ZipRecruiter

Log In

1

Utilization Review Jobs in Rome, GA (NOW HIRING)

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 ...

Jefferson Southern

Stamping Manager

Rockmart, GA · On-site

Responsible for effective utilization of labor and equipment, maximization of quality, safety and ... For further information, please review the Know Your Rights notice from the Department of Labor.

Farmers Home Furniture

Sales Person

Dalton, 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

Sales Person

Cartersville, 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

Sales Person

La Fayette, GA

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

Sales Person

Dalton, GA

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

Sales Person

La Fayette, 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

Sales Person

Cedartown, 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

Sales Person

Cartersville, 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

Sales Person

Cedartown, 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 ...

Whitfield County

DETENTION OFFICER

Dalton, GA · On-site

$41K - $52K/yr

... other documentation; reviews, completes, processes, forwards or retains as appropriate ... Supplemental Information PERFORMANCE APTITUDES Data Utilization: Requires the ability to calculate ...

Farmers Home Furniture

Sales Person

Cartersville, 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

Sales Person

Cedartown, 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

Sales Person

La Fayette, 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

Sales Person

Calhoun, GA

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

Sales Person

Dalton, 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 ...

previous pagenext page

Showing results 21-40

All JobsUtilization Review JobsUtilization Review Jobs in Rome, GA

Utilization Review information

See Rome, GA salary details

$21

$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.

Registered Nurse RN Sepsis Coordinator

AdventHealth

Calhoun, GA • On-site

$35/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

AdventHealth rating

7.4

Company rating: 7.4 out of 10

Based on 1,268 frontline employees who took The Breakroom Quiz

265th of 887 rated healthcare providers

Job description

Our promise to you:
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
All the benefits and perks you need for you and your family:
  • Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
  • Paid Time Off from Day One
  • 403-B Retirement Plan
  • 4 Weeks 100% Paid Parental Leave
  • Career Development
  • Whole Person Well-being Resources
  • Mental Health Resources and Support
  • Pet Benefits

Schedule:
Full time
Shift:
Day (United States of America)
Address:
1035 RED BUD RD NE
City:
CALHOUN
State:
Georgia
Postal Code:
30701
Job Description:
Minimum Pay: $35 / hour
Work Schedule:
Sign on Bonus:
Professional Excellence Program: Grow with us. Eligible clinicians have the opportunity to earn salary increases of up to 20%* through our Clinical Ladder Program based on experience, professional development, and achievement of advancement criteria.
Clinical Ladder participation is voluntary. Salary adjustments are determined by program eligibility, advancement level, and organizational guidelines.
Work Schedule: Monday-Friday 8am-5pm
  • Evaluates the delivery of care systems and assures compliance with quality measures through concurrent and retrospective review, identification of deficiencies, and implementing corrective actions through staff education.
  • Assists in providing staff education related to sepsis and serves as a resource to the Education Team.
  • Develops and maintains research protocols and serves as co-chair of the monthly sepsis meeting, drafting the agenda and minutes.
  • Coaches and mentors staff, communicates information to team members, and participates in ongoing staff development.
  • Acts as a liaison to the Emergency Department and ICU, providing reports and support related to sepsis and patient care.
  • Completes and submits departmental reports monthly, orchestrating execution plans for improvement as a content expert.
  • Collaborates with Nurse Managers and Directors prior to execution and considers factors related to safety, effectiveness, cost, and impact on practice in the delivery of nursing services.
  • Monitors utilization of resources to deliver quality care in a safe, efficient, and cost-effective manner.
  • Improves clinical outcomes by identifying processes that promote high-quality, cost-effective patient care and maintains productive relationships with the ED and EMS.
  • Investigates risk occurrences or complaints and implements appropriate action plans to maintain a high quality of care.
  • Demonstrates effective communication skills with all team members, patients, and families, and promotes adherence to the hospital confidentiality policy. Complies with the Employee Code of Conduct, all other Hospital Institutional Policies and Procedures, and all federal, state, and local laws, rules, and government regulations.
  • Performs other duties as assigned.

Knowledge, Skills, and Abilities:
  • The position requires intimate knowledge of both department and hospital policies. Interpretive skills, frequent interactive and consultative associations along with management and supervisory skills are inherent in the position. The ability to retrieve, communicate, or otherwise present information in a written, auditory, or visual fashion is essential. Written, computer, telephone skills, and manual dexterity are required.
  • The Sepsis Coordinator coordinates the Sepsis Program by working with the Medical Staff through professional relationships with Physician Champions, Intensivists, Emergency Physicians, and other medical/support staff for maintenance and growth of the program. The Sepsis Coordinator attends/supports Sepsis Program meetings and is responsible for the evaluation of outcomes, policy and protocol development, review of coding practices, review and implementation of current best practices through networking and ongoing education, and to provide input into the enhancement of the current Sepsis Program. The Coordinator will facilitate process improvement activities which include assignment to various departments for required follow-up on outcomes. The Coordinator is responsible to track, report, and submit hospital sepsis data to the Quality Department and national benchmarking agency(s) and tracks/encourages the utilization of sepsis order sets. The Coordinator will consult with the multidisciplinary healthcare team and patients during hospitalization. The Coordinator is responsible for the collaboration and development of patient teaching materials. The Coordinator will collaborate with Staff Development regarding care of the sepsis patient in the development of related materials.

Role essentials:
  • This person(s) will be a nurse and an employee, with a background in areas including Emergency Nursing, Critical Care, Quality Management, or Process Improvement, preferably in Emergency Department, Acute Care nursing, or Quality Management.
  • Interpersonal and management skills to deal with complex management problems are a must. Communicates effectively with unit and administrative personnel, physicians, a variety of other hospital staff, and persons within the community.
  • Advanced knowledge and expertise in providing care to oversee others and serve as an effective resource, normally acquired through two or three years of progressive experience.
  • A high level of critical thinking and analytical skills to make management decisions that impact the Program. Ability to make recommendations for consideration on departmental issues.
  • Ability to integrate the knowledge of teaching principles and counseling techniques to direct the growth of the unit staff. Requires a high level of organizational skills, effective time management, and delegation strategies, including the ability to rapidly prioritize and adjust work flow according to changing unit needs. Demonstrates innovativeness in the application of current evidence-based practice.
  • Possesses a strong clinical acumen in sepsis and emergency care and the requisite level of technical and professional knowledge in nursing.

Education:
  • Bachelor's of Nursing [Required

Field of Study:
  • in Nursing, Healthcare Administration, Healthcare Policy, or a related field

Work Experience:
  • 2+ years emergency or critical care experience [Required]
  • 5+ years experience [Required]
  • 5+ years in acute care setting [Required]

Licenses and Certifications:
  • Registered Nurse (RN) [Required]
  • Basic Life Support - CPR Cert (BLS) [Required]
  • Advanced Cardiac Life Support Cert (ACLS) [Required]

Pay Range:
$32.48 - $60.42
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

What AdventHealth employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply