Utilization Management RN, FT/Days, Remote Position

Job Number: 1068553

Piedmont Healthcare Corporate - Atlanta, Georgia
Shift/Schedule: Full-time


Description

RESPONSIBLE FOR:
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.


Requirements

MINIMUM EDUCATION REQUIRED:
Degree from an accredited nursing school required, Bachelor of Science in Nursing preferred

MINIMUM EXPERIENCE REQUIRED:
Two (2) years of experience in an acute, post-acute or payer setting

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
Current unrestricted registered nurse (RN) license, in the state of Georgia

ADDITIONAL QUALIFICATIONS:
Master's degree preferred and three years utilization review or Care Management experience


Diversity & Inclusion

At Piedmont Healthcare we embrace diverse ideas, perspectives, and skills to create a collaborative workplace where the best talent wants to succeed. We celebrate differences and recognize that they allow us to care for our community.


Excellence at Work

Piedmont is a certified Great Place to Work™-- a national designation based on employee feedback about trust, workplace culture and experience. In 2019, Forbes named Piedmont one of Georgia’s 10 best employers and the highest-ranked healthcare provider.



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