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Utilization Review Case Manager Jobs in Atlanta, GA

Case Management * Discipline: RN * Start Date: 09/14/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, days * Employment Type: Travel Required Experience: 2 years of experience ...

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This role partners closely with physicians, patients/families, nursing, utilization review, and the ... CCM (Certified Case Manager) or ACM certification preferred * 3-5 years of experience in direct ...

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Utilization Review Case Manager information

See Atlanta, GA salary details

$14

$32

$54

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

As of Sep 5, 2026, the average hourly pay for utilization review case manager in Atlanta, GA is $32.87, according to ZipRecruiter salary data. Most workers in this role earn between $26.63 and $34.66 per hour, depending on experience, location, and employer.

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 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 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 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 cities near Atlanta, GA are hiring for Utilization Review Case Manager jobs?

Cities near Atlanta, GA with the most Utilization Review Case Manager job openings:

Infographic showing various Utilization Review Case Manager job openings in Atlanta, GA as of August 2026, with employment types broken down into 13% As Needed, 74% Full Time, and 13% Part Time. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $68,366 per year, or $32.9 per hour.

Travel RN Case Manager Utilization Review

AMN Healthcare Revenue Cycle

Atlanta, GA • On-site

$1.8K - $2.5K/wk

Contractor

Medical, Dental, Vision, Life, Retirement

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

AMN Healthcare Revenue Cycle 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
  • Start Date: 09/14/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

Job Description & Requirements
RN Case Manager Utilization Review (UR)
StartDate: 9/14/2026 Pay Rate: $1800.00 - $2500.00
POSITION SUMMARY Utilization Review (UR)
POSITION DUTIES Non-Core Continuum
Utilization Management experience needed
MINIMUM REQUIRED QUALIFICATIONS RN 
PREFERRED QUALIFICATIONS Kaiser Experience Preferred
LENGTH OF ASSIGNMENT 13 weeks
SHIFT / HOURS PER WEEK 08:30 AM to 05:00 PM (40 hours); EOW
SYSTEMS EPIC
START DATE 09/14/26
Facility Location
With its alluring charm and energetic buzz, Atlanta beckons newcomers from near and far. Part Southern belle, part economic powerhouse, the capital of Georgia is a favorite destination for travel nurses in search of career-boosting assignments, while the city’s numerous entertainment options and warm Southern hospitality make it a great place to call home.
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:

  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

AMN Healthcare Revenue Cycle Job ID #3571557. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager Utilization Review (UR)

About AMN Healthcare Revenue Cycle

AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

Benefits
  • Medical benefits
  • Dental benefits
  • Company provided housing options
  • Continuing Education