Average salary: $85,000 /yearly
More statsGet new jobs by email
$2,645 per week
...Job Summary Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. The organization is seeking a licensed UR RN to perform medical necessity reviews for outpatient services utilizing guidelines such as MCG, KP...SuggestedShift workDay shiftCross Country Nurses
Atlanta, GA5 days ago- ...Job Description Job Description Job title: Utilization Review Shift: 09:30 AM to 08:00 PM 13 weeks contract Description: Utilization Review RN - Target Review Health Plan Insurance (no acute care) BLS (AHA) RN state license \nCompany Description...SuggestedContract workShift work
Lancesoft INC
Atlanta, GAmore than 2 months ago - ...Cross Country Nurses is looking for a travel nurse RN Utilization Review for a 14-week assignment in Atlanta, Georgia. This role entails performing medical necessity reviews for outpatient services, following guidelines like MCG and LCD criteria. Candidates must have prior...SuggestedDay shift
Cross Country Nurses
Atlanta, GA1 day ago $2,201.55 per week
...Travel RN - Case Management/Utilization Review - Case Management American Traveler Atlanta, Georgia, United States Position status: Open Assignment type: travel Shift: Days Length (weeks): 14 Openings: 1 Start date: 2026-11-16 $2,201.55/week (estimated...SuggestedWeekly payContract workLocal areaMonday to FridayShift workDay shift- ...American Traveler, LLC. is seeking an experienced RN Case Manager for a day-shift hospital assignment in Georgia. Candidates must... ..., with an active GA license and BLS. The role focuses on utilization review, discharge planning, and care coordination within a teaching/community...SuggestedDay shift
American Traveler
Atlanta, GA4 days ago - ...departmental rotation. Job Summary: The Utilization Management Nurse (UM) Coordinator is responsible for conducting medical necessity reviews 24 hours per day, 7 days per week.... ...required upon hire unless otherwise stated. RN - Reg Nurse (Single State) or RN-COMPACT...SuggestedReliefShift work
- ...A leading healthcare staffing agency in Atlanta is seeking a qualified Registered Nurse to join their team. This role involves reviewing patient admissions, providing clinical resources, and entering data into the system. The position offers a competitive salary and benefits...SuggestedMonday to Friday
HealthCare Support
Atlanta, GA3 days ago - Description The Utilization Review Specialist coordinates insurance authorizations for individual therapy and IOP services, ensuring clients receive... ...(KSAOs): LICENSE/LICENSURE LSCW, LMHC or LMFT LMHC, or RN highly desired TRAVEL Local travel between PIHC sites and to and...SuggestedCasual workLocal areaAfternoon shift
- ...RN, Specialty Care ReviewResponsible for carrying out medical necessity reviews on all designated referrals for Home Care, DME Specialty Care services. The activities will... ...to day review activities as outlined above. Utilizes established criteria to perform medical necessity...SuggestedContract workWork at officeLocal areaImmediate startWeekend work
Kaiser Permanente
Atlanta, GA5 days ago - ...Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2-5+ Years Job Summary We... ...patient care.The ideal candidate is a licensed Registered Nurse (RN) with experience in utilization management, case management,...SuggestedFull timeSecond jobWork at officeRemote work
Ova Technologies
Alpharetta, GA3 days ago - ...Corporate seeks an experienced nurse leader to oversee utilization management at system level. Requires GA RN licensure and IQCI certification, with at least 5... ..., coordination across sites, and ensuring medical necessity reviews align with standards. #J-18808-LjbffrSuggested
Piedmont Healthcare
Atlanta, GA3 days ago - ...Clinical Review Nurse ISign on Bonus: $3500.Location: This role enables associates to work... ...background.Current unrestricted RN license required.This position is part of... ...strongly preferred.Medical management or Utilization Review experience is preferred.BS in nursing...SuggestedFull timeTemporary workWork at officeLocal areaMonday to Friday1 day per week
ANTHEM INSURANCE COMPANIES INC
Atlanta, GA1 day ago $26.01 - $68.55 per hour
...judgment and perform the following duties:Review and interpret clinical documentation obtained... ...systems.Apply clinical decision-making to utilize appropriate clinical criteria and policies... ...Qualifications:Nursing degree (RN)A minimum of 2–3 years of professional experience...SuggestedHourly payFull timeTemporary workWork at officeLocal areaWork from homeOak St. Health
Atlanta, GA4 days ago- ...Cobb Hospital: er Job Summary The Utilization Management (UM) Nurse is responsible for conducting medical necessity reviews up to 12 hours per day, on any of the 7 days... ...place in EPIC to enable timely billing. UM RN monitors post-discharge, prebill accounts that...SuggestedPart timeShift workWeekend work
