RN Utilization Management Lead — On-Site Care Leader

Wellstar Health System; Grovetown (GA); On-site; USD 110,000 - 140,000; Full time

Job summary

Wellstar Health System in Georgia is seeking an On-site UM Nurse Team Lead to oversee an RN team across acute, chronic and long-term care, ensuring efficient utilization management and patient advocacy. You will collaborate with physicians and staff to optimize throughput, bed availability, and compliant documentation, while guiding training and performance improvement initiatives.

The role requires active RN licensure in Georgia and strong leadership, communication, and clinical skills to drive

Qualifications

• RN licensed in Georgia
• Experience in Utilization Management
• Ability to supervise and train staff
• Strong collaboration with physicians and administrators
• Knowledge of Medicare/Medicaid and documentation standards

Responsibilities

• Oversee UM RNs and coordinate care across acute, chronic, and long-term stages
• Lead on-site UM staffing, training, and supervision
• Coordinate real-time case discussions with physicians and interdisciplinary teams
• Perform on-site concurrent reviews using established criteria (e.g., MCG)
• Ensure timely certification of hospital admissions and accurate documentation in Epic UR
• Monitor QA/PI activities and support performance improvement initiatives

Skills

Team leadership

Clinical coordination

Staff coaching

Quality improvement

Communication

Tools

Epic EMR

Job description

Wellstar Health System in Georgia is seeking an On-site UM Nurse Team Lead to oversee an RN team across acute, chronic and long-term care, ensuring efficient utilization management and patient advocacy. You will collaborate with physicians and staff to optimize throughput, bed availability, and compliant documentation, while guiding training and performance improvement initiatives.

The role requires active RN licensure in Georgia and strong leadership, communication, and clinical skills to drive