On-Site RN Utilization Management Team Lead

Wellstar Health System; Augusta (GA); On-site; USD 90,000 - 120,000; Full time

Job summary

Wellstar Health System is seeking an RN Team Lead for on-site Utilization Management to coordinate care across acute, chronic and long-term illness stages and ensure medical necessity determinations. You will lead, train and supervise UM staff, acting as a primary liaison between clinical floors and administration, with direct collaboration with physicians and the patient services team.

This role emphasizes real-time interaction, documentation accuracy, and adherence to UM criteria to optimize

Responsibilities

• Coordinate care with Manager, Director and other Healthcare Team Leaders.
• Provide training and supervision to UM staff and students.
• Collaborate with physicians, providers and interdisciplinary teams to optimize hospital resources.

Skills

Staff supervision

Collaboration

Process improvement

Tools

Epic EHR

Job description

Wellstar Health System is seeking an RN Team Lead for on-site Utilization Management to coordinate care across acute, chronic and long-term illness stages and ensure medical necessity determinations. You will lead, train and supervise UM staff, acting as a primary liaison between clinical floors and administration, with direct collaboration with physicians and the patient services team.

This role emphasizes real-time interaction, documentation accuracy, and adherence to UM criteria to optimize