- ...United States of America) Job Summary: The RN Clinical Nurse is a proactive member of... ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care including...SuggestedShift work
WellStar Health System
Atlanta, GA4 days ago - ...RN Oncology Infusion Therapy ClinicianHow would you like to work in a place where your... ...methods (interdisciplinary rounds, case review, etc.); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care including...Local areaShift work
WellStar Health System
Atlanta, GA5 days ago - ...Level 4 NICU to work FT/nights. Our NICU RN performs nursing processes while providing... ...through a culturally sensitive process.Utilizes clinical decision support tools and resources... ...goals identified during performance review, resulting in change in practice and role...Night shift
Credenza Health
Atlanta, GA3 days ago - ...into healthcare delivery through a culturally sensitive process.Utilize clinical decision support tools and resources to recognize... ...records and participates in goal planning related to performance review and professional development.Engagement (Engaging and Leading Professionally...Full timeNight shift
Credenza Health
Atlanta, GA3 days ago - ...as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical... ...concerns, issues, and questions including the review of patient satisfaction surveys. •... ...policies and procedures to facility staff. • Utilizes knowledge of FMCNA and FMS services and...Temporary workWork at office
Fresenius Medical Care
Atlanta, GA3 days ago - ...United States of America) Job Summary: The RN Clinical Nurse is a proactive member of... ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care including...Shift workNight shift
WellStar Health System
Atlanta, GA1 day ago - 1 week ago Be among the first 25 applicants Job Title:Clinical Review Nurse (RN) - Utilization Management Location:Oregon or bordering states Duration:3+ Months Job Summary: This role uses clinical expertise to review medical records for medical appropriateness based on...Contract workRemote work
- ...Hybrid Review NurseAre you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions... ...a Hybrid Review Nurse for its Prior Authorization and Utilization Management (PA/UM) team. The Review Nurse conducts prior approval...Contract work
Alliant Health Solutions
Atlanta, GA4 days ago - ...delegation skills to colleagues and assist them in effective delegation utilizing the Synergy model for care. Considered an expert and is viewed... ...skills and daily operations.Completes performance reviews with Nurse Manager input as appropriate.Incorporates Synergy model...Shift work
Emory Healthcare
Decatur, GA3 days ago - ...into healthcare delivery through a culturally sensitive process.Utilizes clinical decision support tools and resources to recognize... ...goals.Takes action to achieve goals identified during performance review, resulting in change in practice and role performance.Engagement...Full timeMonday to FridayShift workWeekend workDay shift
Credenza Health
Atlanta, GA3 days ago $62 per hour
...designated preceptor.Explores opportunities to improve resource utilization and support cost containment.Promotes cohesive team behavior... ...on the approved list will not satisfy this requirement unless reviewed and approved by department leadership. Failure to obtain and maintain...Full timeCasual workFlexible hoursShift workNight shiftEmory Healthcare
Atlanta, GA5 days ago- Dialysis Clinical Manager Registered Nurse - RN page is loaded## Dialysis Clinical... ...completion of the Annual Standing Order Review and Internal Classification of Disease (ICD... ...Manages clinic financials including efficient utilization of supplies or equipment and regular...Worldwide
- ...Emory Healthcare Rn Clinician Charge Be inspired. Be rewarded. Belong. At Emory Healthcare... ...and assist them in effective delegation utilizing the Synergy model for care. Considered... ...operations. Completes performance reviews with Nurse Manager input as appropriate....Full timeShift work
- ...landing-page Job Summary Registered Nurse (RN)- Emergency Department (WKD FT Nights) 7... ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care including...Shift workNight shift
WellStar Health System
Atlanta, GA3 days ago - ...healthcare delivery through a culturally sensitive process. Utilizes clinical decision support tools and resources to recognize issues... ...Takes action to achieve goals identified during performance review, resulting in change in practice and role performance. Engagement...Full timeMonday to FridayShift workWeekend workDay shift
$37 - $40 per hour
...Immediate need for a talented Concurrent Review RN . This is a 06+ Months Contract opportunity with long-term potential and is located... ...on concurrent review findings. Educate providers on utilization processes to promote high-quality care. Provide feedback...Contract workLocal areaImmediate startRemote work
