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