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Baylor Scott & White Health

Cedar Park, Texas

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Baylor Scott & White Health

Cedar Park, Texas

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Leander, Texas

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Baylor Scott & White Health

Cedar Park, Texas

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Baylor Scott & White Health

Pflugerville, Texas

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Pediatrix Medical Group

Tallahassee, FL, USA

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Trinity Health

Ontario, Oregon

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Baylor Scott & White Health

Georgetown, Texas

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Spartanburg, South Carolina

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Baylor Scott & White Health

Jollyville, Texas

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Georgetown, Texas

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Leander, Texas

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Penn State Health

Lancaster, Pennsylvania

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Pediatrix Medical Group

Florence, SC, USA

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Baylor Scott & White Health

Austin, Texas

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WMCHealth

Suffern, New York

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Baylor Scott & White Health

Austin, Texas

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WMCHealth

Suffern, New York

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Penn State Health - Physician Recruitment

Lancaster, Pennsylvania

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Baylor Scott & White Health

Cedar Park, Texas

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Pediatrix Medical Group

Houston, TX, USA

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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 neces


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