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North Kansas City Hospital

North Kansas City, Missouri

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Pediatrix Medical Group

Tampa, FL, USA

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St. Luke's Health System

Meridian, Idaho

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North Kansas City Hospital

North Kansas City, Missouri

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Spartanburg Regional Healthcare System

Spartanburg, South Carolina

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Spartanburg Regional Healthcare System

Spartanburg, South Carolina

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Inova Health

United States,

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Rush University Medical Center

Chicago, Illinois

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Spartanburg Regional Healthcare System

Spartanburg, South Carolina

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Pediatrix Medical Group

Orlando, FL, USA

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Penn State Health - Physician Recruitment

Hershey, Pennsylvania

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Akron Children's - Physician Recruitment

Akron, Ohio

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Vail Health

Vail, Colorado

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Geisinger

Scranton, Pennsylvania

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Pediatrix Medical Group

Tampa, FL, USA

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Util Mgmt (UM) Nurse RN
JOB SUMMARYThe 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 policy?s, 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 necessity


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