Utilization Review Nurse Job at Pacer Group, Atlanta, GA

M245QWxaSjN2UWovSlMwaWhKY3RYNzQ0bUE9PQ==
  • Pacer Group
  • Atlanta, GA

Job Description

Utilization Review (UR) RN – Atlanta, GA | Critical Need

We are hiring experienced Utilization Review Registered Nurses for a centralized administrative role based in Atlanta, GA . This position supports utilization management operations in a fast-paced healthcare environment.

Location: Atlanta, GA (Onsite)

Schedule: Day Shift | 8:30 AM – 5:00 PM

Hours: 40 hours per week

Contract Length: 13 weeks

Employment Type: Contract

Openings: Multiple

Role Overview

This is a non-bedside, administrative nursing role focused on utilization review and care coordination. The RN will review clinical documentation, ensure appropriate use of services, and collaborate with interdisciplinary teams to support compliance and quality standards.

Key Responsibilities

  • Conduct utilization review of clinical cases
  • Apply medical necessity and level-of-care criteria
  • Coordinate with providers, case managers, and internal teams
  • Ensure compliance with regulatory and organizational guidelines
  • Support centralized utilization management operations

Required Qualifications

  • Active RN license
  • BLS certification
  • Prior Utilization Review or related experience preferred
  • Strong clinical judgment and documentation skills

Additional Details

  • Onsite role
  • Rotating weekends as required

If you’re an RN looking to move into or continue in an administrative and utilization-focused role, this is a strong opportunity to do so.

Job Tags

Contract work, Day shift,

Similar Jobs

Burns & Wilcox

Underwriting Intern Job at Burns & Wilcox

 ...career path in the specialty insurance industry. The 12-week summer internship program aims to develop ones business acumen, communication,...  ...week, with four days spent in an office setting and one day remote. The Underwriting Intern will gain valuable experience in one of... 

Warners'​ Stellian Appliance Co. Inc.

Service Support Specialist Job at Warners'​ Stellian Appliance Co. Inc.

 ...communicator who enjoys helping others and solving problems, join our team and make a meaningful difference every day. As a Service Support Specialist/ Repair Coordinator, you will: Assist customers with appliance repair requests via a variety of communication channels... 

AllSTEM Connections

Environmental Monitoring Technician Job at AllSTEM Connections

 ...Job Title: Environmental Monitoring Technician Duration: 6+ Months Location: Old Oxford Road, Durham, NC, 27712 Qualifications: Associates degree preferably in a science field is required. Bachelor's degree in biological sciences is preferred. Required... 

Teksky LLC

Injection Molding Operator Job at Teksky LLC

 .... ~ Strong understanding of resins, tooling, and machine operation . ~ Proven ability to troubleshoot and optimize molding processes...  ...Time Off. Training and growth opportunities with advanced equipment. A stable and supportive work environment built on teamwork... 

Fiddleheads Coffee Roasters

Cafe Manager Job at Fiddleheads Coffee Roasters

 ...WI, Fiddleheads is a family-owned specialty coffee company with eight cafes, a small-batch coffee roastery, and our own artisan bakery. Since Fiddleheads first opened in 1996, we have grown and transformed; however, our commitment to providing our customers with...