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Utilization Review Jobs in Rome, GA (NOW HIRING)

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

Consumer Access Specialist PRN

Rome, 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 ...

Consumer Access Specialist PRN

Rome, 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 ...

... utilization. * Work with operations to ensure efficient use of available space. * Select ... Review and provide input to forecasted usage. * React to customer order and forecasted demand ...

... utilization. * Work with operations to ensure efficient use of available space. * Select ... Review and provide input to forecasted usage. * React to customer order and forecasted demand ...

... review status of work, exchange information, or resolve problems. ADDITIONAL FUNCTIONS Performs ... Supplemental Information PERFORMANCE APTITUDES Data Utilization: Requires the ability to compile ...

EQUIPMENT OPERATOR

Dalton, GA · On-site

$33K - $43K/yr

... review status of work, exchange information, or resolve problems. Performs related duties ... Supplemental Information PERFORMANCE APTITUDES Data Utilization: Requires the ability to calculate ...

... reviews, completes, processes, forwards or retains as appropriate. Follows safety procedures ... PERFORMANCE APTITUDES Data Utilization : Requires the ability to evaluate, audit, deduce, and/or ...

DETENTION OFFICER

Dalton, GA · On-site

$35K - $48K/yr

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

National Account Manager

Rome, GA · On-site

$81K - $105K/yr

Conduct Quarterly Business Reviews and where applicable monthly forecasting communication * Utilize ... Development and Utilization of Account Managers: * Provide mentorship to Account Managers by ...

Home Health Administrator

Calhoun, GA · On-site

$97K - $145K/yr

Performs the functions of the clinical supervisor, intake, scheduling, quality review, utilization management medical records as needed. * Ensures the agency employs qualified personnel that meet all ...

Rental Specialist

Calhoun, GA · On-site

$15 - $19.50/hr

... machine utilization within the designated trade area. Associated paperwork and databases must be ... For further information, please review the Know Your Rights notice from the Department of Labor.

Rental Specialist

Calhoun, GA · On-site

$15 - $19.50/hr

... machine utilization within the designated trade area. Associated paperwork and databases must be ... For further information, please review the Know Your Rights notice from the Department of Labor.

Showing results 41-60

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:
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.

Full-time

Re-posted 4 days ago


Farmers Home Furniture rating

5.7

Company rating: 5.7 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

47th of 62 rated furniture retailers


Job description

Description:

The purpose of this classification is to perform work functions associated with assisting customers to select and purchase merchandise in order to achieve and maintain established sales goals.


ESSENTIAL FUNCTIONS

The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. Other duties may be required and assigned.

  • Maintains an acceptable sales quota as established in weekly, monthly, and annual store goals.
  • Advises customer on quality, style, or value of home furnishings merchandise and in selecting appropriate items.
  • Develops expertise in customer experience and sales execution to properly meet the needs of the customer.
  • Verifies prices are correct and each item is accounted for on sales orders.
  • Calculates sales discount as warranted in determining sales write up.
  • Prepares and/or places tags on merchandise; places tags on all merchandise especially for sales promotions.
  • Sets up advertising displays and/or arranges merchandise on counters and sales floor to promote sales; stocks shelves, counters, tables and other sales areas with merchandise.
  • Loads pick-ups as needed and obtains customer signature on receipt for pickup.
  • Attempts to resolve customer complaints regarding delivery of damaged or incorrect merchandise.
  • Makes sales prospecting calls via telephone utilizing various telemarketing sales techniques; maintains accurate records in the CRM system. Updates and maintains accurate customer records and activity within the CRM system.
  • Handles customer inquiries in person or via telephone.
  • Attends scheduled sales meetings.
  • Regularly inspects and maintains assigned sales area for cleanliness and orderliness; cleans shelves, counters, and floor displays.
  • Assists customer in completion of credit application, answers questions regarding Company/store policy and/or procedures.
  • Sets up delivery or pickup times with customers and documents appropriately.
  • Composes and sends thank-you notes to customers for their business.
  • Keeps records of sales.
  • Receives various documentation and reports; reviews, processes, responds, distributes, forwards, files, maintains, and/or takes other action as appropriate.
  • Operates a personal computer, calculator, copy machines, telephone, or other equipment as necessary to complete essential functions.
  • Follows and adheres to Display Standards, Customer Service Counter Standards, and Telephone Standards.
  • Comply with the Farmers Sales Floor Standards as well as actively engaging customers with our S.W.I.N.G. program.
  • Enters customer service issues in PQA as assigned.
  • Upholds and promotes our H.O.M.E. values: Helping others, developing Ordinary people to do extraordinary things, being a Motivated owner that cares, and Ensuring that excellence is a habit personally and for those entrusted to them to lead.


ADDITIONAL FUNCTIONS

  • Assists in other store departments as required.
  • Performs other related duties as required.
Requirements:

MINIMUM QUALIFICATIONS

High School Diploma or GED required; six months experience in practical retail sells; or any combination of training, experience and education which provides the required knowledge, skills, and abilities for this position.


PERFORMANCE APTITUDES

Data Utilization: Requires the ability to review, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in referencing such analysis to established standards for the purpose of recognizing actual or probable interactive effects and relationships.

Human Interaction: Requires the ability to provide guidance, assistance, and/or interpretation to others regarding the application of procedures and standards to specific situations.

Equipment, Machinery, tools, and Materials Utilization: Requires the ability to operate equipment, machinery, tools, and/or materials requiring complex and rapid adjustments.

Verbal Aptitude: Requires the ability to utilize a wide variety of reference and/or descriptive data and information.

Mathematical Aptitude: Requires the ability to perform addition, subtraction, multiplication, and division; the ability to calculate decimals and percentages; the ability to utilize principles of fractions; the ability to interpret graphs.

Functional Reasoning: Requires the ability to carry out instructions furnished in written, oral, or diagrammatic form. Involves semi-routine standardized work with some latitude for independent judgment concerning choices of action.

Situational Reasoning: Requires the ability to exercise judgment, decisiveness and creativity in situations involving a variety of predefined duties which are often characterized by frequent change.


Farmers Furniture is an Equal Opportunity Employer. The Company is committed to maintaining an environment free of harassment and discrimination.


ADA COMPLIANCE

Physical Ability: Tasks require the ability to exert moderate physical effort, though not constant physical effort, typically involving some combination of climbing and balancing, stooping, kneeling, crouching, and crawling, and which may involve some lifting, carrying, pushing and/or pulling of objects and materials of moderate weight (12-50 pounds).

Sensory Requirements: Some tasks require the ability to perceive and discriminate colors or shades of colors, sounds, depth, and visual cues or signals. Some tasks require the ability to communicate orally.

Environmental Factors: Performance of essential functions may require exposure to adverse environmental conditions, such as dirt, dust, temperature extremes, electric currents or toxic agents/chemicals.


Farmers Furniture is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the Company will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer.


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