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Summit Health, Part of VillageMD Logo
Summit Health, Part of VillageMD

Bend, Oregon

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Atlantic Health System

Florham Park, New Jersey

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Yuma Regional Medical Center

Yuma, Arizona

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AdventHealth

Clermont, Florida

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AdventHealth

Shawnee Mission, Kansas

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Vanderbilt Health

Nashville, Tennessee

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Northeast Georgia Health System

Braselton, Georgia

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Vanderbilt Health

Nashville, Tennessee

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Vanderbilt Health

Nashville, Tennessee

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Northeast Georgia Health System

Braselton, Georgia

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Vanderbilt Health

Nashville, Tennessee

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Sonic Healthcare USA

Austin, Texas

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St. Luke’s University Health Network

Allentown, Pennsylvania

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University of Maryland Medical System

Largo, Maryland

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Baylor Scott & White Health

Rowlett, Texas

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Vanderbilt Health

Nashville, Tennessee

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Northeast Georgia Health System

United States - Nationwide

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AdventHealth

Lake Wales, Florida

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Vanderbilt Health

Nashville, Tennessee

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St. Charles Health System

Redmond, Oregon

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AdventHealth

Deland, Florida

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Veterans Affairs, Veterans Health Administration

Fort Wayne, Indiana, Indiana

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Vanderbilt Health

Nashville, Tennessee

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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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