Search suggestions:

hiring immediately
part time
full time
remote work from home
retail sales associate
lpn
work from home
remote
customer service
receptionist
forklift operator
warehouse
phlebotomist
Wichita
United States
Houston
Dallas
Oklahoma City
Tulsa
Atlanta
Remote
Kansas City
Philadelphia
Frisco
Chicago
San Antonio
Washington
Denton
Apply

RN - Utilization Management, Weekends

Piedmont Healthcare
$14,500 - $16,242 a year
Atlanta, Georgia
Full time
1 week ago

RN - Utilization Management, Weekends

Description:

This is a weekend position. Hours will be Friday, Saturday & Sunday, 7:00am-7:00pm

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.

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


Position Information

LOCATION
Atlanta, Georgia
POSTED
06/16/2025
TYPE
Case Management
SCHEDULE
Full-time
SHIFT
Day Job
JOB ID
1900796

Save Apply
Report job
Other Job Recommendations:

Home Health Utilization Workflow Manager - Weekends Required

Graham Healthcare Group
Remote
$70,000 - $85,000 a year
  • Approves plan of care to send to signing provider after...
  • Provides recommendations related to the plan of care and/or...
1 week ago

Director of Case Management - Utilization Management

Centinela Hospital Medical Center
Inglewood, California
Preferred leadership style and ideal candidate is a forward-thinking professional who thrives in a collaborative, fast-paced...
3 weeks ago

RN - Utilization Management

Piedmont Healthcare
Atlanta, Georgia
$15,408 - $20,424 a year
The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan...
1 week ago

Utilization Management Specialist, Care Coordination, Full-Time, Days

MarinHealth
Marin County, California
$28 - $43 an hour
ABOUT MARINHEALTH Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an...
2 weeks ago

Utilization Management Nurse Specialist

Presbyterian Healthcare Services
Albuquerque, New Mexico
Responsibilities include validating and interpreting medical documentation using evidence-based criteria, consulting with PHP...
3 weeks ago