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