units.
•  Provides medical leadership for utilization management activities and medical review activities pertaining to utilization review, quality assurance, medical review of complex, and controversial or experimental medical services such as transplants utilizing the services of consultants
•  Performs case reviews and appeals for all health plans.
•  Assists VP of Clinical Programs in planning, establishing goals and policies to improve quality and cost-effectiveness of care and service for members.
•  Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.
•  Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.
•  Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.
•  Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment
Education/Experience: Board certification by the American Board of Psychiatry and Neurology. Current state medical license without restrictions. 5+ years of experience working in behavioral health managed care or behavioral health clinical settings, with at least 2 years in a clinical setting.
License/Certifications: Board Certification through American Board Medical Specialties. Current state medical license without restrictions.  BC Licensed in GA

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