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Utilization Review Jobs in Rome, GA (NOW HIRING)

AdventHealth

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 ...

AHF

Material Handler

Cartersville, GA · On-site

$14.50 - $17.50/hr

Consolidate inventory through Combine transactions to optimize warehouse space utilization and ... For further information, please review the Know Your Rights notice from the Department of Labor.

AHF Inc

Material Handler

Cartersville, GA · On-site

$15 - $18/hr

Consolidate inventory through Combine transactions to optimize warehouse space utilization and ... For further information, please review the Know Your Rights notice from the Department of Labor.

Armstrong Flooring, Inc.

Material Handler

Cartersville, GA · On-site

$15 - $18/hr

Consolidate inventory through Combine transactions to optimize warehouse space utilization and ... For further information, please review the Know Your Rights notice from the Department of Labor.

AdventHealth

RN Med Surg Surgical Days

Rome, GA · On-site

$30.40 - $49.93/hr

Utilizes management skills to supervise, evaluate, and review patient care activities, ensuring ... utilization of patient resources. [Required] * Continuous interface with fellow employees ...

Whitfield County, GA

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 ...

PPC Flex

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 ...

AdventHealth

RN Care Manager Weekend Part Time

Rome, GA · On-site

$31.44 - $54.92/hr

Actively participates in multi-disciplinary rounds to review changes in patient status, progression ... Management/Utilization Management experience [Preferred] Licenses and Certifications: • ...

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Utilization Review information

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How much do utilization review jobs pay per hour?

As of Jul 16, 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.

What jobs make $3,000 a day?

High-paying jobs that can reach $3,000 a day include specialized roles such as senior physicians, anesthesiologists, or surgeons, often requiring advanced certifications and extensive experience. Certain executive positions, like CEOs or investment bankers, may also earn this level of daily income, especially through bonuses or profit sharing. These roles typically involve high responsibility, expertise, and demanding schedules.

What jobs pay 4000 a week without a degree?

Utilization Review specialists typically do not earn $4,000 per week without a degree; most roles in this field require healthcare-related certifications or experience. High-paying jobs that can reach this level without a degree include certain sales positions, real estate brokers, or specialized trades like commercial pilots or skilled trades, which often rely on experience, licensing, or certifications rather than formal degrees. These roles may involve commission, bonuses, or overtime to achieve such weekly earnings.

What does a typical day look like for someone working in Utilization Review?

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.

What skills do you need for utilization review?

Utilization review professionals need strong analytical skills to assess medical necessity and appropriateness of care, attention to detail, and knowledge of healthcare regulations and insurance policies. Good communication skills are essential for coordinating with healthcare providers and explaining decisions. Familiarity with electronic health records (EHR) systems and relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can also be beneficial.

What is a Utilization Review job?

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 the Utilization Review position, and why are they important?

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 professional such as a registered nurse, licensed social worker, or physician completes relevant education and gains experience in healthcare or insurance. Certification in utilization review or case management, such as the Certified Professional in Healthcare Quality (CPHQ), can improve job prospects. Strong analytical skills and knowledge of medical coding and insurance policies are also important.
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 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $87,987 per year, or $42.3 per hour.
Consumer Access Specialist PRN

Consumer Access Specialist PRN

AdventHealth

Rome, GA • On-site

$15.89 - $25.43/hr

Per diem

Re-posted 25 days ago

AdventHealth rating

7.4

Company rating: 7.4 out of 10

Based on 1,256 frontline employees who took The Breakroom Quiz

265th of 886 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.
Schedule:
PRN
Shift:
Day (United States of America)
Address:
501 REDMOND RD NW
City:
ROME
State:
Georgia
Postal Code:
30165
Job Description:
Work Schedule: PRN position with no set schedule. Must be flexible to work various shifts, including days, evenings, nights, weekends, and holidays, based on department needs. Availability for occasional short-notice or call-in shifts is required.
  • Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as needed.
  • Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans.
  • Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information.
  • Contacts insurance companies to verify eligibility and benefits, and obtains pre-authorizations within established timeframes.
  • Registers patients for all services, ensuring accuracy and minimizing duplication of medical records.

Knowledge, Skills, and Abilities:
• Mature judgement in dealing with patients, physicians, and insurance representatives
• Working knowledge of Microsoft programs and familiarity with database programs
• Ability to operate general office machines such as computer, fax machine, printer, and scanner
• Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion
• Ability to communicate professionally and effectively, both verbally and written
Education:
• Associate [Preferred]• High School Grad or Equiv [Required]
Field of Study:
• N/A
Work Experience:
• 1+ customer service [Preferred]• 1+ relevant healthcare [Preferred]• 1+ revenue cycle [Preferred]
Additional Information:
• N/A
Licenses and Certifications:
• Certified Healthcare Access Associate (CHAA) [Preferred]• Certified Revenue Cycle Rep (CRCR) [Preferred]
Pay Range:
$15.89 - $25.43
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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