Top 17 Utilization review Jobs in Macon, Ga

D107 - C&A MH Crisis - Utilization Management Coordinator
River Edge Behavioral Heath —Macon, GA
- Full-time
- Psychiatry
- Pass drug screening
- Mid-level
- Paid holidays
- Dental insurance
Utilization Mgmt Coord - Behavioral Health, PRN, Macon
Piedmont Healthcare Inc. —Macon, GA
- PRN
- LMFT
- Nursing
- RN License
Care Manager RN
Atrium Health —Macon, GA
- $41.10 - $61.65 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Hospitalist Medical Director | Management Bonus Incentive!
Sound Physicians —Macon, GA
- Full-time
- Internal Medicine
- Critical & Intensive Care
- US work authorization
1d
Registered Pharmacist
Medcadre Inc —Gray, GA
- $64 - $68 an hour
- Email
- Mid-level
- High school diploma or GED
- Patient care
- Health insurance
- 401(k)
Quick Apply
4d
Clinical Documentation Specialist RN
Houston Methodist —Georgia
- Full-time
- Nursing
- RN License
- Customer service
12h
Echocardiography Technician - FT Atrium Health Navicent
Atrium Health —Macon, GA
- $35.50 - $53.25 an hour
- Extended hours
- Anatomy knowledge
- Hospital
- BLS Certification
- Paid parental leave
- Disability insurance
Hospitalist Medical Director
Sound Physicians —Macon, GA
- Full-time
- Internal Medicine
- Critical & Intensive Care
- US work authorization
Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply
Regional Director of Utilization Management
ADDICTION AND MENTAL HEALTH SERVICES, LLC —United States
- $115,000 - $130,000 a year
- Full-time
- Nursing
- 3 years
- Master's degree
- Loan repayment program
- Health insurance
11d
Manager, Case Management & Social Work – Up to $194k + Bonus
FocusPoint —United States
- Up to $194,272 a year
- Full-time
- Acute care
- Background check
- Nursing
- Health savings account
- Relocation assistance
Quick Apply

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D107 - C&A MH Crisis - Utilization Management Coordinator
River Edge Behavioral Heath —Macon, GA
High School Diploma (Bachelors in helping profession such as social work, community counseling, counseling psychology, or criminology preferred).
Outcomes Specialist - Atrium Health Navicent FT
Atrium Health —Macon, GA
WORK ENVIRONMENT: Possible exposure to infections and contagious diseases Occasionally subject to irregular hours Subject to many interruptions Occasional…
$38.20 - $57.30 an hour

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
9d
Specialist, Utilization Review
Columbus Springs East —Columbus, OH
License: Current unencumbered clinical license strongly preferred. UR contacts external case managers/managed care organizations for certification of insurance…
Quick Apply

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utilization review jobs near macon, ga

D107 - C&A MH Crisis - Utilization Management Coordinator

River Edge Behavioral Heath -
Macon, GA

Apply Now

Job Details

Full-time

Benefits

Paid holidays
Dental insurance
Flexible spending account
Vision insurance
Life insurance
Retirement plan

Qualifications

High school diploma or GED
Utilization management
Resource utilization in healthcare

Full Job Description

About River Edge Behavioral Health

Serving more than 10,000 Georgians, River Edge continues to be one of the state's leading resources for mental health, substance use disorder treatments and supports as well as individuals with intellectual and development disabilities. River Edge offers outpatient services at our Emery Highway-Macon, Monroe County and Baldwin County locations. Outpatient services include behavioral health, nursing, and psychiatric assessment, stabilization and medication maintenance services as well as crisis intervention services as well as awareness, education and recovery groups.

Utilization Management Coordinator

Company Overview:
At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and making a difference in the lives of clients and their families. We believe in supporting our team as well as our clients with our comprehensive benefits package and a supportive work culture, including health, dental, and vision benefits, paid vacation, retirement plans, and more.

Position Overview:
The Utilization Management Coordinator role is focused on ensuring clients receive the appropriate level of behavioral health care while maintaining compliance with medical necessity, authorization, and documentation requirements. The position combines utilization review, care coordination, insurance authorization management, and administrative oversight within behavioral health services.

Location/Schedule:
3575 Fulton Mill Road, Macon, GA.

Key Responsibilities

Create Connects batch files
Retrieve and process response files from Beacon’s SFTP site
Work Connects documents in rejected, denied, hold, no CID, multi-final payer and status appropriately
Review discharge connects and flip to UM complete
Manage and process BHL CSU authorizations and update Carelogic
Review and process AC file for BHL CSU authorization
Complete State Discharge process for Fulton locations
Create PTRF referral via Beacon authorization request
Review and process Connects documents in UM review

Qualifications

High School Diploma (Bachelors in helping profession such as social work, community counseling, counseling psychology, or criminology preferred)
1-3 years of utilization management experience

Additional Benefits:

Flexible spending accounts
11 Paid holidays
Voluntary Life Insurance

If you are looking for an opportunity to make life better and a strong desire for personal growth we encourage you to apply. We promptly review all applications. Highly qualified candidates will be contacted for interviews.

We are an equal opportunity employer and highly value diversity. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

All selected applicants must pass a satisfactory background clearance and pre-employment drug test.

Apply Now

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utilization review jobs in macon, ga

D107 - C&A MH Crisis - Utilization Management Coordinator

Utilization Mgmt Coord - Behavioral Health, PRN, Macon

Care Manager RN

Hospitalist Medical Director | Management Bonus Incentive!

Registered Pharmacist

Clinical Documentation Specialist RN

Echocardiography Technician - FT Atrium Health Navicent

Hospitalist Medical Director

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

Regional Director of Utilization Management

Manager, Case Management & Social Work – Up to $194k + Bonus

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