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Penn State Health - Physician Recruitment
Hershey, Pennsylvania
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Nurse Practitioner or Physician Assistant - Hospitalist Medicine - (multiple locations are available
Duke University Health System
Durham, North Carolina
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Nicklaus Children’s Health System
Doral, Florida
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Largo, Maryland
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Durham, North Carolina
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CompHealth
Lancaster, Pennsylvania
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Apex, North Carolina
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Utilization Management Nurse I - Case Management
DescriptionSummary:The Utilization Management Nurse I is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services "CMS" Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and Joint Commission regulations and
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