Utilization Management RN - Acute Care (Day Shift)

Wellstar Health Systems, Inc.; Richmond (CA); On-site; USD 85,000 - 100,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation assistance for eligible

Job summary

Wellstar Health Systems, Inc. seeks a Utilization Management Nurse to conduct medical necessity reviews and coordinate care across units at Cobb Hospital. This full-time role emphasizes timely authorizations, documentation in EPIC, and collaboration with physicians and payers.

The position requires strong clinical knowledge, at least 3 years of hospital experience, and an RN license (BSN preferred). Sign-on bonus and relocation assistance are available for eligible candidates.

Qualifications

• Graduate of an accredited nursing program.
• BSN preferred.
• Minimum 3 years clinical practice/experience in a hospital setting.
• RN license with multi-state compact preferred.

Responsibilities

• Conduct medical necessity reviews up to 12 hours per day.
• Coordinate with physicians and care team for safe transitions of care.
• Obtain timely authorizations and document in EPIC.
• Perform concurrent reviews and post-discharge documentation.
• Support continuous performance improvement initiatives.

Skills

Clinical nursing

Communication skills

Documentation

EPIC experience

Education

BSN degree

RN license (state)

Tools

EPIC

Indicia

IAD/IEF criteria

Job description

Wellstar Health Systems, Inc. seeks a Utilization Management Nurse to conduct medical necessity reviews and coordinate care across units at Cobb Hospital. This full-time role emphasizes timely authorizations, documentation in EPIC, and collaboration with physicians and payers.

The position requires strong clinical knowledge, at least 3 years of hospital experience, and an RN license (BSN preferred). Sign-on bonus and relocation assistance are available for eligible candidates.