RN Utilization Management: Elevate Care & Efficiency

Piedmont; Atlanta (GA); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Job summary

Piedmont Healthcare Corporate is seeking an RN to ensure appropriate level of care for acute hospital admissions, monitor patient progress, and support ongoing authorization with payers. The role requires licensure in Georgia and experience in acute, post-acute, or payer settings.

A BSN is preferred, and a master's degree is a plus. Two years of relevant experience are expected, with utilization review or care management experience valued.

Qualifications

• 2 years of experience in an acute, post-acute or payer setting required.
• 3 years of utilization review or care management experience preferred.
• RN - Georgia licensure required.

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 role monitors patient progress in the plan of care and ensures payer information supports authorization for continued stay and related services.

Skills

Acute care experience

Utilization review, care management

RN licensure Georgia

Education

Graduate of an accredited nursing school

Bachelor's Degree of Science in Nursing

Master's degree

Job description

Piedmont Healthcare Corporate is seeking an RN to ensure appropriate level of care for acute hospital admissions, monitor patient progress, and support ongoing authorization with payers. The role requires licensure in Georgia and experience in acute, post-acute, or payer settings.

A BSN is preferred, and a master's degree is a plus. Two years of relevant experience are expected, with utilization review or care management experience valued.