Piedmont Healthcare Inc.·14 hours ago

Mgr utilization mgmt-system

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Location

remote, GA, United States

Commitment

Full Time

Level

Lead / Manager

Required skills

Utilization ManagementNursingMedical Necessity CriteriaInterQualMillimanStaff ManagementAcute Hospital CareClinical Review

Job Description

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

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Mgr utilization mgmt-system

Required skills

Job Description

Overview

Responsibilities

Qualifications

Education

Work Experience

Licenses and Certifications

Ready to join the team?

Stop wasting hours on applications

Over 200,000 job seekers trust us

Frequently Asked Questions

How does Global Work AI apply to jobs without spamming?

Is Global Work AI safe for my professional reputation?

Do I need a “perfect” resume to use Global Work AI?

What will my resume and cover letter look like before they’re submitted?

Will recruiters be able to tell that I used AI to apply?

What if I’m not satisfied with Global Work AI?

Stop wasting hours on applications

Over 200,000 job seekers trust us

Frequently Asked Questions

How does Global Work AI apply to jobs without spamming?

Is Global Work AI safe for my professional reputation?

Do I need a “perfect” resume to use Global Work AI?

What will my resume and cover letter look like before they’re submitted?

Will recruiters be able to tell that I used AI to apply?

What if I’m not satisfied with Global Work AI?

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