Nursing / Utilization Review

  • MapTrifold

    Atlanta, GA

  • Money (1)

    $2280.76/wk*

  • Sun (4)

    5x8 Days Shift

  • Cal

    13 Weeks

  • Clock

    5x8 Days

  • Edit

    01/02/2026

Job Id: 465600

Description

We are seeking a detail-oriented, analytical, and patient-advocating Utilization Review (UR) Nurse to join our care management team. In this pivotal role, you will ensure that patients receive medically appropriate, high-quality care while supporting compliance with regulatory, payer, and organizational standards. Your expertise will help balance clinical needs with efficient resource utilization, ultimately improving outcomes and supporting responsible healthcare delivery.


Your primary responsibilities will include conducting thorough clinical reviews of inpatient and outpatient cases, analyzing documentation for medical necessity, and applying evidence-based criteria such as InterQual or MCG Guidelines. You will collaborate with physicians, nursing staff, case managers, and insurance representatives to clarify clinical information, resolve authorization issues, and facilitate timely level-of-care decisions. Additional duties include preparing appeals for denied claims, identifying trends affecting utilization, and contributing to process improvements that enhance documentation accuracy and care coordination.


Success in this role requires strong critical-thinking abilities, excellent communication skills, and the capacity to interpret complex clinical information with precision. You will work in a fast-paced but structured environment that values accountability, collaboration, and patient advocacy. If you excel at clinical assessment, enjoy problem-solving, and are motivated to support cost-effective, patient-centered care, we invite you to join our utilization review nursing team.


Requirements and Qualifications

- Active RN license

- BLS certification (American Heart)

- Minimum of one (1) year of experience required for Olaro; individual facilities may require additional experience


About Us

At Olaro, we prioritize your professional growth and work-life balance. We provide competitive compensation, comprehensive benefits, and access to diverse clinical experiences that broaden your skillset. Our dedicated support team ensures you're equipped with the tools and resources you need to succeed in each assignment, offering 24/7 support and a streamlined onboarding process. 


At Olaro, we prioritize your professional growth and work-life balance. We provide competitive compensation, comprehensive benefits, and access to diverse clinical experiences that broaden your skillset. Our dedicated support team ensures you're equipped with the tools and resources you need to succeed in each assignment, offering 24/7 support and a streamlined onboarding process. 


Whether you're looking to explore new locations or gain valuable clinical experience, Olaro provides the flexibility and support to help you thrive in your healthcare career. Join a team that values your expertise and is committed to your success at every step.


Benefits

Medical, Dental and Vision Coverage

Health Savings Account

401(k) Retirement Plan

Hospital Indemnity Insurance

Critical Illness Insurance

Accident Insurance

Referral bonuses



Skip the Search

Send us your resume, and we will match you with the best job

Share this job
Apply Now

By clicking "Submit", you acknowledge Olaro Group will collect and use the personal information you provide in accordance with its Privacy Policy and Term of Use and that you have read and agree to be bound by these policies. You also agree to receive emails, automated text messages and phone calls from or on behalf of Olaro Group about employment opportunities, positions in which you have been placed, and your employment with Olaro Group.

Latest Jobs

Atlanta, GA

Nursing / Utilization Review

$1,000 /wk*

Shift: 5x8 Days

13 Weeks

Atlanta, GA

Nursing / Utilization Review

$1,000 /wk*

Shift: 5x8 Days

13 Weeks

Atlanta, GA

Nursing / Utilization Review

$1,000 /wk*

Shift: 5x8 Days

13 Weeks