On-Site Utilization Management RN Lead

Wellstar Health System; Roswell (GA); On-site; USD 90,000 - 130,000; Full time

Job summary

Wellstar Health System is seeking a Team Lead for On-site Utilization Management (UM) to oversee RN staff, coordinate care across acute to long-term illness, and ensure medical necessity through criteria like MCG. The role focuses on real-time collaboration with physicians, administrators, and interdisciplinary teams to optimize throughput, length of stay, and reimbursement accuracy.

The position requires Georgia RN licensure, 3+ years clinical experience with 1 year in UM/care coordination, and

Qualifications

• Active RN license in Georgia required.
• Minimum 3 years clinical practice; 1 year UM/Case management exp.
• Strong organizational and professional communication skills.
• Ability to lead a team and collaborate with physicians.

Responsibilities

• Coordinate care with manager and directors; oversee daily staffing and work distribution.
• Coach staff, monitor productivity and denial ratios; manage Epic WQs.
• Provide training, mentoring, and serve as preceptor for students.
• Ensure documentation accuracy and compliance with UM/Medicare rules.

Skills

RN licensure

Leadership

Communication

Care coordination

Education

ASN/BSN degree

Job description

Wellstar Health System is seeking a Team Lead for On-site Utilization Management (UM) to oversee RN staff, coordinate care across acute to long-term illness, and ensure medical necessity through criteria like MCG. The role focuses on real-time collaboration with physicians, administrators, and interdisciplinary teams to optimize throughput, length of stay, and reimbursement accuracy.

The position requires Georgia RN licensure, 3+ years clinical experience with 1 year in UM/care coordination, and