RN - Utilization Management

About the Role:

• Ensure acute hospital admissions have appropriate level of care and meet medical necessity.
• Monitor patient progress and facilitate continued stay authorization.
• Collaborate with payers to provide clinical documentation for coverage.

Qualifications:

• Graduate of an accredited nursing school (BSN preferred).
• Active RN license in Georgia or multi-state compact.
• 2+ years acute care or payer experience; utilization review experience preferred.

Work Environment:

• Remote position with flexible scheduling.
• Part of Piedmont Healthcare's corporate team focused on patient outcomes.
• Comprehensive wellness programs and total rewards.