Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...
Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...
Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...
Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...
Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...
Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...
Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...
Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...
Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...
Working manager who oversees the Utilization Review coordinators * Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff * Authorizing entities to ...
Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...
Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...
Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...
Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...
Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...
Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued ...
Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated. Maintains necessary ...
Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated. Maintains necessary ...
The UR RN Preceptor must be an expert in the utilization review functions and able to cover any role at any given time as well as manage an active UR assignment/caseload. The UR RN Preceptor will be ...
The UR RN Preceptor must be an expert in the utilization review functions and able to cover any role at any given time as well as manage an active UR assignment/caseload. The UR RN Preceptor will be ...
Clinical Utilization Review Nurse Preceptor / RN
Atlanta, GA · On-site
$49.77 - $57.70/hr
The UR RN Preceptor must be an expert in the utilization review functions and able to cover any role at any given time as well as manage an active UR assignment/caseload. The UR RN Preceptor will be ...
Clinical Utilization Review Nurse Preceptor / RN
Atlanta, GA · On-site
$49.77 - $57.70/hr
The UR RN Preceptor must be an expert in the utilization review functions and able to cover any role at any given time as well as manage an active UR assignment/caseload. The UR RN Preceptor will be ...
The UR RN Preceptor must be an expert in the utilization review functions and able to cover any role at any given time as well as manage an active UR assignment/caseload. The UR RN Preceptor will be ...
The UR RN Preceptor must be an expert in the utilization review functions and able to cover any role at any given time as well as manage an active UR assignment/caseload. The UR RN Preceptor will be ...
The UR RN Preceptor must be an expert in the utilization review functions and able to cover any role at any given time as well as manage an active UR assignment/caseload. The UR RN Preceptor will be ...
The UR RN Preceptor must be an expert in the utilization review functions and able to cover any role at any given time as well as manage an active UR assignment/caseload. The UR RN Preceptor will be ...
Perform the utilization and review process, for continued stay, in an appropriate and timely manner ... One to Two years related experience and/or training preferred Must have some management experience ...
Perform the utilization and review process, for continued stay, in an appropriate and timely manner ... One to Two years related experience and/or training preferred Must have some management experience ...
Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per ... One to Two years related experience and/or training preferred Must have some management experience ...
Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per ... One to Two years related experience and/or training preferred Must have some management experience ...
The position combines utilization review, care coordination, insurance authorization management, and administrative oversight within behavioral health services. Location/Schedule: 3575 Fulton Mill ...
The position combines utilization review, care coordination, insurance authorization management, and administrative oversight within behavioral health services. Location/Schedule: 3575 Fulton Mill ...
The position combines utilization review, care coordination, insurance authorization management, and administrative oversight within behavioral health services. Location/Schedule: 3575 Fulton Mill ...
The position combines utilization review, care coordination, insurance authorization management, and administrative oversight within behavioral health services. Location/Schedule: 3575 Fulton Mill ...
Utilization Specialist
Valdosta, GA · On-site
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
Valdosta, GA · On-site
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
Valdosta, GA · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
Valdosta, GA · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Review Manager information
See Georgia salary details
$32.9K - $42.8K
9% of jobs
$50.1K is the 25th percentile. Wages below this are outliers.
$42.8K - $52.7K
22% of jobs
$52.7K - $62.5K
11% of jobs
The median wage is $68.6K / yr.
$62.5K - $72.4K
14% of jobs
$72.4K - $82.3K
12% of jobs
$88.4K is the 75th percentile. Wages above this are outliers.
$82.3K - $92.1K
13% of jobs
$92.1K - $102K
13% of jobs
$102K - $111.8K
5% of jobs
$111.8K - $121.7K
2% of jobs
$121.7K - $131.6K
0% of jobs
$131.6K - $141.4K
0% of jobs
$32.9K
$76.8K
$141.4K
How much do utilization review manager jobs pay per year?
As of Jul 17, 2026, the average yearly pay for utilization review manager in Georgia is $76,848.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,200.00 and $92,500.00 per year, depending on experience, location, and employer.
