Mgr Utilization Mgmt-System
Piedmont Healthcare · Remote - United States · full_time · 2026-09-27
Job description
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 Originally posted on Himalayas