Weekend PT RN — Utilization & Care Coordination

Wellstar Health Systems, Inc.; Austell (GA); On-site; USD 75,000 - 90,000; Part time

Job summary

Wellstar Health System in Cobb County, Georgia, is seeking a Utilization Management (UM) Nurse to support safe transitions of care and ensure medical necessity reviews across multiple shifts.

The role involves reviewing admissions, stays, and concurrent care using Indicia criteria and EPIC documentation, coordinating with physicians and care teams to optimize patient level of care and discharge planning.

Qualifications

• RN licensed with knowledge of case management and discharge planning.
• Experience using EMR systems and clinical review criteria.
• Ability to coordinate with physicians and care teams.

Responsibilities

• Conduct medical necessity reviews for admissions and ongoing care.
• Collaborate with physicians and care teams for safe transitions.
• Document reviews and authorizations in EPIC and related systems.
• Monitor post-discharge accounts and ensure timely authorization.

Skills

Case management

RN license

Clinical communication

Care coordination

Education

RN - Associates/Bachelors/Diploma

Tools

EPIC

Indicia

Job description

Wellstar Health System in Cobb County, Georgia, is seeking a Utilization Management (UM) Nurse to support safe transitions of care and ensure medical necessity reviews across multiple shifts.

The role involves reviewing admissions, stays, and concurrent care using Indicia criteria and EPIC documentation, coordinating with physicians and care teams to optimize patient level of care and discharge planning.