On-Site Utilization Management Nurse Lead

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

Job summary

Wellstar Health System seeks an on-site Utilization Management Team Lead to oversee UM RNs and coordinate care across acute, chronic, and long-term stages for defined patient populations. The role emphasizes real-time collaboration with physicians, nurses, and interdisciplinary teams to optimize throughput, length of stay, and reimbursement accuracy.

The Team Lead will supervise on-site UM staff, coordinate training and performance, and ensure compliance with nursing standards and state

Qualifications

• Experience in case management or utilization management.
• Strong organizational and communication skills.
• Familiarity with screening criteria (e.g., MCG) is a plus.

Responsibilities

• Collaborate with physicians and care teams to determine appropriate level of care.
• Provide real-time input on medical necessity and care progression.
• Lead on-site utilization management activities and staff oversight.

Skills

Case Management

Organizational Skills

Communication

Education

Associates or Diploma in Nursing

Bachelor's in Nursing

Job description

Wellstar Health System seeks an on-site Utilization Management Team Lead to oversee UM RNs and coordinate care across acute, chronic, and long-term stages for defined patient populations. The role emphasizes real-time collaboration with physicians, nurses, and interdisciplinary teams to optimize throughput, length of stay, and reimbursement accuracy.

The Team Lead will supervise on-site UM staff, coordinate training and performance, and ensure compliance with nursing standards and state