Utilization Management Nurse Coordinator - Griffin - (Griffin, GA)

Overview At WellStar we all share common goals. That's what makes us so successful – and such an integral part of our communities. We want the same things, for our organization, for our patients, and for our colleagues. As the largest not-for-profit healthcare system in Georgia, this means we pride ourselves on investing in the communities that we serve. We continue to provide innovative care models, focused on improving quality and access to healthcare. Responsibilities The Utilization Management Nurse (UM) Coordinator is responsible for conducting medical necessity reviews utilizingMillman Care Guidelines, clinical reviews with payers and collaborating with the care team on the coordination of safetransitions of care for a defined patient population. The Utilization Management Nurse will perform utilization reviewevery day by looking at all new admissions, all observation cases and concurrent reviews. They will be assigned tospecific units/and or payer/and or patient class.