RN Utilization Management System Lead

Piedmont-Healthcare; Atlanta (GA); On-site; USD 110,000 - 140,000; Full time

Job summary

Piedmont Healthcare Corporate is seeking an experienced nurse for system-level utilization management leadership in Atlanta, GA. The role oversees site utilization management activities, ensuring medical necessity criteria are applied consistently across cases.

The ideal candidate has 5 years of utilization management experience in acute hospital settings, plus 2 years of management responsibility, and holds Georgia RN licensure and IQCI certification upon hire.

Qualifications

• 5 years of experience with acute hospital utilization management and review processes, using medical necessity criteria (InterQual and/or Milliman), including two years of management experience of professional staff.
• RN - Registered Nurse licensure in Georgia and IQCI certification upon hire

Responsibilities

• System level matrix over site of the utilization management activities

Education

Graduate from a recognized, accredited school of nursing

Job description

Piedmont Healthcare Corporate is seeking an experienced nurse for system-level utilization management leadership in Atlanta, GA. The role oversees site utilization management activities, ensuring medical necessity criteria are applied consistently across cases.

The ideal candidate has 5 years of utilization management experience in acute hospital settings, plus 2 years of management responsibility, and holds Georgia RN licensure and IQCI certification upon hire.