RN Manager, Utilization Management Systems
Piedmont Healthcare
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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
Education
Job description
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.
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