System level matrix over site of the utilization management activities
Requirements
Graduate from a recognized, accredited school of nursing
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
RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Current Georgia RN licensure Upon Hire
IQCI certification Upon Hire
Responsibilities
System level matrix over site of the utilization management activities