Weekend RN: Utilization Review & Care Coordination

Wellstar Health System, Inc.; Martinez (GA); On-site; USD 55,000 - 83,000; Part time

Job summary

Wellstar Health System is seeking a Utilization Management Nurse for Cobb Hospital in Georgia. This part-time weekend role requires strong clinical knowledge, MCG/Indicia-based reviews, and collaboration with physicians and payers.

You will conduct daily utilization reviews, coordinate approvals, and ensure timely documentation in EPIC. Responsibilities include post-discharge coordination, accurate charting, and adherence to Medicare/Medicaid guidelines.

Qualifications

• Associates or diploma in nursing; BSN preferred.
• RN license (single state or compact)
• Minimum 3 years of strong clinical knowledge/experience.

Responsibilities

• Perform medical necessity reviews and utilization management across shifts including daily concurrent reviews.
• Prepare and document chart notes and ensure authorization for hospital days in EPIC.
• Communicate with physicians, payers, and care team to coordinate transitions and care plans.
• Identify opportunities for performance improvement and ensure compliance with payer regulations.

Skills

Case Management process

Verbal and written communication

Organizational skills

Physician relationship building

Screening criteria knowledge

Analytical thinking

Computer skills

Education

Associates Nursing

Nursing Diploma

Bachelor's in Nursing (preferred)

Tools

EPIC

Indicia criteria

Job description

Wellstar Health System is seeking a Utilization Management Nurse for Cobb Hospital in Georgia. This part-time weekend role requires strong clinical knowledge, MCG/Indicia-based reviews, and collaboration with physicians and payers.

You will conduct daily utilization reviews, coordinate approvals, and ensure timely documentation in EPIC. Responsibilities include post-discharge coordination, accurate charting, and adherence to Medicare/Medicaid guidelines.