All roles

RN - Utilization Management, Part-Time

Remote · USA Full-time New today

Overview

Experience the advantages of real career change Join Piedmont to move your career in the right direction. Stay for the diverse teams you’ll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You’ll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.

Responsibilities

The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. This roles monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensures that the patient's payer has the clinical information with which to authorize an acute hospital stay and the continued stay services to include covered days and associated services.

Qualifications

Education

  • Graduate of an accredited nursing school Required
  • Bachelor’s Degree of Science in Nursing Preferred
  • Master’s degree Preferred

Work Experience

  • 2 years of experience in an acute, post-acute or payer setting Required
  • 3 years of utilization review or care management experience Preferred

Licenses and Certifications

  • RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required

Business Unit : Company Name Piedmont Healthcare Corporate Apply To This Job

Related roles

Dental Scheduler - Remote

Remote · USA Full-time

M-1/19 - 755575 - Salesforce Program Manager - Remote

Remote · USA Full-time

Remote Dental Operations Coach

Remote · USA Full-time

PSAP Ambassador

Remote · USA Full-time

Athletics Student Statistician

Remote · USA Full-time

Life/Health Insurance Agent Remote/Virtual Option $1,000-$5,000/week

Remote · USA Full-time

Corporate Partner (100% Remote)

Remote · USA Full-time

Healthcare Scheduling, Connection Advisor Associate (Remote), Bilingual Spanish

Remote · USA Full-time

Windows / Linux Systems Administrator – Work From Home

Remote · USA Full-time

Strategic Partner Manager, Content, Branded Communities [Art, Entertainment, and Emerging Verticals]

Remote · USA Full-time

Channel Manufacture Program Lead - (Central Region)

Remote · USA Full-time

Global Initiatives Program Lead – U.S. and Canada

Remote · USA Full-time

Landscape Architect / Designer - Remote (US Based) Contract Position (10-15 hrs/Week)

Remote · USA Full-time

Experienced Bilingual Customer Service Representative – Exceptional Customer Experience in a Fast-Growing Industry

Remote · USA Full-time

Administrative Assistant / Data Entry Clerk (Remote Work From Home - Online)

Remote · USA Full-time

Experienced Customer Service/Inside Sales Representative (Property and Casualty) – Remote Opportunity for Insurance Professionals

Remote · USA Full-time

Experienced Shopify Chat Assistant – Remote Customer Support Specialist

Remote · USA Full-time

Pre - Authorization Specialist - Remote in WA or OR

Remote · USA Full-time

Experienced Junior Data Entry Clerk – Remote Opportunity with arenaflex

Remote · USA Full-time

Owner Operator CDL-A Truck Driver – 1099 Independent Contractor | Nationwide Freight | No Forced Dispatch

Remote · USA Full-time