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Ochsner Health

Lafayette, Louisiana

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Towson, Maryland

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Orange City, Florida

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Yuma, Arizona

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Santa Ana, California

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Sebring, Florida

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Altamonte Springs, Florida

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Greenville, North Carolina

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Valhalla, New York

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Palm Coast, Florida

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St. Joseph Regional Medical Center

Lewiston, Idaho

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Beaver Dam, Wisconsin

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MultiCare Health System

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McCall, Idaho

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Cleveland, Ohio

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Raleigh, North Carolina

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MultiCare Health System

Lakewood, Washington

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Raleigh, North Carolina

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University of Maryland Medical System

Glen Burnie, Maryland

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Penn State Health

Hershey, Pennsylvania

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Kindred Hospitals

Paramount, California

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Tacoma, Washington

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Tacoma, Washington

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Util Mgmt (UM) Nurse RN
JOB SUMMARY: The UM RN will perform utilization review of Community members requiring authorization for health services. The UM RN will help ensure proper data entry of authorization in the managed care platform, and initiate the approval process for requested services/treatments utilizing nationally recognized evidenced based clinical criteria and/or internal policies, protocols, and procedures. The UM RN will screen and review clinical information for the most appropriate service areas within Community; making referrals to high risk perinatal team, complex case management and disease management. The UM RN will work closely with the Medical Directors and refer requests that do not meet medical necess


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