Utilization Management Lead | RN Case Management
Wellstar Health System
Wellstar Health System seeks a leader to oversee the Utilization Management program, ensuring adherence to evidence-based guidelines, CMS and payer standards, and hospital policies. The role drives program quality, financial performance, and staff engagement while coordinating with physicians and other departments to optimize patient throughput. The position requires nursing credentials, strong communication, and a track record in case management or utilization review, with responsibilities #J-18808-Ljbffr Wellstar Health System
- Wellstar Health System seeks an On-site Utilization Management Team Lead to oversee the UM RNs and coordinate care across the continuum. The role partners with physicians, administrators, and the care team to optimize throughput, LOS, and reimbursement accuracy. The successful...Suggested
- Wellstar Health System is seeking an On-site Utilization Management Nurse Team Lead to oversee UM staff, coordinate care across acute to long-term stages... ...necessity supports appropriate hospital stays. The role requires RN licensure in Georgia, strong leadership, and...Suggested
- Wellstar Health System in Georgia seeks a leader to manage the Utilization Management program, ensuring CMS/payer compliance, quality... ...high-quality outcomes across the continuum of care. RN licensure with 3+ years of case management leadership and strong communication skills...Suggested
- ...Job Details POSITION SUMMARY - RN Utilization Management POSITION DUTIES - Primary link between the clinical floor and administrative... ...with clinical practice/experience ~ Knowledgeable about case management process and about utilizing screening criteria...SuggestedTemporary workImmediate startShift workDay shift
- AccentCare Inc. is seeking an RN Case Manager for home health coverage in Smyrna/South Cobb. The role oversees patient care plans from admission to discharge, guiding RNs, LPNs, and CHHAs to deliver the plan with quality care. Compensation reflects annual estimates, paid...Suggested
- ...is seeking a dedicated Registered Nurse/Case Manager to plan, coordinate and provide compassionate... ...communities across Canton, GA. You will lead the interdisciplinary team and tailor... .... The ideal candidate holds an active GA RN license, with 2+ years in clinical, home...
- ...Health System in Smyrna, GA seeks a senior leader to oversee the Utilization Management program. You will implement standards of practice, evidence-... ...develop education materials, track outcomes, and coordinate case management across the patient care pathway. #J-18808-Ljbffr...
- ...Team Leader On-site Hospital Utilization Management (UM) Nurse How would you like... ...accuracy. The Team Lead of On-site UM is responsible... ...procedures. It is expected that all RN Clinical Nurses are licensed,... ...Provide consultation as needed on cases being admitted through the...Shift work
- Wellstar Health System seeks an On-site UM Nurse Team Lead to oversee a staff of utilization management RNs, coordinating care across acute and long-term settings. You will ensure appropriate medical necessity, collaborate with physicians, and drive throughputs and adherence...
- Wellstar Health System is seeking a leader to manage the Utilization Management program, ensuring standards of practice and CMS/payer compliance. The role requires coordinating with physicians and hospital departments to optimize patient care and to guide program quality...
- ...Healthcare in Smyrna, GA is seeking a Clinical Manager - Home Health to supervise clinical staff... ...as a preceptor, and availability of RN Case Manager/Preceptor resources under the Branch Administrator guidance. You will lead clinical workflow, ensure quality of care,...
- ...Health System in Georgia is seeking a leader to oversee the Utilization Management program, implementing standards of practice, CMS and payer guidelines... ...compliance, serving on committees and advancing cost-effective care through case #J-18808-Ljbffr Wellstar Health System
- ...explain the Blue Summit difference. About the Role: The RN Case Manager Hospice plays a critical role in delivering compassionate,... ...and family support. Skills: The RN Case Manager Hospice utilizes clinical nursing skills daily to assess patient conditions, manage...
