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Utilization Review Rn Jobs in Atlanta, GA (NOW HIRING)

AMN Healthcare Revenue Cycle

Travel Utilization Review

Atlanta, GA · On-site

$1.8K - $2.7K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Travel & Requirements Utilization Review (UR) StartDate: 8/10/2026 Pay Rate: $1800.00 - $2700.00 POSITION SUMMARY Utilization Review (UR) POSITION DUTIES UR RN Care at Home - Home Health No home ...

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Utilization Review Rn information

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How much do utilization review rn jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for utilization review rn in Atlanta, GA is $40.66, according to ZipRecruiter salary data. Most workers in this role earn between $32.12 and $46.68 per hour, depending on experience, location, and employer.

How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a utilization review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.

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

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

What is a utilization review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.

What are the most commonly searched types of Utilization Review Rn jobs in Atlanta, GA?

The most popular types of Utilization Review Rn jobs in Atlanta, GA are:

What are popular job titles related to Utilization Review Rn jobs in Atlanta, GA?

For Utilization Review Rn jobs in Atlanta, GA, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Atlanta, GA look for?

The top searched job categories for Utilization Review Rn jobs in Atlanta, GA are:

What cities near Atlanta, GA are hiring for Utilization Review Rn jobs?

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

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Atlanta, GA as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, and 5% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $84,574 per year, or $40.7 per hour.

Utilization Review (UR) - Critical Need

Integrated Resources

Atlanta, GA • On-site

$2.5K - $3.0K/wk

Other

Posted 9 days ago

Job description

Job Title: RN Utilization Review (Target Review)
Location: Atlanta, GA 30305 (100% Onsite)
Job Type: 13+ Week Contract (Extension Possible)
Schedule: 8am - 5pm | 40hr/ week
Compensation
  • Local: $60-$70/hour (W2)
  • Travel: $2,500-$3,000 Gross Weekly
  • Travel Stipend: Available for candidates residing more than 50 miles from the facility
Job Description
We are seeking an experienced Registered Nurse (RN) - Utilization Review to join a Health Plan/Insurance team in Atlanta, GA. This is a fully onsite opportunity focused on Target Review and utilization management. The ideal candidate will have prior utilization review experience within a health plan or insurance setting and be skilled in evaluating medical necessity using established clinical guidelines.
Responsibilities
  • Perform utilization reviews to determine medical necessity and appropriate level of care.
  • Conduct target reviews in accordance with health plan policies and clinical guidelines.
  • Review medical records for completeness, accuracy, and compliance.
  • Collaborate with physicians, case managers, and interdisciplinary teams to facilitate appropriate care.
  • Ensure timely and accurate documentation of review decisions.
  • Maintain compliance with federal, state, and payer regulations.
  • Identify opportunities to improve quality, efficiency, and cost-effective care.
Requirements
  • Active and unrestricted Registered Nurse (RN) license.
  • Recent experience in Utilization Review within a Health Plan or Insurance environment.
  • Strong knowledge of medical necessity criteria and utilization management principles.
  • Excellent analytical, communication, and documentation skills.
  • Ability to work independently in a fast-paced environment.
  • Proficiency with electronic medical records (EMR) and utilization management systems.
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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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