Utilization Management Nurse (UM) – PRN, Day Shift

Wellstar Health System, Inc.; Hephzibah (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

Wellstar Health System, Inc. is seeking an Utilization Management Nurse (UM) Coordinator for a PRN days shift at Cobb Hospital in Georgia. The UM Coordinator conducts medical necessity reviews, coordinates safe transitions of care, and communicates with payers and care teams.

The role requires solid nursing experience and strong clinical judgement. The position emphasizes timely authorizations, documentation in EPIC, and collaboration with physicians and advisors to optimize patient care and

Qualifications

• Minimum 3 years of strong clinical knowledge and practice.
• Ability to perform medical necessity reviews and coordinate care.
• Experience with payer communications and authorization processes.

Responsibilities

• Conduct medical necessity reviews 24/7 using established criteria such as MCG.
• Coordinate care transitions and provide authorization status to care teams.
• Obtain timely payer authorizations and document in EPIC.

Skills

Clinical knowledge

RN license

Communication

Education

RN License

Tools

EPIC

MCG Indicia

Job description

Wellstar Health System, Inc. is seeking an Utilization Management Nurse (UM) Coordinator for a PRN days shift at Cobb Hospital in Georgia. The UM Coordinator conducts medical necessity reviews, coordinates safe transitions of care, and communicates with payers and care teams.

The role requires solid nursing experience and strong clinical judgement. The position emphasizes timely authorizations, documentation in EPIC, and collaboration with physicians and advisors to optimize patient care and