Weekend UM RN - Elevate Patient Care & Coordination

Wellstar Health System, Inc.; Crestdale (SC); On-site; USD 70,000 - 100,000; Part time

Job summary

Wellstar Cobb Hospital is seeking a Utilization Management (UM) Nurse to conduct medical necessity reviews up to 12 hours daily, seven days a week, using Indicia and EPIC for documentation. The role emphasizes timely authorizations and collaboration with the care team to coordinate transitions of care.

Minimum 3 years’ clinical practice is required, with strong knowledge of case management and payer processes. The position involves weekend shifts (Saturday/Sunday 7am–7pm).

Qualifications

• Knowledge of case management process and clinical criteria.
• Strong verbal and written communication skills.
• Excellent organizational skills and interdisciplinary collaboration.
• Ability to review clinical data and identify variances.

Responsibilities

• Initiates assessment for necessity and appropriateness of health services using screening criteria.
• Ensures timely certification/authorization of hospital admissions and days.
• Monitors and documents reviews and communicates with payers and providers.
• Collaborates with physicians and care teams to ensure safe transitions of care.

Skills

Case Management

Communication

Organization

Collaboration

Clinical Review

Education

Associates Nursing or Diploma in Nursing

Tools

EPIC

MCG Indicia

IAD

IEF

Job description

Wellstar Cobb Hospital is seeking a Utilization Management (UM) Nurse to conduct medical necessity reviews up to 12 hours daily, seven days a week, using Indicia and EPIC for documentation. The role emphasizes timely authorizations and collaboration with the care team to coordinate transitions of care.

Minimum 3 years’ clinical practice is required, with strong knowledge of case management and payer processes. The position involves weekend shifts (Saturday/Sunday 7am–7pm).