Registered Nurse (RN), Acute Care, Central Utilization Management, Full-Time Days

Job overview

The Registered Nurse (RN), Acute Care, Central Utilization Management, Full-Time Days position is onsite at Cobb Hospital in Austell, GA. Compensation is not specified; sign-on bonus and relocation assistance may be available to eligible candidates. Wellstar Health System’s mission is to enhance the health and well-being of every person it serves. The Utilization Management Nurse reviews medical necessity and level-of-care status, coordinates with physicians, care teams, and payers, and supports safe transitions and timely discharge. The role also helps secure authorizations and maintain accurate clinical review documentation to support appropriate care and billing.

What you'll do

• Conduct medical necessity reviews for admissions, observation cases, and concurrent reviews using established criteria
• collaborate with physicians and care teams on level-of-care determinations and transitions
• obtain and document payer authorizations
• communicate clinical information to payers
• monitor denials and account discrepancies
• document reviews and track avoidable days.

What we're looking for

Skills & competencies

registered nurse

rn

acute care

utilization management

full-time

day shift

austell ga

wellstar health system

cobb hospital

medical necessity review

epic

Work arrangement

• Weekend coverage required

Benefits & perks

• Sign-on bonus and relocation assistance may be available for eligible candidates.

Why this role

Requires at least three years of strong clinical knowledge with clinical practice/experience. Sign-on bonus and relocation assistance are available for eligible candidates.

About the employer

Wellstar Health System is hiring for this role. Industry: Offices of All Other Miscellaneous Health Practitioners. Sector: 62.