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The Permanente Medical Group, Inc. (Kaiser Permanente Northern California)
Northern & Central California, California
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Northern California, California
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Northern & Central California, California
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Pediatricians & Pediatric Subspecialty Physicians in No. & Central California with Kaiser Permanente
The Permanente Medical Group, Inc. (Kaiser Permanente Northern California)
Northern & Central California, California
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The Permanente Medical Group, Inc. (Kaiser Permanente Northern California)
Northern & Central California, California
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Northern & Central California, California
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Benefis Health System
Choteau, Montana
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Harlingen, Texas, Texas
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University of Minnesota Physicians
Minneapolis, Minnesota
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Enid, Oklahoma, Oklahoma
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Veterans Affairs, Veterans Health Administration
Hampton, Virginia, Virginia
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Utilization Management Nurse III - Case Management
DescriptionSummary:The Utilization Management Nurse III 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 a
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