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Veterans Affairs, Veterans Health Administration

Washington, District of Columbia,

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Vanderbilt Health

Nashville, Tennessee

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Vanderbilt Health

Nashville, Tennessee

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UCLA

Santa Clarita, California

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University of Maryland Medical System

Glen Burnie, Maryland

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St. Charles Health System

Bend, Oregon

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WMCHealth

Poughkeepsie, New York

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BJC HealthCare

Florissant, Missouri

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BJC HealthCare

O'Fallon, Missouri

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Baylor Scott & White Health

Dallas, Texas

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Duke University Health System

Durham, North Carolina

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Selma, Alabama

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Denver Health

Denver, Colorado

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AdventHealth

Winter Garden, Florida

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Celebration, Florida

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CHRISTUS Health

Corpus Christi, Texas

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Washington, District of Columbia,

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Chesapeake County, Virginia, Virginia

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Bolivar Medical Center

Cleveland, Mississippi

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MultiCare Health System

Puyallup, Washington

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WMCHealth

Hawthorne, New York

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Baylor Scott & White Health

Temple, Texas

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Util Mgmt (UM) Nurse-LVN (CHC)
Utilization Management (UM) nurses will assist in the management of CHC members in assessing authorization needs, proper data entry of authorization in the UM system, and assist with approval of requested services/treatments utilizing nationally recognized clinical criteria .They will handle incoming calls with regarding requests for authorizations or questions regarding the authorization process. They offer alternative and supplemental recommendations for services available in the community. Referral processing of requests for in patient care, Home Health Care, and durable medical equipment requests through coordination of CHC resources. They use their nursing knowledge and background to screen and review clinical informati


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