Onsite UM Manager: Lead Utilization & Patient Care

Wellstar Health System; Sandy Springs (GA); Vor Ort; USD 95.000 - 135.000; Vollzeit

Zusammenfassung

Wellstar Health System in Georgia is seeking an experienced leader to oversee the Utilization Management program. You will implement standards of practice, evidence-based guidelines, and ensure CMS and payer compliance while guiding patient care quality and throughput.

Responsibilities include supervising staff, coordinating with physicians and hospital departments, developing education materials, tracking outcomes and budgets, and driving continuous improvement in utilization practices.

Qualifikationen

• Bachelor's or nursing diploma is required; master's preferred.
• RN license in state or compact. 3+ years managing multidisciplinary staff.
• Hospital environment experience with case management is required.

Aufgaben

• Lead and manage the Utilization Management program and ensure CMS compliance.
• Coordinate program functions with physicians and hospital departments to optimize outcomes.
• Develop education materials and serve as resource for Utilization Review.
• Monitor performance, budgets and staffing to achieve program goals.
• Ensure staff engagement, professional development and regulatory standards.

Kenntnisse

Strong communication

Multitasking

Ausbildung

Bachelor's Nursing or Diploma in Nursing; Master’s preferred

Jobbeschreibung

Wellstar Health System in Georgia is seeking an experienced leader to oversee the Utilization Management program. You will implement standards of practice, evidence-based guidelines, and ensure CMS and payer compliance while guiding patient care quality and throughput.

Responsibilities include supervising staff, coordinating with physicians and hospital departments, developing education materials, tracking outcomes and budgets, and driving continuous improvement in utilization practices.