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Piedmont Healthcare · Atlanta, GA

Utilization Mgmt RN

TypeFull time
Experience2+ yrs
EducationNursing school
PostedNov 3
✓You’ll need
Licensure
✓RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required
Education
✓Graduate from a recognized, accredited school of nursing Required
Qualifications
✓2 years of experience in an acute, post-acute or payer setting Required
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✓You’ll need
Licensure
✓RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required
Education
✓Graduate from a recognized, accredited school of nursing Required
Qualifications
✓2 years of experience in an acute, post-acute or payer setting Required
Want the next RN job in Georgia by email?
Weekly, free, unsubscribe with one click.

Full employer posting

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

About the role

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.