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

Utilization Management Nurse, LVN/LPN

Remote · USA Full-time

Clinical Review Nurse – Prior Authorization

Remote · USA Full-time

Utilization Management Nurse Consultant (Remote)

Remote · USA Full-time

Preservice Review Nurse RN/Nurse Clinical Annotator - Remote in US

Remote · USA Full-time

Utilization Review Nurse

Remote · USA Full-time

Prior Authorization Specialist – Work from Home

Remote · USA Full-time

Prior Authorization Specialist (Remote, Contract Only)

Remote · USA Full-time

Prior Authorization Specialist (Remote, Contract Only)

Remote · USA Full-time

Medication Prior Authorization Specialist – Remote Independent Contractor

Remote · USA Full-time

Authorization Specialist I

Remote · USA Full-time

Narrative Writer, Proofreader

Remote · USA Full-time

Technical Writer (Part Time)

Remote · USA Full-time

Virtual Administrative Assistant

Remote · USA Full-time

Experienced Customer Logistics and Supply Chain Advisor – Driving Customer Satisfaction and Operational Excellence at arenaflex

Remote · USA Full-time

Electrical Journeyman

Remote · USA Full-time

Utilization Review Nurse- Remote

Remote · USA Full-time

Outbound Sales Representative (Project Based, WFH)

Remote · USA Full-time

Experienced Customer Service Representative – Heart-Driven Support for arenaflex Members

Remote · USA Full-time

Sr. UX Designer - Design Systems (REMOTE)

Remote · USA Full-time

Experienced Part-Time Remote Data Entry Specialist – Join arenaflex's Dynamic Team and Contribute to the Airline Industry's Efficiency

Remote · USA Full-time