← all jobs

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 To This Job

More open positions

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

Remote Inpatient Coding Specialist (Join Our Team and Earn a $5,000 Sign-On Bonus!)

Work from home Full-time role

Experienced Full Stack Data Analyst + Customer Relationship Manager – Remote Opportunity at careerzynith

Work from home Full-time role

[Remote] Lead Product Designer, Spark

Work from home Full-time role

Veteran Fulfillment Specialist (Remote)

Work from home Full-time role

[Remote] Account Executive

Work from home Full-time role

Forward Deployed Staff - Engineering

Work from home Full-time role

Account Specialist - Virtual/Remote - Tuscaloosa/Birmingham, AL Area Candidates Preferred

Work from home Full-time role

Learning Analyst

Work from home Full-time role

Sr. Employee Relations Specialist

Work from home Full-time role

Entry-Level Data Analyst – Data Entry, Research & Insight Position at careerzynith

Work from home Full-time role

Experienced Remote Customer Service Specialist – Delivering Exceptional Careerzynith Experiences

Work from home Full-time role

Remote Licensed Talk Therapist - Fee For Service

Work from home Full-time role

Bilingual Customer Service Specialist (Remote, Part-Time – Weekend Required)

Work from home Full-time role

Product Tech Support Eng II

Work from home Full-time role

Destination Wedding & Honeymoon Travel Consultant

Work from home Full-time role

Senior Area Sales Manager - Raipur, Chhattisgarh

Work from home Full-time role