RN MDS Nurse
Tucker, GA ยท On-site
$65 - $95/hr
Conduct and participate in IDT meetings including: daily PDPM, weekly CMI, Utilization Review ... Active RN license in good standing in the state of practice * Experience in skilled nursing and ...
RN MDS Nurse
Tucker, GA ยท On-site
$65 - $95/hr
Conduct and participate in IDT meetings including: daily PDPM, weekly CMI, Utilization Review ... Active RN license in good standing in the state of practice * Experience in skilled nursing and ...
The RN Care Manager's primary responsibilities are to oversee care management and coordination of ... management, case management, utilization review and clinical quality improvement experience ...
The RN Care Manager's primary responsibilities are to oversee care management and coordination of ... management, case management, utilization review and clinical quality improvement experience ...
RN MDS Co-Ordinator
$35.25 - $42.50/hr
Conduct and participate in IDT meetings including: daily PDPM, weekly CMI, Utilization Review ... Active RN license in good standing in the state of practice * Experience in skilled nursing and ...
Quick apply
RN MDS Co-Ordinator
$35.25 - $42.50/hr
Conduct and participate in IDT meetings including: daily PDPM, weekly CMI, Utilization Review ... Active RN license in good standing in the state of practice * Experience in skilled nursing and ...
Responsibilities The RN Care Manager's primary responsibilities are to oversee care management and ... management, case management, utilization review and clinical quality improvement experience ...
Responsibilities The RN Care Manager's primary responsibilities are to oversee care management and ... management, case management, utilization review and clinical quality improvement experience ...
Responsibilities The RN Care Manager's primary responsibilities are to oversee care management and ... management, case management, utilization review and clinical quality improvement experience ...
Responsibilities The RN Care Manager's primary responsibilities are to oversee care management and ... management, case management, utilization review and clinical quality improvement experience ...
Responsibilities The RN Care Manager's primary responsibilities are to oversee care management and ... management, case management, utilization review and clinical quality improvement experience ...
Responsibilities The RN Care Manager's primary responsibilities are to oversee care management and ... management, case management, utilization review and clinical quality improvement experience ...
Responsibilities The RN Care Manager's primary responsibilities are to oversee care management and ... management, case management, utilization review and clinical quality improvement experience ...
Responsibilities The RN Care Manager's primary responsibilities are to oversee care management and ... management, case management, utilization review and clinical quality improvement experience ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Utilization Management Representative I Utilization Management Representative I Location : This ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Utilization Management Representative I Utilization Management Representative I Location : This ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
Nurse Case Manager (RN)
Marietta, GA ยท On-site
$59K - $100K/yr
Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...
RN MDS Director
Sandy Springs, GA ยท On-site
Conduct and participate in IDT meetings including: daily PDPM, weekly CMI, Utilization Review ... Active RN license in good standing in the state of practice * Experience in skilled nursing and ...
Quick apply
RN MDS Director
Sandy Springs, GA ยท On-site
Conduct and participate in IDT meetings including: daily PDPM, weekly CMI, Utilization Review ... Active RN license in good standing in the state of practice * Experience in skilled nursing and ...
The Utilization Management Representative I is responsible for coordinating cases for ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
The Utilization Management Representative I is responsible for coordinating cases for ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...
RN MDS Director
Sandy Springs, GA ยท On-site
$110 - $140/hr
Conduct and participate in IDT meetings including: daily PDPM, weekly CMI, Utilization Review ... Active RN license in good standing in the state of practice * Experience in skilled nursing and ...
RN MDS Director
Sandy Springs, GA ยท On-site
$110 - $140/hr
Conduct and participate in IDT meetings including: daily PDPM, weekly CMI, Utilization Review ... Active RN license in good standing in the state of practice * Experience in skilled nursing and ...
Join Our Team as an RN Care Coordinator Are you eager to work in an environment where your ideas ... Collaborating with utilization review nurses, physicians, and the interdisciplinary care team to ...
Quick apply
Join Our Team as an RN Care Coordinator Are you eager to work in an environment where your ideas ... Collaborating with utilization review nurses, physicians, and the interdisciplinary care team to ...
Utilization Review Rn information
See Atlanta, GA salary details
$20.57 - $24.74
2% of jobs
$24.74 - $28.90
9% of jobs
$31.74 is the 25th percentile. Wages below this are outliers.
$28.90 - $33.06
21% of jobs
The median wage is $36.43 / hr.
$33.06 - $37.22
23% of jobs
$37.22 - $41.38
13% of jobs
$44.62 is the 75th percentile. Wages above this are outliers.
$41.38 - $45.54
10% of jobs
$45.54 - $49.70
8% of jobs
$49.70 - $53.86
5% of jobs
$53.86 - $58.02
5% of jobs
$58.02 - $62.18
2% of jobs
$62.18 - $66.35
2% of jobs
$20
$40
$66
How much do utilization review rn jobs pay per hour?
As of Sep 7, 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.
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.
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.
What is the difference between Utilization Review Rn vs Case Manager?
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating 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.
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 case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.
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:
- Utilization Review Nurse
- Clinical Review Nurse Remote
- Home Based Utilization Review Nurse
- Cvs Utilization Management Nurse
- Remote Utilization Management Nurse
- Night Utilization Review Nurse
- Temporary Utilization Review Nurse
- Remote Utilization Review Social Worker
- Remote Utilization Review Nurse
- Weekend Physician Advisor Utilization Review
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:
