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Reading Hospital - Tower Health

West Reading, Pennsylvania

Michigan Education Special Services Association

East Lansing, Michigan

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Vanderbilt Health

Nashville, Tennessee

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AdventHealth

Orlando, Florida

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Banner Health

Tucson, Arizona

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Vanderbilt Health

Nashville, Tennessee

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Banner Health

Sun City West, Arizona

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Veterans Affairs, Veterans Health Administration

Dayton, Ohio

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Kindred Healthcare

Las Vegas, Nevada

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Veterans Affairs, Veterans Health Administration

Santa Rosa, California

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Banner Health

Mesa, Arizona

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Banner Health

Loveland, Colorado

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Vanderbilt Health

Nashville, Tennessee

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MetroWest Framingham Union Hospital

Town of Natick, Massachusetts

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Vanderbilt Health

Nashville, Tennessee

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Banner Health

Mesa, Arizona

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Luminis Health

Lanham, Maryland

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Veterans Affairs, Veterans Health Administration

Las Vegas, Nevada

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Kindred Healthcare

Beachwood, Ohio

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Vanderbilt Health

Nashville, Tennessee

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Duke University Health System

Durham, North Carolina

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DMC Sinai-Grace Hospital

Detroit, Michigan

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Health Plan Referral Specialist
DescriptionSummary:This position is responsible for the coordination of Referral/Precertification Management information between Utilization Management and providers via telephone and/or faxed clinical information and for data entry of Utilization Management information as submitted by on-site Case Managers and/or providers.Receive, process and complete data entry of demographic information for all referral and authorization requests from providers via fax or phone and as appropriate, forward to precertification nurse/care manager/case manager.Begin on-line process utilizing skills of typing, medical terminology and ICD/CPT coding.Request, document and forward out of network provider demographic information to PR De


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