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Mgr Utilization Mgmt-System

Piedmont Healthcare

Remote · USFull-timePosted 1w agoStill listed 1 day ago

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At a glance

Compensation
No compensation found
Location
Remote · US
Schedule
Full-time
Work Authorization
Not specified

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Requirements

Credentials this posting asks for.

Georgia RN LicensureIQCI CertificationBachelor's degree

Job overview

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 experi

Skills & qualifications

RequiredNice to have

Qualifications

Graduate From Recognized Accredited School of Nursing5 Years Acute Hospital Utilization Management Experience Including 2 Years ManagementGeorgia RN LicensureIQCI Certification

Full 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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