System level matrix over site of the utilization management activities
System level matrix over site of the utilization management activities
Education
- Graduate from a recognized, accredited school of nursing Required
- 5 years of experience with acute hospital utilization management and review processes, using medical necessity criteria (InterQual and/or Milliman), to include two (2) years of management experience of professional staff Required
- RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Current Georgia RN licensure Upon Hire Required and
- IQCI certification Upon Hire Required
Piedmont Healthcare Corporate
Graduate from accredited nursing school; 5 years acute hospital utilization management experience including 2 years management; current Georgia RN licensure; IQCI certification upon hire.
Key Responsibilities
- managing utilization activities
- overseeing review processes
- supervising professional staff
Skills & Tools
InterQual, Milliman
Job Details
- Category: Healthcare Services - Nursing
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — Atlanta, Georgia, United States
- Languages: English
About Piedmont Healthcare Inc.
A healthcare system providing corporate oversight and utilization management services. — Industry: Healthcare