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Utilization Review Case Manager Jobs in Georgia (NOW HIRING)

Medlivo is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Atlanta, Georgia. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 ...

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care ...

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care ...

Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care ...

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 ...

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 ...

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 ...

Utilization Review Nurse

Atlanta, GA ยท Remote

$35 - $45.94/hr

You will perform frequent case reviews, check medical records and speak with care providers ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...

Minimum of 1 year of experience in utilization review/case management preferred. * Minimum of 1 year facility based psychiatric/substance abuse experience preferred. EEO Statement All UHS ...

Minimum of 1 year of experience in utilization review/case management preferred. * Minimum of 1 year facility based psychiatric/substance abuse experience preferred. EEO Statement All UHS ...

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Utilization Review Case Manager information

See Georgia salary details

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How much do utilization review case manager jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for utilization review case manager in Georgia is $30.81, according to ZipRecruiter salary data. Most workers in this role earn between $24.95 and $32.50 per hour, depending on experience, location, and employer.

What are some common challenges Utilization Review Case Managers face when coordinating care across multiple departments?

Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.

What is a Utilization Review Case Manager?

A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.

What is the difference between Utilization Review Case Manager vs Utilization Review Nurse?

AspectUtilization Review Case ManagerUtilization Review Nurse
CredentialsTypically requires a nursing license or relevant healthcare certificationRegistered Nurse (RN) license is required
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHospital, clinic, insurance review departments
Primary FocusReviewing medical necessity, coordinating care, managing casesAssessing medical records, clinical review, patient care evaluation

Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.

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

To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.
What job categories do people searching Utilization Review Case Manager jobs in Georgia look for? The top searched job categories for Utilization Review Case Manager jobs in Georgia are:
What cities in Georgia are hiring for Utilization Review Case Manager jobs? Cities in Georgia with the most Utilization Review Case Manager job openings:
Infographic showing various Utilization Review Case Manager job openings in Georgia as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $64,081 per year, or $30.8 per hour.

Travel Utilization Review RN

Medlivo

Atlanta, GA โ€ข On-site

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 3 days ago


Job description

Medlivo is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Atlanta, Georgia.

Job Description & Requirements
  • Specialty: 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 Certification
Recent Acute Care Case Management/Discharge Planning experience
Strong interdisciplinary communication and care coordination skills
Experience working with inpatient utilization review and discharge planning preferred
Shift: Days | 8:30 AM โ€“ 5:00 PM | 40 hours/week"

Medlivo Job ID #KAISJP00250109. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

About Medlivo


Benefits
  • Dental benefits
  • Vision benefits
  • 401k retirement plan
  • Health Care FSA
  • Life insurance
  • Sick pay
  • Holiday Pay
  • Medical benefits