On-Site Utilization Management RN Leader

3410 Wellstar North Fulton Hospital, Inc.; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

Wellstar Health System in Georgia seeks an On-site Utilization Management Nurse Team Lead to supervise the UM staff, coordinate care across acute, chronic, and long-term stages, and ensure medical necessity is well-documented. This role requires strong leadership, collaboration with hospital teams, and adherence to regulatory standards.

As an on-site position, you will work closely with physicians, case managers, and administrators to optimize throughput, length of stay, and reimbursement while

Qualifications

• Knowledge of Case Management process.
• High excellent organizational and professional communication skills.

Responsibilities

• Lead and coordinate utilization management activities.
• Supervise and mentor UM staff and students.
• Coordinate with Manager, Director and other Healthcare Team Leaders.
• Ensure compliance with Medicare/Medicaid regulations and documentation requirements.

Skills

Case management knowledge

Organizational skills

Professional communication

Education

Associates Nursing or Diploma (Nurse) Nursing or Bachelors Nursing

Job description

Wellstar Health System in Georgia seeks an On-site Utilization Management Nurse Team Lead to supervise the UM staff, coordinate care across acute, chronic, and long-term stages, and ensure medical necessity is well-documented. This role requires strong leadership, collaboration with hospital teams, and adherence to regulatory standards.

As an on-site position, you will work closely with physicians, case managers, and administrators to optimize throughput, length of stay, and reimbursement while