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Piedmont Healthcare

Mgr Utilization Mgmt-System

Remote — United States (see country and timezone requirements)

Check who can apply and the requirements below before continuing.

Job description

Overview

System level matrix over site of the utilization management activitiesResponsibilities

System level matrix over site of the utilization management activitiesQualifications

EducationGraduate from a recognized, accredited school of nursing Required

Work Experience5 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

Licenses and Certifications

RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Current Georgia RN licensure Upon Hire Required and

IQCI certification Upon Hire Required

Business Unit : Company Name

Piedmont Healthcare CorporateOriginally posted on Himalayas

Who can apply

Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.

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