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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 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