Utilization Management Nurse: Optimize Care & Throughput
Wellstar Health System
The Utilization Management (UM) Nurse at Wellstar Health System reviews medical necessity and coordinates care using MCG criteria, IAD, and EPIC documentation. You will work with physicians and the care team to determine the appropriate level of care for admitted, observation, and post-discharge cases. This role emphasizes timely authorizations, chart accuracy, and collaboration with payers to prevent denials while supporting safe transitions of care. #J-18808-Ljbffr Wellstar Health Systems
Vacancy posted 3 days ago
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Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office$32 - $36 per hour
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Hiring & apply
Marietta, GA12 hours ago - Wellstar Health System is seeking a Utilization Management Nurse to review medical necessity for admissions and ongoing care across 7 days per week, using Indicia criteria and EPIC documentation. The role collaborates with physicians and care teams to ensure appropriate...
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