Utilization Review at Actalent in Atlanta, GA | USD40-45 | Kablio

Role

Description

case management

quality review

precertification

eligibility review

ed review

telephonic review

Communicate with inpatient care coordinators, case managers, SNF/Rehab care coordinators, members, providers, Customer Service, Claims, Contracts and Benefits - Appeals, and Risk Management.
Identify patients for case management.
Conduct quality improvement reviews.
Carry out precertification and medical necessity reviews for designated referrals.
Perform eligibility and benefit reviews as necessary.
Conduct retrospective emergency department reviews.
Perform telephonic reviews for medical necessity of targeted outpatient procedures, services, and inpatient admissions.

Requirements

rn

ga

utilization management

managed care

1+ yr

Registered Nurse (RN) with a valid license in GA or Compact.
1+ years of experience in Utilization Management (UM).
1+ years of experience in managed care.

Benefits

Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Atlanta,GA. Application Deadline This position is anticipated to close on Dec 24, 2025.
Employee Assistance Program
401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
Critical Illness, Accident, and Hospital
Transportation benefits
Medical, dental & vision
Health Spending Account (HSA)
Short and long-term disability
Life Insurance (Voluntary Life & AD&D for the employee and dependents)

Training + Development

Information not given or found

Interview process

Information not given or found

Visa Sponsorship

Information not given or found

Security clearance

Information not given or found

Company

Overview

$1.3B Annual Revenue

Revenue Figure

Generated annually through a network of technical and consulting services.

27,500+ Consultants

Consultants Network

Comprises a global network of expert professionals across industries.

Born in July 2021 by merging Aerotek’s engineering & sciences arm with EASi, Actalent emerged as a focused engineering-and-science partner.
Backed by Allegis Group, it drives scale and speed to market via contract, managed, and technical services.
Headquartered in Maryland with global reach, it deploys specialized teams across North America, Europe, and APAC on Fortune 500 projects.
Typical engagements span EV design, vaccine development, lab services, clinical research, and infrastructure systems.
Expertise covers a wide spectrum: aerospace, defense, healthcare, manufacturing, software systems, environmental and civil engineering.

Culture + Values

We empower people to realize their full potential by providing opportunities to grow and learn.
We build lasting relationships based on trust, integrity, and respect.
We champion innovation, continuously seeking creative solutions.
We are committed to delivering exceptional results for our clients and employees.
We foster a collaborative environment where team members contribute to collective success.

Environment + Sustainability

2050

Target Year

The company has set a goal to achieve net-zero emissions by the year 2050.

focused on reducing its carbon footprint and enhancing environmental sustainability.
committed to making energy-efficient investments and improving operational practices for sustainability.
focuses on reducing waste and increasing recycling in its operations.

Inclusion & Diversity

This company prioritizes creating an inclusive workplace where diverse perspectives are valued.
The organization strives to increase gender diversity and empower women at all levels.
The company regularly monitors and tracks progress on gender-related diversity goals.

Articles

Services Overview

Data Protection & Privacy Policy

Company

Overview

$1.3B Annual Revenue

Revenue Figure

Generated annually through a network of technical and consulting services.

27,500+ Consultants

Consultants Network

Comprises a global network of expert professionals across industries.

Born in July 2021 by merging Aerotek’s engineering & sciences arm with EASi, Actalent emerged as a focused engineering-and-science partner.
Backed by Allegis Group, it drives scale and speed to market via contract, managed, and technical services.
Headquartered in Maryland with global reach, it deploys specialized teams across North America, Europe, and APAC on Fortune 500 projects.
Typical engagements span EV design, vaccine development, lab services, clinical research, and infrastructure systems.
Expertise covers a wide spectrum: aerospace, defense, healthcare, manufacturing, software systems, environmental and civil engineering.

Culture + Values

We empower people to realize their full potential by providing opportunities to grow and learn.
We build lasting relationships based on trust, integrity, and respect.
We champion innovation, continuously seeking creative solutions.
We are committed to delivering exceptional results for our clients and employees.
We foster a collaborative environment where team members contribute to collective success.

Environment + Sustainability

2050

Target Year

The company has set a goal to achieve net-zero emissions by the year 2050.

focused on reducing its carbon footprint and enhancing environmental sustainability.
committed to making energy-efficient investments and improving operational practices for sustainability.
focuses on reducing waste and increasing recycling in its operations.

Inclusion & Diversity

This company prioritizes creating an inclusive workplace where diverse perspectives are valued.
The organization strives to increase gender diversity and empower women at all levels.
The company regularly monitors and tracks progress on gender-related diversity goals.

Articles

Services Overview

Data Protection & Privacy Policy