Utilization Mgmt RN
Remote · USFull-timePosted 1 day agoStill listed today
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At a glance
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Requirements
Credentials this posting asks for.
Job overview
This role ensures acute hospital admissions meet the appropriate level of care, patient status, plan of care, and medical necessity. It monitors patient progress and continued-stay medical necessity, and ensures payers receive clinical information to authorize hospital stays, covered days, and associated services.
Skills & qualifications
Qualifications
Full job description
Overview The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. This roles monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensures that the patient's payer has the clinical information with which to authorize an acute hospital stay and the continued stay services to include covered days and associated services. Responsibilities The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. This roles monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensures that the patient's payer has the clinical information with which to authorize an acute hospital stay and the continued stay services to include covered days and associated services. Qualifications
Education
- Graduate from a recognized, accredited school of nursing Required
Work Experience
- 2 years of experience in an acute, post-acute or payer setting Required
Licenses and Certifications
- RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required
Business Unit : Company Name Piedmont Healthcare Corporate
How this job compares
Set against the 425 open Utilization Management jobs on Olive Jobs, counted November 4, 2026.
- Pay
- This postingNot listed
- US median$142–294K/yr265 salary ranges
- US median$29–54/hr62 hourly ranges
- Openings
- Olive Jobs lists 28 open Utilization Management jobs in Georgia and 425 across the US. 21% of them nationwide are listed as remote or flexible.
- Hiring the most in Georgia
- Wellstar Health System13 open
- Kaiser Permanente5 open
- Highmark Health3 open
- Experience
- This posting asks for at least 2 years of experience; Utilization Management postings that state a minimum ask for 5 years at the median (389 postings).
- Education
- 190 of the 425 open Utilization Management jobs (45%) ask for a bachelor's degree or higher.
Counted across the open, public US postings on Olive Jobs on November 4, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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