Weekend RN: Utilization Review & Care Coordination

Wellstar Health System, Inc.; North Augusta (GA); On-site; USD 60,000 - 90,000; Part time

Benefits offered by this job

Flexible weekend schedule

Job summary

Wellstar Health System is seeking a Utilization Management (UM) Nurse at Cobb Hospital in Georgia. This part-time weekend role conducts medical necessity reviews, utilizes Indicia and EPIC documentation, and coordinates with physicians and the care team to ensure appropriate levels of care.

The UM Nurse reviews admissions and ongoing cases daily, communicates with payers, and supports timely discharge planning while maintaining compliance with Medicare/Medicaid regulations.

Qualifications

• Associates Nursing or Diploma in Nursing; Bachelors preferred.
• RN license in good standing (single state or compact) is required.

Responsibilities

• Initiates assessment for necessity and appropriateness of health services using screening criteria.
• Completes chart notes accurately and timely per protocol and documents reviews.
• Certifies/authorizes hospital admissions and days with appropriate payer documentation.
• Collaborates with physicians and care teams to ensure safe transitions of care.

Skills

Case Management

Communication

Organization

Physician relationships

Clinical criteria

Computer skills

Education

Associate Degree in Nursing

Diploma in Nursing

Bachelor's in Nursing (Preferred)

Tools

EPIC EMR

Indicia

Job description

Wellstar Health System is seeking a Utilization Management (UM) Nurse at Cobb Hospital in Georgia. This part-time weekend role conducts medical necessity reviews, utilizes Indicia and EPIC documentation, and coordinates with physicians and the care team to ensure appropriate levels of care.

The UM Nurse reviews admissions and ongoing cases daily, communicates with payers, and supports timely discharge planning while maintaining compliance with Medicare/Medicaid regulations.