Top 9 Utilization management nurse Jobs in Macon Ga

Utilization Mgmt Coord - Behavioral Health, PRN, Macon
Piedmont Healthcare Inc. —Macon, GA
- PRN
- LMFT
- Nursing
- RN License
Nursing Assistant | Ortho Trauma 5Main | Days
Atrium Health —Macon, GA
- $19.80 - $29.70 an hour
- Full-time
- Hospital
- BLS Certification
- Inpatient
- Paid parental leave
- Disability insurance
Physician Assistant/Nurse Practitioner (D), CVOR - Regional
Corewell Health —United States
- Weekends as needed
- Acute care
- Nursing
- Surgery
- Free parking
- Paid holidays

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Nursing Assistant | Ortho Trauma 5Main | Days
Atrium Health —Macon, GA
Must be able to lift 25-60 lbs. and carry 25-50 pounds specific to job class evaluation. Promptly notifies nurse of abnormal vital signs, observations, physical…
$19.80 - $29.70 an hour

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RN, LSW, LISW, Care Manager - Columbus
Careforth —Columbus, OH
Ability and flexibility to travel (usually by car) within assigned geographic area; valid driver’s license and car insurance required.
$62,657 - $84,173 a year
Infection Prevention Staff Development IPSD
Majestic Care of Whitehall —Whitehall, OH
Current LPN or RN license by State Board of Nursing in state employed; license must be active, valid, and in good standing.
Quick Apply
10d

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utilization management nurse jobs near macon ga

Utilization Mgmt Coord - Behavioral Health, PRN, Macon

Piedmont Healthcare Inc. -
Macon, GA

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Job Details

Qualifications

Pre-authorization review for utilization management

Full Job Description

Overview: The purpose of this position is to ensure that admitted patients have the appropriate level of care, patient status, authorization status, plan of care and meet medical necessity for the behavioral health services. This role monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensure that patient's payor has the clinical information with which to authorize the behavioral health service and continued stay service to include covered days and associated services. Responsibilities:

The purpose of this position is to ensure that admitted patients have the appropriate level of care, patient status, authorization status, plan of care and meet medical necessity for the behavioral health services. This role monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensure that patient's payor has the clinical information with which to authorize the behavioral health service and continued stay service to include covered days and associated services.

**ALL PRN'S MUST BE AVAILABLE FOR 6 SHIFTS PER MONTH (3 WEEKDAY SHIFTS AND 3 WEEKEND SHIFTS). DAY SHIFTS ONLY. MUST WORK 1 HOLIDAY IN SPRING/SUMMER AND 1 HOLIDAY IN FALL/WINTER**

Qualifications: Education

Bachelor’s Degree from an accredited nursing school, B.A/ B.S or Required or
Bachelor’s Degree in Social Work Required or
Master’s degree Preferred

Work Experience

2 years of experience in an acute, post-acute, managed care, psychiatric, or revenue cycle Required
Previous experience with InterQual and/or MCG guidelines Required
Previous experience in Utilization Management and/or Appeals Required
Previous Epic experience or Meditech/MIDAS experience Required
Previous experience in prior authorization process Required
Utilization Review or Care Management experience Preferred

Licenses and Certifications

Current unrestricted registered nurse (RN) license or LMSW/LCSW, in the state of Georgia. Required or
LPC/LMFT also acceptable Required

Additional Licenses and Certifications

Case Management Certification (CCM) or American Case Management Association (ACMA) certification Preferred

Business Unit : Company Name: Piedmont Healthcare Corporate

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utilization management nurse jobs in macon ga

Utilization Mgmt Coord - Behavioral Health, PRN, Macon

Nursing Assistant | Ortho Trauma 5Main | Days

Physician Assistant/Nurse Practitioner (D), CVOR - Regional

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