What are some common challenges faced by Utilization Review Managers in balancing patient care and cost efficiency?
Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.
What are the key skills and qualifications needed to thrive as a Utilization Review Manager, and why are they important?
To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.
What is the difference between Utilization Review Manager vs Utilization Review Coordinator?
| Aspect | Utilization Review Manager | Utilization Review Coordinator |
|---|---|---|
| Certifications | Typically requires certifications like CCM or ACU | May require similar certifications but often less advanced |
| Work Environment | Supervises review teams, manages processes in healthcare or insurance settings | Performs case reviews, supports the review process under supervision |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Insurance companies, healthcare providers, third-party administrators |
The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.
What does a Utilization Review Manager do?
A Utilization Review Manager oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that patient care adheres to established guidelines and that healthcare resources are used effectively. Their duties typically include leading a team of reviewers, collaborating with healthcare providers, ensuring compliance with regulations, and making recommendations on care authorization. The goal is to balance quality patient care with cost-effective resource management.
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 Manager jobs in Georgia? For Utilization Review Manager jobs in Georgia, the most frequently searched job titles are:
- Utilization Management Coordinator
- Overnight Physician Case Reviewer
- Flexible Cvs Utilization Management Nurse
- Utilization Review Physician
- Cvs Health Utilization Management
- Evening Utilization Review Nurse
- Utilization Review Specialist
- Part Time Utilization Review Nurse
- Night Utilization Review Nurse
- Freelance Utilization Review Nurse
What job categories do people searching Utilization Review Manager jobs in Georgia look for? The top searched job categories for Utilization Review Manager jobs in Georgia are:
- Lpn Utilization Review Work From Home
- Chart Utilization Review
- Fulltime Cigna Utilization Review Nurse
- Utilization Review 1099
- Remote Lpn Utilization Review
- Night Shift Medical Utilization Review Physician
- Utilization Review Salary
- Speech Therapy Utilization Review
- Cigna Utilization Review Nurse
- Internship Rn Utilization Review Nurse
What cities in Georgia are hiring for Utilization Review Manager jobs? Cities in Georgia with the most Utilization Review Manager job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 22 days ago
Universal Health Services rating
6.8
Based on 252 frontline employees who took The Breakroom Quiz
495th of 886 rated healthcare providers
Job description
Responsibilities
Qualifications
Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.
Website: https://www.LighthouseCareCenters.com
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 content; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. The Director of Utilization Review is responsible for the collection, analysis and articulation of required clinical data to insurance providers to obtain authorizations and ensure coordination with treatment services. The population served are patients' whose lives are disrupted or complicated by mental illness, behavioral disturbance, substance issues or inability to function or maintain in the community.
Job Duties/Responsibilities:
- Working manager who oversees the Utilization Review coordinators
- Participate in treatment team meetings, collaborate with physicians, therapist, nurses and pertinent staff
- Authorizing entities to ensure initial precertification and continued authorization is achieved
- Responsible for aspects relative to timely gathering clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems (Midas)
Benefit Highlights
- Referral Bonus Program
- Challenging and rewarding work environment
- Competitive Compensation & Generous Paid Time Off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Career development opportunities within UHS and its 300+ Subsidiaries!
- More information is available on our Benefits Guest Website: uhsguest.com
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
EDUCATION:
Masters Degree in nursing, social work, mental health counseling, or related field required with licensure. (RN, APRN, LPC, LMSW, LCSW, etc)
EXPERIENCE:
A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities.
Qualifications:EDUCATION:
Masters Degree in nursing, social work, mental health counseling, or related field required with licensure. (RN, APRN, LPC, LMSW, LCSW, etc)
EXPERIENCE:
A minimum of five (5) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, treatment planning and communication with external review organizations or comparable entities.
Education:UNAVAILABLEEmployment Type: FULL_TIMEWhat Universal Health Services employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Universal Health Services
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US