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Baylor Scott & White Health Logo
RN ICU Nights
Baylor Scott & White Health

Mckinney, Texas

NEW!
AdventHealth Logo
Registered Nurse Rehab PT Nights
AdventHealth

Tavares, Florida

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BJC HealthCare Logo
Clinical Nurse - Behavioral Assessment Response Team
BJC HealthCare

Saint Louis, Missouri

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Advanced Practice Provider
Saint Lukes

Kansas City, Missouri

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LifeStance Health Logo
Therapist (LCSW, LICSW, LMHC, MHC, LMFT)- Child or Adult
LifeStance Health

QUINCY, MA

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BJC HealthCare Logo
Behavioral Health Therapist - Residential Services
BJC HealthCare

Saint Louis, Missouri

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Northeast Georgia Health System Logo
Transitional Care Coordinator - PRN
Northeast Georgia Health System

Gainesville, Georgia

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BJC HealthCare Logo
Acute Medicine Clinical Nurse - FT Nights
BJC HealthCare

Saint Louis, Missouri

NEW!
LifeStance Health Logo
Licensed Professional Counselor - Oakland, PA
LifeStance Health

Oakland, PA

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UCLA Logo
RN - Cath Lab - Ronald Reagan Hospital
UCLA

Los Angeles, California

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LifeStance Health Logo
Licensed Professional Counselor (LPC-MHSP)
LifeStance Health

Johnson City, TN

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LifeStance Health Logo
Licensed Therapist
LifeStance Health

Nashville, TN

NEW!
Northeast Georgia Health System Logo
Registered Nurse RN - Mother Baby - Part-Time Days
Northeast Georgia Health System

Braselton, Georgia

NEW!
LifeStance Health Logo
Licensed Mental Health Therapist
LifeStance Health

Vancouver, WA

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Vanderbilt Health Logo
Clinical Staff Leader, Neuro, Mid-Shift
Vanderbilt Health

Nashville, Tennessee

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Vanderbilt Health Logo
Nurse Practitioner/Physician Assistant - Pediatric Cardiology Specialist: EP
Vanderbilt Health

Nashville, Tennessee

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Onvida Health Logo
Registered Nurse II| Emergency Department| Days/Nights|Seasonal
Onvida Health

Yuma, Arizona

NEW!
CHRISTUS Health Logo
Trauma Registrar - ECC Trauma
CHRISTUS Health

Corpus Christi, Texas

NEW!
LifeStance Health Logo
Licensed Clinical Social Worker (LCSW)
LifeStance Health

KNOXVILLE, TN

NEW!
Nemours Children's Health Logo
Constable Supervisor- Day Shift
Nemours Children's Health

Wilmington, Delaware

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Baylor Scott & White Health Logo
RN ICU Nights
Baylor Scott & White Health

Grapevine, Texas

NEW!
CHRISTUS Health Logo
Radiology Technologist - Radiology Admin
CHRISTUS Health

Corpus Christi, Texas

NEW!
RWJBarnabas Health Logo
Director, Aortic Center - Cardiothoracic Surgery (Northern New Jersey)
RWJBarnabas Health

Jersey City, New Jersey

NEW!
Duke University Health System Logo
Cardiovascular Invasive Specialist Adult Cardiac Catherization Lab
Duke University Health System

Durham, North Carolina

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WakeMed Health & Hospitals Logo
Phlebotomist, Ambulatory
WakeMed Health & Hospitals

Raleigh, North Carolina

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Utilization Review Coordinator / Case Management / PRN
DescriptionPOSITION SUMMARY:  Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to clinical and non-clinical departments.    Documents objective findings against approved indicators.  Assists with retrospective reviews and medical necessity denials per communication with third party payors.  Follows UR policies and procedures and assists with continually improving the quality and effectiveness of the utilization management program at CSVRMC.Requirements


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