Onsite RN Team Lead: Clinical Care Optimization

Massachusetts Health & Hospital Association; Austell (GA); On-site; USD 85,000 - 110,000; Full time

Job summary

Massachusetts Health & Hospital Association offers a leadership role in Utilization Management, supervising onsite UM staff to coordinate patient care. You will work with physicians and interdisciplinary teams through face-to-face consultations, bedside rounds, and ED assessments to determine appropriate level of care and medical necessity.

The role involves concurrent reviews, documentation, and reducing avoidable hospital days while guiding staff, overseeing workflow, and supporting quality

Qualifications

• RN licensed with active credentials in Georgia.
• Knowledge of healthcare regulations and utilization review.
• Experience in case management and hospital-based UM.

Responsibilities

• Lead and supervise onsite UM staff to coordinate patient care.
• Collaborate with physicians and interdisciplinary teams via bedside rounds and ED assessments.
• Perform concurrent reviews using criteria and document findings.
• Minimize avoidable hospital days and ensure medical necessity.
• Provide coaching, staff mentorship, and QA for performance improvement.

Skills

Clinical expertise

Communication

Teamwork

Conflict resolution

Education

RN licensure (GA)

Tools

Epic

Job description

Massachusetts Health & Hospital Association offers a leadership role in Utilization Management, supervising onsite UM staff to coordinate patient care. You will work with physicians and interdisciplinary teams through face-to-face consultations, bedside rounds, and ED assessments to determine appropriate level of care and medical necessity.

The role involves concurrent reviews, documentation, and reducing avoidable hospital days while guiding staff, overseeing workflow, and supporting quality