See all roles

RN - Utilization Management, Part-Time

Work from home Full-time role Hiring

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 tot his job Apply To this Job

You might like

Utilization Management Nurse, LVN/LPN

Work from home Full-time role

Clinical Review Nurse – Prior Authorization

Work from home Full-time role

Utilization Management Nurse Consultant (Remote)

Work from home Full-time role

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

Work from home Full-time role

Utilization Review Nurse

Work from home Full-time role

Prior Authorization Specialist – Work from Home

Work from home Full-time role

Prior Authorization Specialist (Remote, Contract Only)

Work from home Full-time role

Prior Authorization Specialist (Remote, Contract Only)

Work from home Full-time role

Medication Prior Authorization Specialist – Remote Independent Contractor

Work from home Full-time role

Authorization Specialist I

Work from home Full-time role

Account Executive - State & Local - CA

Work from home Full-time role

Telehealth Provider

Work from home Full-time role

Senior Android Engineer (PIA)

Work from home Full-time role

Experienced Customer Support Associate - Work from Home - Lenexa, KS

Work from home Full-time role

Experienced Full Stack Customer Support Specialist – Live Chat & Remote Work Opportunities

Work from home Full-time role

Freelance Spanish Data Annotation Specialist (100% Remote within Spain)

Work from home Full-time role

Experienced Global Customer Solutions Specialist – Remote Opportunity at arenaflex

Work from home Full-time role

SAP Senior Consultant CO (all genders)

Work from home Full-time role

Mid-level DevOps Engineer

Work from home Full-time role

Technical Development Representative – Animal Biosecurity

Work from home Full-time role