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Job Description
This is a Remote Role
RESPONSIBLE FOR:
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.
Requirements
MINIMUM EDUCATION REQUIRED:
Degree from an accredited nursing school required, Bachelor of Science in Nursing preferred
MINIMUM EXPERIENCE REQUIRED:
Two (2) years of experience in an acute, post-acute or payer setting
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
Current unrestricted registered nurse (RN) license, in the state of Georgia
ADDITIONAL QUALIFICATIONS:
Master’s degree preferred and three years utilization review or Care Management experience
Diversity & Inclusion
At Piedmont Healthcare we embrace diverse ideas, perspectives, and skills to create a collaborative workplace where the best talent wants to succeed. We celebrate differences and recognize that they allow us to care for our community.
Excellence at Work
Piedmont is a certified Great Place to Workxe2x84xa2– a national designation based on employee feedback about trust, workplace culture and experience. In 2019, Forbes named Piedmont one of Georgia’s 10 best employers and the highest-ranked healthcare provider.