Utilization Review Registered Nurse, PRN

Athens, Georgia

You'll run clinical reviews of hospitalized patients against medical necessity criteria to support their status decisions.

Posted Oct 15

Unit and setting: Hospital
License: RN license
Term: Per Diem

Posted pay in Georgia

The role and schedule

Day to day: clinical reviews against medical necessity criteria The UR Coordinator conducts clinical reviews using established medical necessity criteria
Day to day: liaison between the hospital and external payers This role serves as a liaison between the hospital and external payers
Day to day: working with physicians, nurses, patient access and billing staff collaborates with a multidisciplinary team, including physicians, nurses, patient access staff, billing personnel, and external payers
Hours stated: Part time

The workplace

GA_SMHHS St. Mary's Hospital, Inc.

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Original listing

Posted on GA_SMHHS St. Mary's Hospital, Inc.’s careers page.

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Employment Type

Part time Shift

Position Summary

The Utilization Review (UR) Coordinator collaborates with a multidisciplinary team, including physicians, nurses, patient access staff, billing personnel, and external payers, to ensure patients receive the appropriate level of care throughout the continuum of care in an efficient, cost-effective, and quality-focused manner. The UR Coordinator conducts clinical reviews using established medical necessity criteria to support accurate patient status determinations and appropriate resource utilization throughout hospitalization. This role serves as a liaison between the hospital and external payers regarding medical necessity, severity of illness, intensity of service, authorization requirements, and timely utilization of hospital services.

Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What's around it?

In Athens, GA

Athens, GA

Living costs about 7% below the US average

Life in Athens, GA

NeighborhoodsFive Points sits adjacent to the University of Georgia campus, known for craftsman cottages, brick homes, and mid-century ranches with tree-lined streets, local shops, and a walkable village commercial hub. Normaltown, centered along Prince Avenue, offers an eclectic community with mid-century bungalows, renovated cottages, and celebrated neighborhood dining spots near Bishop Park. Historic Boulevard and Cobbham feature preserved Victorian and craftsman architecture near downtown, while the Eastside and Cedar Creek provide older, quiet suburban neighborhoods with spacious lots and convenient access to shopping. Families and medical staff seeking larger lots and top-rated school districts frequently look just outside Clarke County across the border into Oconee County, around Watkinsville and Jennings Mill.

Five Points sits adjacent to the University of Georgia campus, known for craftsman cottages, brick homes, and mid-century ranches with tree-lined streets, local shops, and a walkable village commercial hub. Normaltown, centered along Prince Avenue, offers an eclectic community with mid-century bungalows, renovated cottages, and celebrated neighborhood dining spots near Bishop Park.

Historic Boulevard and Cobbham feature preserved Victorian and craftsman architecture near downtown, while the Eastside and Cedar Creek provide older, quiet suburban neighborhoods with spacious lots and convenient access to shopping. Families and medical staff seeking larger lots and top-rated school districts frequently look just outside Clarke County across the border into Oconee County, around Watkinsville and Jennings Mill.

Sources

As of Sep 16, 2026Source 1: dwellathens.com Source 2: uhaul.com Source 3: bulldogkia.com Source 4: reddit.com

Getting aroundIntra-city travel is generally brisk, with typical drives from in-town neighborhoods like Five Points and Normaltown running 10 to 15 minutes into central districts, supported by Athens Transit local bus routes. Regional commuters traveling from surrounding communities such as Watkinsville, Bogart, or Monroe rely on GA-316 and US-78, usually facing a 15- to 25-minute commute. While overall traffic is substantially lighter than metropolitan Atlanta, game days and peak university terms can add localized congestion near campus corridors.

Intra-city travel is generally brisk, with typical drives from in-town neighborhoods like Five Points and Normaltown running 10 to 15 minutes into central districts, supported by Athens Transit local bus routes. Regional commuters traveling from surrounding communities such as Watkinsville, Bogart, or Monroe rely on GA-316 and US-78, usually facing a 15- to 25-minute commute.

While overall traffic is substantially lighter than metropolitan Atlanta, game days and peak university terms can add localized congestion near campus corridors.

Sources

As of Sep 16, 2026Source 1: uhaul.com Source 2: bulldogkia.com Source 3: dwellathens.com Source 4: reddit.com

OutdoorsThe 313-acre State Botanical Garden of Georgia at UGA provides miles of wooded paths, nature walks, and conservation grounds just south of the city core. Sandy Creek Park and Sandy Creek Nature Center offer extensive water recreation, trails, and open space, while the North Oconee River Greenway and Memorial Park supply paved walking trails and family amenities. Situated in the northeast Georgia foothills, Athens also gives outdoor enthusiasts straightforward weekend access to Blue Ridge Mountain hiking, waterfalls, and cabin retreats.

The 313-acre State Botanical Garden of Georgia at UGA provides miles of wooded paths, nature walks, and conservation grounds just south of the city core. Sandy Creek Park and Sandy Creek Nature Center offer extensive water recreation, trails, and open space, while the North Oconee River Greenway and Memorial Park supply paved walking trails and family amenities.

Situated in the northeast Georgia foothills, Athens also gives outdoor enthusiasts straightforward weekend access to Blue Ridge Mountain hiking, waterfalls, and cabin retreats.

Sources

As of Sep 16, 2026Source 1: visitathensga.com Source 2: bulldogkia.com Source 3: dwellathens.com Source 4: allmysons.com

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Living in Athens

Athens is a creative, energetic Southern hub that pairs deep music traditions and University of Georgia energy with relaxed community life. For relocating nurses, the city provides distinctive neighborhood personalities and easy day-to-day commutes, whether you prefer the tree-lined streets of Five Points, the artisan dining of Normaltown, or the historic architecture of Boulevard. Outside shift hours, clinical staff enjoy an exceptional food and brewery scene spanning Five & Ten, Last Resort Grill, and Creature Comforts, alongside live music at the Georgia Theatre and calm walking trails through the 313-acre State Botanical Garden. Families often target suburban Watkinsville across the Oconee County line for top-tier schools and larger lots. While university game days bring occasional gridlock and public transit options thin out beyond central corridors, Athens delivers a high quality of life with an approachable pace just over an hour outside Atlanta.

AI area guide

Sources

As of 2025-06Source 1: dwellathens.com Source 2: visitathensga.com Source 3: bulldogkia.com Source 4: exploregeorgia.org

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