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Utilization Review Jobs in Rome, GA (NOW HIRING)

Advocate Aurora Health

Case Manager - On Site

Rome, GA · On-site

$38.20 - $57.30/hr

Experience 1. Minimum of five years of experience in the care of assigned patient population 2. Participation in case management and utilization review encouraged C. Licensure/Certification 1. ...

Pacs

Occupational Therapist (OTR)

White, GA

$65/hr

Participate in care conferences, utilization reviews, and rehab meetings to ensure coordinated, patient-centered care * Documentation Excellence: Complete timely and accurate evaluations, daily notes ...

Pacs

ADOR OT

White, GA · On-site

$135K - $150K/yr

Operational Oversight: Assist with utilization reviews, daily department auditing, clinical compliance monitoring, and care conferences. * Evaluations & Treatments: Perform comprehensive evaluations ...

AdventHealth

Consumer Access Specialist PRN

Calhoun, GA · On-site

$15.89 - $25.43/hr

Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as ... Coordinates with utilization management staff for pre-authorization issues and ensures patients ...

AdventHealth

Consumer Access Specialist PRN

Calhoun, GA

$15.89 - $25.43/hr

Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as ... Coordinates with utilization management staff for pre-authorization issues and ensures patients ...

Farmers Home Furniture

Credit Representative

Rome, GA · On-site

PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...

Farmers Home Furniture

Credit Representative

Rome, GA · On-site

PERFORMANCE APTITUDES Data Utilization : Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in ...

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Utilization Review information

See Rome, GA salary details

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$42

$69

How much do utilization review jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for utilization review in Rome, GA is $42.30, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

Is utilization review work from home?

Utilization review jobs can often be performed remotely, especially with the increased adoption of telecommuting in healthcare and insurance industries. Many employers offer work-from-home options, provided the reviewer has the necessary certifications and access to electronic health records or claims systems. However, some positions may require on-site presence for meetings or audits.

What does a utilization review do?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, which can be stressful due to strict deadlines, high accuracy requirements, and the need to balance patient care with insurance policies. The job often requires strong attention to detail, communication skills, and the ability to handle complex cases under time pressure.

What is a utilization review?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What are the key skills and qualifications needed to thrive in utilization review?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Relevant skills include knowledge of medical coding, insurance policies, and strong analytical abilities.
What are the most commonly searched types of Utilization Review jobs in Rome, GA? The most popular types of Utilization Review jobs in Rome, GA are:
What are popular job titles related to Utilization Review jobs in Rome, GA? For Utilization Review jobs in Rome, GA, the most frequently searched job titles are:
What job categories do people searching Utilization Review jobs in Rome, GA look for? The top searched job categories for Utilization Review jobs in Rome, GA are:
What cities near Rome, GA are hiring for Utilization Review jobs? Cities near Rome, GA with the most Utilization Review job openings:
Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Rome, GA as of July 2026, with employment types broken down into 77% Full Time, 15% Part Time, 7% Contract, and 1% Nights. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $87,987 per year, or $42.3 per hour.

Case Manager - On Site

Advocate Aurora Health

Rome, GA • On-site

$38.20 - $57.30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Advocate Aurora Health rating

7.6

Company rating: 7.6 out of 10

Based on 775 frontline employees who took The Breakroom Quiz

188th of 887 rated healthcare providers

Job description

Department:

34601 Atrium Health Floyd Medical Center - Nursing: Admission Discharge Transition Unit

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Teammate will be working M-F 8 Hour shifts with some "On Call"/Holiday duties

Pay Range:

$38.20 - $57.30

The qualified candidate will possess the following:

A. Education
1. Graduate of an accredited School of Registered Professional Nurses, BSN preferred, MSN encouraged
B. Experience
1. Minimum of five years of experience in the care of assigned patient population
2. Participation in case management and utilization review encouraged
C. Licensure/Certification
1. Current registration to practice as a Registered Nurse in the the applicable state as determined by job location
2. Case Management certification encouraged

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation

  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

  • Premium pay such as shift, on call, and more based on a teammate's job

  • Incentive pay for select positions

  • Opportunity for annual increases based on performance

Benefits and more

  • Paid Time Off programs

  • Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability

  • Flexible Spending Accounts for eligible health care and dependent care expenses

  • Family benefits such as adoption assistance and paid parental leave

  • Defined contribution retirement plans with employer match and other financial wellness programs

  • Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.


About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

What Advocate Aurora Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Advocate Health

Sourced by ZipRecruiter

Advocate Healthcare, based in Oak Lawn, Illinois, United States, is a leading figure in the health care industry. Accessible via their official website, 'advocatehealth.com', this organization provides a wide variety of medical services and treatment options. Founded in 1995 through a merger of Evangelical Health Systems Corporation and Lutheran General HealthSystem, Advocate Healthcare has grown exponentially over the years. Now, it operates more than 400 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, five Level I trauma centers, and three Level II trauma centers. Upholding their values of equality, compassion, excellence, partnership and stewardship, Advocate Healthcare's mission is centered on building lifelong relationships with patients by delivering the best health outcomes and highest level of service through an integrated approach to care and wellness.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US

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