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Piedmont Healthcare·Atlanta, GA

Mgr Utilization Mgmt-System

Full time
✓Requirements
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
Pay for this position
Pay not listed
Apply to Piedmont Healthcare ↗
Questions about pay or the unit? Ask a Waypoint recruiter.
✓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
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About the role

What you’ll do
System level matrix overSystem level matrix over site of the utilization management activities