Mgr Utilization Mgmt-System

Piedmont Healthcare; Atlanta (GA); On-site; USD 90,000 - 140,000; Full time

Job summary

Piedmont Healthcare Corporate is seeking a Manager of Utilization Management Systems to lead system wide oversight of utilization review activities in a hospital setting. You will coordinate professionals and ensure adherence to medical necessity criteria (InterQual and Milliman).

Required are a Georgia RN license, IQCI certification, and at least five years of utilization management experience, including leadership of staff.

Qualifications

• Graduate from an accredited school of nursing.
• 5 years of acute hospital utilization management experience.
• Current Georgia RN licensure and IQCI certification.

Responsibilities

• System level matrix over site of the utilization management activities

Skills

Management experience

Nursing leadership

InterQual/Milliman knowledge

Education

Graduate from a recognized, accredited school of nursing

Job description

STOP – if you are currently employed at Piedmont Healthcare, please click the “Current Employee” button above to submit your application.

Mgr Utilization Mgmt-System

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