Onsite Utilization Management Leader (RN)

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

Job summary

Wellstar Health System, Inc. in Marietta, GA seeks an experienced Utilization Management leader to oversee the program, ensure CMS compliance, and guide the quality of patient care across the care continuum.

You will lead a multidisciplinary team, manage staff performance and budgets, collaborate with physicians and payers, and drive data-driven improvements in patient throughput and outcomes.

Qualifications

• Requires RN licensure and hospital case management experience.
• Experience leading multidisciplinary staff in a hospital setting.
• Familiarity with CMS and Utilization Review standards.

Responsibilities

• Lead the Utilization Management program and ensure CMS compliance.
• Coordinate with physicians and hospital departments to optimize patient care.
• Oversee daily operations, performance metrics and reporting.
• Drive improvements in patient throughput and outcomes through data analysis.

Skills

Communication skills

Interpersonal skills

Multitasking

Time management

Education

Bachelor's or Diploma in Nursing

Master's Nursing (Preferred)

Job description

Wellstar Health System, Inc. in Marietta, GA seeks an experienced Utilization Management leader to oversee the program, ensure CMS compliance, and guide the quality of patient care across the care continuum.

You will lead a multidisciplinary team, manage staff performance and budgets, collaborate with physicians and payers, and drive data-driven improvements in patient throughput and outcomes.