Mgr Utilization Mgmt-System

Piedmont Healthcare Inc. · Remote, Atlanta, GA, US

Posted about 1 month ago

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Job description

Overview

System level matrix over site of the utilization management activities

Responsibilities

System level matrix over site of the utilization management activities

Qualifications

Education
  • Graduate from a recognized, accredited school of nursing Required
Work Experience
  • 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
Licenses and Certifications
  • 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

Business Unit : Company Name

Piedmont Healthcare Corporate

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