RN - Utilization Management

Overview:

Experience the advantages of real career change  

Join Piedmont to move your career in the right direction. Stay for the diverse teams you’ll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You’ll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future. 

 

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

• Degree from an accredited nursing school is Required
• Bachelor’s Degree of Science in Nursing Preferred
• Master’s degree is Preferred

Work Experience

• 2 years of experience in an acute, post-acute or payer setting Required
• 3 years of utilization review or care management experience is Preferred

Licenses and Certifications

• Current License in the State of Georgia as a Registered Nurse or NLC/eNLC Multistate License Required

Business Unit : Name: Piedmont Healthcare