Part-Time UM Nurse: Impactful Care & Coordination

2510 Cobb Hospital, Inc.; United States; On-site; USD 55,000 - 83,000; Part time

Job summary

Wellstar Cobb Hospital is seeking a Utilization Management Nurse for weekend daytime shifts. This role conducts medical necessity reviews, uses Indicia criteria, and coordinates care across units and payers. Ability to document precisely and communicate with physicians is essential.

Minimum 3 years of clinical experience and an RN license are required. EPIC proficiency and knowledge of MCG criteria will support high-quality discharge planning and authorization processes.

Qualifications

• Associates degree in nursing or nursing diploma; BSN preferred.
• Active RN license in the state; multi-state compact preferred.
• Minimum 3 years of clinical experience in case management or hospital setting.

Responsibilities

• Initiates assessment for necessity and appropriateness of health services using established screening criteria (e.g., MCG).
• Provides required information to payors and secures authorization for hospital days.
• Monitors and documents chart notes, post-discharge activities, and billing impacts.
• Collaborates with physicians and care teams to ensure timely, appropriate levels of care.

Skills

Case management

Communication

Organization

Physician collaboration

MCG criteria

Computer skills

Education

Associates degree in nursing

Bachelor's in nursing preferred

Tools

EPIC

Job description

Wellstar Cobb Hospital is seeking a Utilization Management Nurse for weekend daytime shifts. This role conducts medical necessity reviews, uses Indicia criteria, and coordinates care across units and payers. Ability to document precisely and communicate with physicians is essential.

Minimum 3 years of clinical experience and an RN license are required. EPIC proficiency and knowledge of MCG criteria will support high-quality discharge planning and authorization processes.