Weekend Utilization Management RN

Atrium Health; Shelby (NC); On-site; USD 44,000 - 66,000; Part time

Benefits offered by this job

Paid time off

Health and welfare benefits

Retirement plan

Educational assistance

Job summary

Atrium Health is seeking a Utilization Management RN to support medical necessity reviews and authorization processes in Shelby, NC. This part-time role requires coordinating with care teams and payors to ensure appropriate levels of care and timely authorizations.

The position emphasizes strong clinical knowledge, RN licensure, and the ability to navigate CMS and regulatory requirements. Weekend scheduling is specified, with weekends required.

Qualifications

• Bachelor’s degree in Nursing required.
• RN license required or temporary RN license per state rules.

Responsibilities

• Coordinate utilization management with healthcare team and payors to determine level of care.
• Provide timely clinical information to payors to secure authorization of stay.
• Perform admission and continued stay utilization reviews for medical necessity.
• Document utilization management activities accurately and timely.
• Communicate effectively with payors to secure timely authorization and resolve denials.

Education

Bachelor's in Nursing

Master's in healthcare/business

Job description

Atrium Health is seeking a Utilization Management RN to support medical necessity reviews and authorization processes in Shelby, NC. This part-time role requires coordinating with care teams and payors to ensure appropriate levels of care and timely authorizations.

The position emphasizes strong clinical knowledge, RN licensure, and the ability to navigate CMS and regulatory requirements. Weekend scheduling is specified, with weekends required.