Job Description

Overview:

Experience the advantages of real career change

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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:

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 role 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:

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




Business Unit : Name: Piedmont Healthcare