You’ll need
Licensure
✓RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Current Georgia RN licensure Upon Hire Required and
Certifications
✓IQCI certification Upon Hire Required
Education
✓Graduate from a recognized, accredited school of nursing Required
Qualifications
✓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
About the role
What you’ll do
System level matrix overSystem level matrix over site of the utilization management activities