Mgr Utilization Mgmt-System

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.
• Work Experience: 5 years of experience with acute hospital utilization management and review processes, using medical necessity criteria (InterQual and/or Milliman), including two (2) years of management experience of professional staff.
• Licenses and Certifications: RN – Registered Nurse – Georgia State Licensure and/or NLC/eNCL Multistate Licensure; Current Georgia RN licensure (required upon hire); IQCI certification (required upon hire).
• Business Unit / Company: Piedmont Healthcare Corporate.