UM RN - Acute Care | Day Shift, Onsite | Sign-On Relocation

Wellstar Health System, Inc.; Crestdale (SC); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation assistance

Job summary

Wellstar Cobb Hospital is seeking a Utilization Management Nurse for day shift, full-time, onsite at Cobb Medical Center. The UM Nurse reviews medical necessity, coordinates care transitions, and collaborates with physicians and the care team to ensure safe, efficient patient progression.

The role requires strong clinical knowledge, EPIC documentation, and ability to obtain payer authorizations, supporting timely billing and optimal patient outcomes.

Qualifications

• Active RN license with relevant clinical experience.
• Experience with case management and utilization review processes.
• Proficient in EPIC and medical records documentation.

Responsibilities

• Conduct medical necessity reviews using established criteria.
• Coordinate care transitions and communicate with physicians.
• Obtain timely authorizations from payers and document in EPIC.
• Monitor post-discharge and ensure accurate coding and billing.
• Work collaboratively to improve throughput and reduce delays.

Skills

Nursing

Case Management

Medical Records

Communication

Education

BSN

Tools

EPIC EMR

Indicia

Job description

Wellstar Cobb Hospital is seeking a Utilization Management Nurse for day shift, full-time, onsite at Cobb Medical Center. The UM Nurse reviews medical necessity, coordinates care transitions, and collaborates with physicians and the care team to ensure safe, efficient patient progression.

The role requires strong clinical knowledge, EPIC documentation, and ability to obtain payer authorizations, supporting timely billing and optimal patient outcomes.