Back to all roles

RN - Utilization Management, Part-Time

Remote-first Full-time Now 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 remote roles

[FULL TIME Remote] Police Dispatch Calltaker (Hourly)

Remote-first Full-time

Remote Truck Dispatcher- New York City,US

Remote-first Full-time

Regulatory Specialist-Remote Based

Remote-first Full-time

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

Remote-first Full-time

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

Remote-first Full-time

Remote Medical Transcription Jobs for Female Fr...

Remote-first Full-time

Work From Home Medical Transcription Jobs for Certified Professionals

Remote-first Full-time

Remote Medical Transcriptionist

Remote-first Full-time

Freelance Medical Transcription Jobs - Flexible Hours

Remote-first Full-time

Remote Medical Transcriptionist / Medical Scribe

Remote-first Full-time

Streamer Community Specialist - Portuguese language

Remote-first Full-time

Accurint One Sales Representative- East Territory

Remote-first Full-time

Experienced Online Chat Support Specialist – Part-Time Opportunity at arenaflex

Remote-first Full-time

Experienced Data Entry and Customer Service Representative – Remote Opportunity with arenaflex

Remote-first Full-time

Virtual Assistant - Data Entry (Work from Home) at arenaflex

Remote-first Full-time

PHP Developer, Mid

Remote-first Full-time

Account Manager, Engineered Products

Remote-first Full-time

Senior Product Manager - Billing and Revenue Reporting - Remote US

Remote-first Full-time

[Remote] Bilingual Customer Experience Specialist - remote

Remote-first Full-time

IBDP Physics Tutor - Revision Village

Remote-first Full-time