All roles

RN - Utilization Management, Part-Time

Remote · USA Full-time New today

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

Related roles

[FULL TIME Remote] Police Dispatch Calltaker (Hourly)

Remote · USA Full-time

Remote Truck Dispatcher- New York City,US

Remote · USA Full-time

Regulatory Specialist-Remote Based

Remote · USA Full-time

Experienced Medical Customer Service Representative (Remote) – Medical Billing and Claims Investigation Expert

Remote · USA Full-time

Remote Medical Transcription Jobs | $25–$35/Hou...

Remote · USA Full-time

Remote Medical Transcription Jobs for Female Fr...

Remote · USA Full-time

Work From Home Medical Transcription Jobs for Certified Professionals

Remote · USA Full-time

Remote Medical Transcriptionist

Remote · USA Full-time

Freelance Medical Transcription Jobs - Flexible Hours

Remote · USA Full-time

Remote Medical Transcriptionist / Medical Scribe

Remote · USA Full-time

Merchandise Coordinator - Mark & Graham

Remote · USA Full-time

Experienced Patient Customer Service Representative – Remote Work Opportunity

Remote · USA Full-time

Experienced Live Chat Support Agent – Remote Customer Service Representative Opportunity with arenaflex

Remote · USA Full-time

Prior Authorization Specialist

Remote · USA Full-time

Administrative Support 3

Remote · USA Full-time

Experienced Customer Experience Banker - Rolling Meadows

Remote · USA Full-time

Senior Client Partner Account Manager

Remote · USA Full-time

Remote Virtual Customer Support Representative – Multi‑Location Opportunities with arenaflex – Flexible Hours, Growth‑Focused Team

Remote · USA Full-time

Remote Data Entry Specialist – Student‑Friendly, No Investment Required, Flexible Hours & Growth Opportunities

Remote · USA Full-time

Experienced Customer Service Representative – Email Support Associate for arenaflex

Remote · USA Full-time