About this role
Overview
System level matrix over site of the utilization management activities
Responsibilities
- System level matrix over site of the utilization management activities
Qualifications
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Education
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Graduate from a recognized, accredited school of nursing Required
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Work Experience
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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
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Licenses and Certifications
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RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Current Georgia RN licensure Upon Hire Required and
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IQCI certification Upon Hire Required
Business Unit : Company Name
Piedmont Healthcare Corporate