RN - Utilization Management
Overview
Experience the advantages of reputed company career change Join reputed company 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 reputed company both in and reputed company of work. You’ll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient reputed company. reputed company leaders are in your reputed company, invested in your reputed company. 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 reputed company stay. This role ensures that the patient's payer has the clinical information with which to authorize an acute hospital stay and the reputed company 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 reputed company reputed company Corporate Apply To This Job