Average salary: $85,000 /yearly
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$2,640 per week
...Cross Country Nurses is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 03/15/2026 ~ Duration: 12 weeks ~40...SuggestedPrivate practiceShift workCross Country Nurses
Atlanta, GA17 hours ago$76k - $85k
...public sector. To learn more, visit PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for... ...care environment, Medicaid or hospital utilization management RN required Working Conditions Remote The above is intended to describe...SuggestedFor contractorsH1bWork at officeLocal areaRemote work$2,456 per week
...Genie Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Atlanta, Georgia. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 03/23/2026 ~ Duration: 13 weeks ~40 hours...SuggestedZero hours contractShift workDay shiftGenie Healthcare
Atlanta, GA17 hours ago$76k - $85k
A public sector solutions firm is seeking a Utilization Review Nurse to perform medical management and review tasks in a remote capacity. The ideal candidate will have at least 2 years of clinical nursing experience and must possess effective communication and organizational...SuggestedRemote job$29.05 - $67.97 per hour
...support for medical claim and internal appeals review activities - ensuring alignment with... ...Resolves escalated complaints regarding utilization management and long-term services and supports... ...and experience. Registered Nurse (RN). License must be active and unrestricted...SuggestedHourly payWork experience placementWork at officeRemote workMolina Healthcare
Decatur, GA17 hours ago$37.89 - $47.49 per hour
...out precertification and medical necessity reviews on all designated referrals as well as... ...telephonic review for medical necessity of the RN designated targeted outpatient procedures... ...admissions, as well as referrals, utilizing established criteria and guidelines, retrospective...SuggestedPermanent employmentFull timeContract workWork at officeLocal areaShift workKaiser Permanente
Atlanta, GA4 days ago- ...a "2025 Best Place to Work and Healthiest Employer", seeks a Review Nurse. The Review Nurseconducts prior approval and precertification... ...and unencumbered Georgia nursing license required Preferred: Utilization Review or Prior Approval Precertification experience Alliant...SuggestedContract work
- ...shifts the next week) Overview 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...SuggestedPart timeShift workNight shift
Wellstar Health Systems, Inc.
Marietta, GA3 days ago - A healthcare services company in Atlanta is seeking a Review Nurse to conduct prior approval and precertification reviews for Medicaid members. The role involves evaluating clinical information, documenting decisions, and collaborating with team members. The ideal candidate...Suggested
- ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care including... ...(s) Reg Nurse (Single State) RN - Multi-state Compact Basic Life Support...SuggestedShift work
Wellstar Health Systems, Inc.
Marietta, GA1 day ago - ...according to facility policy. Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste. Clerical &... ...designated clinical application accurately and in a timely manner. Reviews health care record for completeness and ensures omitted entries...SuggestedImmediate startFlexible hours
Fresenius Medical Care
Decatur, GA1 day ago $46.31 per hour
...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. 4. Completes performance reviews with Nurse Manager input as appropriate. 5. Incorporates Synergy...SuggestedHourly payFull timeLocal areaShift workEmory Healthcare/Emory University
Decatur, GA17 hours ago- ...Licensure/Certification Required by Law: Current unrestricted registered nurse (RN) license, in the state of Georgia Additional Qualifications: Master’s degree preferred and three years utilization review or Care Management experience Business Unit: Name: Piedmont Healthcare...SuggestedRelief
$29.05 - $67.97 per hour
...support for medical claim and internal appeals review activities - ensuring alignment with... ...Resolves escalated complaints regarding utilization management and long-term services and supports... ...and experience. Registered Nurse (RN). License must be active and unrestricted...SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Decatur, GA17 hours ago- ...efficiency of care for hospitalized members by carrying out daily utilization and quality review, monitoring for inefficiencies and opportunities to improve... ...Qualifications: Experience ~ Minimum two (2) years of RN experience in patient care delivery or completion of...SuggestedFull timeLocal areaImmediate start
Vivian Health
Decatur, GA4 days ago $37.16 per hour
...Job Title: Remote Utilization Management Case Manager Pay: $37.16 an hr | Bi-weekly Job Type: Remote Active RN License (AZ or Compact) — must be unrestricted. This position is... ...guidelines, and documentation requirements. - Reviews medical records, analyzes clinical data,...Contract workRemote workMonday to FridayShift workA-Line Staffing Solutions
Atlanta, GA3 days ago$29.05 - $67.97 per hour
A leading healthcare provider in Atlanta is seeking an experienced clinical nurse to support medical claim and internal appeals review activities. The ideal candidate will have at least 2 years of clinical experience, including expertise in medical claims review and regulatory...Hourly pay- ...Shift Day (United States of America) This RN -Burn MedSurg role is 7am-7pm and located... ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care...Relocation packageShift work
Wellstar Health Systems, Inc.