- ...voice. Role Description The UM Manager RN is a full-time, on-site role... ..., responsible for overseeing utilization management activities to... ...the health system. This role leads and supports a team of utilization... ...Manager RN reviews complex cases, collaborates with physicians...Full timeWork at office
$100 per hour
...Nurse Case Manager (RNCM) Tapestry Hospice & Palliative Care is family owned and operated not... ...create, plan, and direct hospice care by utilizing the nursing process of assessment,... ...competency. Minimum Requirements Current RN license in the State of Georgia 1–2 years...Temporary work- ...Registered Nurse/Case ManagerAffinity Hospice is one of the fastest growing, privately... ...trainingPosition Summary:The registered nurse/case manager plans, organizes, directs, and provides... ...the patient plan of careProvide care utilizing infection control measures that protect...Full time
- ...Wellstar Home Health Clinical RN/Case Manager How would you like to work in a place where your contributions and ideas are valued? A place... ...and encourage self care to achieve positive outcomes. Utilizes both verbal and written tools to facilitate learning and promotion...Full timeShift workWeekend work
$59.03k - $100k
...in the Marietta, GA area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly... ...encouraged to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and...Daily paidFull timePart timeRelocation packageShift workNight shiftDay shift- ...industry, and in people's lives. Work Shift Job Summary: The RN Case Manager is responsible for providing and supervising primary care to... ...directions to patients homes.Use of Windows based computer, utilizing home health patient software, email, internet, computer based...Shift workWeekend work
- Visiting Nurse Health System is hiring an RN Case Manager for Home Health in Marietta, GA. You will coordinate care for a caseload of patients, ensuring quality standards and utilization guidelines are met, with focus on patient education and family engagement. You will...
- RN-Case Manager Facility Name: Wellstar Kennestone Regional Medical Center Address: 677 Church St Marietta, Georgia Contract duration: 13 weeks with possible extensions Shift: Days 5x8 - Days - 8:30a-5:00p Start Date: 06/23/2025 3B Healthcare, Inc.Contract workShift work
- ...help overcome barriers to care. Utilizing the nursing process, a nurse... ...methods (interdisciplinary rounds, case review, inpatient navigation... ...and coordination with case management, etc); completion of timely documentation... ...hire unless otherwise stated. RN - Reg Nurse (Single State) or...Local areaShift work
$34 - $39 per hour
...compassionate and confident Registered Nurse Care Manager. This part-time role is ideal for a newly licensed RN interested in care management, senior care, and building... ...systems. Previous nursing, home-care, geriatric, case-management, customer-service, or sales experience...Hourly payPart timeWork at officeLocal areaRemote workFlexible hours- RaceTrac is seeking a Co-Manager to support store performance and develop a high-performing team in Woodstock, Georgia. You will cultivate a guest-first culture, mentor team members, and drive operational excellence in compliance with safety regulations. The ideal candidate...
- ...accommodation or an alternative application process. Community Association Manager Full Time Georgia Office, Woodstock, GA, US 7 days ago... ...knowledge of Microsoft Word and Excel Ability to learn and utilize new management software and technology Key Responsibilities General...Full timeFor contractorsWork at office
- RaceTrac is seeking a Co-Manager in Woodstock, Georgia to support the General Manager and lead a team focused on delivering exceptional guest experiences. The role includes cultivating a guest-first culture, driving operational excellence, and ensuring food safety compliance...
- RaceTrac is looking for a Co-Manager in Woodstock, Georgia to lead a high-performing team and ensure exceptional guest experiences. The role involves mentoring staff, driving sales, managing inventory, and ensuring compliance with food safety standards. The ideal candidate...
$85k - $89k
...Overview Make a difference every day as an Amedisys RN case manager Join Amedisys‑one of the largest and most trusted home health and hospice companies in the U.S.‑where flexibility, purpose and growth come together to help patients heal where they feel most comfortable...Shift work- A popular pizza chain is seeking an Assistant Manager in Marietta, Georgia. The role involves leading a team, ensuring store operations, and providing excellent... ...a pathway for growth into management. Join us to utilize your leadership skills and be part of a fun company...Flexible hours
- A leading pizza franchise in Woodstock, Georgia is seeking an Assistant Manager to oversee restaurant operations, lead a team, and ensure exceptional customer service. Responsibilities include managing staff, maintaining cleanliness, and engaging with customers. Ideal candidates...Flexible hours
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