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Utilization Management RN/ Supplemental
This a Supplemental/Hourly Position - No BenefitsThe UM RN performs utilization review of Community members requiring authorization for health services. The UM RN helps 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. This position screens and reviews clinical information for the most appropriate service areas within Community; makes referrals to high risk perinatal team, complex


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