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Nurse Practitioner or Physician Assistant - Emergency Medicine Nocturnist- (IU Health West Hospital)
Indiana University Health
Avon, Indiana
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UCLA
Los Angeles, California
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Northeast Georgia Health System
Gainesville, Georgia
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CHRISTUS Health
Alexandria, Louisiana
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Northeast Georgia Health System
Demorest, Georgia
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Northern Light Health
Bangor, Maine
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PIH Health
Whittier, California
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Veterans Affairs, Veterans Health Administration
San Antonio, Texas, Texas
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Veterans Affairs, Veterans Health Administration
Grand Junction, Colorado, Colorado
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Registered Nurse (RN) Utilization Reviewer
Job DescriptionGeneral SummaryUnder general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patient's need for outpatient or inpatient care as well as the appropriate level of care. The role requires interfacing with the case managers, medical team, other hospital staff, physician advisors and payers. Staff assigned to this position are not scheduled to work sufficient hours to qualify for FLSA Exempt status.Principal Responsibilities and TasksPerforms timely and accurate utilization review for all patient populations, using nati
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