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University of Minnesota Physicians

Minneapolis, Minnesota

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Baylor Scott & White Health

Dallas, Texas

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Baylor Scott & White Health

Lakeway, Texas

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CHRISTUS Health

Corpus Christi, Texas

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St. Charles Health System

Bend, Oregon

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St. Charles Health System

Bend, Oregon

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WakeMed Health & Hospitals

Cary, North Carolina

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Baylor Scott & White Health

Austin, Texas

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CHRISTUS Health

Alexandria, Louisiana

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Northeast Georgia Health System

Gainesville, Georgia

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Baylor Scott & White Health

Buda, Texas

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WMCHealth

Poughkeepsie, New York

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AdventHealth

Palm Coast, Florida

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AdventHealth

Orlando, Florida

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Baylor Scott & White Health

Rowlett, Texas

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St. Charles Health System

Bend, Oregon

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WMCHealth

Warwick, New York

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Baylor Scott & White Health

Round Rock, Texas

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Baylor Scott & White Health

Plano, Texas

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CHRISTUS Health

Corpus Christi, Texas

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CHRISTUS Health

Corpus Christi, 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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