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Pediatric Ophthalmologist
WMCHealth

Valhalla, New York

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MRI Technologist- (Casual/Per Diem)
Nemours

Wilmington, Delaware

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Hospitalist
UCHealth

Colorado Springs, Colorado

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Per Diem Pediatric Nephrologist Opportunity
St. Luke’s University Health Network

Bethlehem, Pennsylvania

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Ortho Physical Therapy Assistant
AdventHealth

Palm Coast, Florida

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Surgical Technologist
Baylor Scott & White Health

Fort Worth, Texas

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Contact Center Specialist
Baylor Scott & White Health

Dallas, Texas

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Registration Specialist
Vanderbilt Health

Nashville, Tennessee

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Registered Nurse (PRN L2 Float) -Nurse Float Pool
Penn State Health

Lancaster, Pennsylvania

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CRNA - PRN
University of Maryland Medical System

Woodlawn, Maryland

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Coordinator, National Health Campaigns
AMGA (American Medical Group Association)

Alexandria, Virginia

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Adult Floor Clinical Pharmacist
WakeMed Health & Hospitals

Raleigh, North Carolina

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Customer Service Advocate II
Harris Health System

Houston, Texas

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Nurse Clinician II-FT/Night Shift-Labor & Delivery (Ben Taub Hospital)
Harris Health System

Houston, Texas

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Med Surg RN Registered Nurse PRN Nights
AdventHealth

Columbus, North Carolina

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Ultrasound Tech Maternal Fetal Medicine Clinic
Baylor Scott & White Health

College Station, Texas

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Director of Regional Marketing
Baylor Scott & White Health

United States - Nationwide

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RN Medical Telemetry
Baylor Scott & White Health

Temple, Texas

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Cardiac Device Tech
Baylor Scott & White Health

Plano, Texas

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Reg Nurse Inpatient PRN 9S Surgical Specialties Night Shift (Medical Surgical)
Vanderbilt Health

Nashville, Tennessee

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LVN, Licensed Vocational Nurse Clinic - Dominion Crossing Pediatrics *Hiring Incentive Available
CHRISTUS Health

San Antonio, Texas

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CLS, Clinical Laboratory Scientist II - Atlanta Lab - PRN
CHRISTUS Health

Atlanta, Texas

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Patient Access Rep(part time)
BJC HealthCare

O'Fallon, Missouri

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Specimen Processing Specialist II
Labcorp

Woodland Park, New Jersey

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Histotechnologist
Labcorp

Raritan, New Jersey

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Utilization Review Coordinator / Case Management / PRN
DescriptionPOSITION SUMMARY:  Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to clinical and non-clinical departments.    Documents objective findings against approved indicators.  Assists with retrospective reviews and medical necessity denials per communication with third party payors.  Follows UR policies and procedures and assists with continually improving the quality and effectiveness of the utilization management program at CSVRMC.Requirements


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