Austell, GA5 days ago $46.31 per hour
...to changes in clinical situations. This RN professional is able to apply the Synergy... ...care to a patient population independently utilizing the nursing process. Demonstrate... ...for a patient population based on receipt/review of evidence-based research. Includes revising...Hourly payFull timeLocal areaEmory Healthcare/Emory University
Decatur, GA2 days ago$1,707 - $1,816 per week
...Staffing is seeking a skilled Post/Pre-Op RN for a 13 week travel assignment in... ...Assesses patients pre-operatively, including reviewing medical history, performing physical examinations... ...Respond promptly to emergency situations utilizing Pre/post op nursing standards, policies,...Temporary workShift workFusion Medical Staffing
Decatur, GA4 days ago- ...Responsibilities RN- Day or Night Shift-12 hours 7am-7pm & 7pm-7am At Laurel... ...teams feature a top-of-license approach utilizing a reliable cohort of RNs, LPNs & Unit Coordinators... ...the field, routinely exchange ideas, and review current topics within the industry....Local areaRelocation packageNight shiftDay shift
Universal Health Services
Atlanta, GA17 hours ago - ...families in the center. The Registered Nurse (RN) Navigator practices professional nursing... ...patient/family advocacy with day-to-day review and coordination of multidisciplinary... ...to the specialty patient population to be utilized by both the patients and the healthcare...Work at officeLocal area
Kaiser Permanente
Atlanta, GA17 hours ago - ...Shift Day (United States of America) This RN Oncology Infusion role is an Outpatient -... ...methods (interdisciplinary rounds, case review, etc.); completion of timely... ...all stakeholders, research and research utilization to promote safe, quality patient care including...Local areaShift work
- ...and assist them in effective delegation utilizing the Synergy model for care. Considered... ...participates in preparation of regulatory agency reviews. Assists in administrative activities... ...system who have completed an accredited RN program and obtain RN licensure are...
Emory Health Care
Jonesboro, GA17 hours ago - ...Summary: Full-time- Nights (7pm-7am) The RN Clinical Nurse Emergency Department is a... ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care...Full timeShift workNight shift
- ...basic management functions Required. The RN Outpatient Cardiovascular Nurse RN reports... ...the program Manager. This individual will utilize a high level of knowledge of cardiology to... ...* Collects patient history and physical review to include current medication records. *...Monday to FridayShift workWeekend work
- ...Bonus Eligible for all Qualified Circulating RN's Job Summary: The RN Clinical... ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care including...Monday to FridayShift work
- ...methods (interdisciplinary rounds, case review, etc); completion of timely documentation... ...all stakeholders, research and research utilization to promote safe, quality patient care including... ...(Single State) 1.00 Upon Hire Required RN - Multi-state Compact 1.00 Upon Hire...Full timeShift workDay shift
WellStar Health System
Marietta, GA17 hours ago - ...Patient Care Technician on the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters physician lab orders accurately into... ...for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures...ReliefImmediate startShift work
Fresenius Medical Care North America
Mcdonough, GA2 days ago - ...school and two years of experience in an acute or post-acute setting. Candidates must hold a current RN license in Georgia, with a master's degree and utilization review experience preferred. The role offers a flexible schedule and competitive benefits. #J-18808-Ljbffr...Flexible hours
