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Piedmont Healthcare

Mgr Utilization Mgmt-System

Atlanta, GA 30339 · US

full_time

About the role

Overview

System level matrix over site of the utilization management activities
Responsibilities

System level matrix over site of the utilization management activities
Qualifications

Education
  • Graduate from a recognized, accredited school of nursing Required
Work Experience
  • 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
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 Corporate