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Vanderbilt Health Logo
Rep Family/Guest Services
Vanderbilt Health

Nashville, Tennessee

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CHRISTUS Health Logo
RN, Registered Nurse - A6 Cardiac IMC
CHRISTUS Health

Corpus Christi, Texas

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CHRISTUS Health Logo
CT Tech, Computed Tomography Technologist - Tyler
CHRISTUS Health

Tyler, Texas

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Medical Office Associate I - Mechanicsburg
Penn State Health

Mechanicsburg, Pennsylvania

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Licensed Practical Nurse
Wexford Health Sources

New Orleans, Louisiana

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Cedars Sinai Logo
Pharmacist - Pediatric Program Coordinator
Cedars Sinai

Beverly Hills, California

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Pharmacist - ICU - Nights
Cedars Sinai

Los Angeles, California

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Manager, Physician Compensation - Physician Compensation
Cedars Sinai

Los Angeles, California

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Cedars Sinai Logo
Imaging Administrative Specialist - MRI- Part-Time Weekend 12-Hour Day Shift
Cedars Sinai

Beverly Hills, California

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Cedars Sinai Logo
Senior Clinical Systems Engineer - Hybrid
Cedars Sinai

Beverly Hills, California

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Patient Service Representative I - Radiation Therapy
Cedars Sinai

Los Angeles, California

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Registered Nurse II, Surgical Oncology - The Angeles Clinic & Research Institute - $10,000 Sign-On Bonus
Cedars Sinai

Los Angeles, California

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Physician Assistant Primary Care
Baylor Scott & White Health

Pflugerville, Texas

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Geisinger Logo
LPN- Licensed Practical Nurse- Advanced Acute Care Unit
Geisinger

Wilkes-Barre, Pennsylvania

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RN - Registered Nurse Ambulatory Surgery - Operating Room (Part-Time)
Geisinger

Danville, Pennsylvania

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Pediatric Dentist- Geisinger
Geisinger

Wilkes-Barre, Pennsylvania

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MRI Technologist - State College - Per Diem - Days
Geisinger

Port Matilda, Pennsylvania

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Nursing Assistant (Progressive Care Unit) - No CNA Cert Required - Full Time Days/Evenings
Geisinger

Scranton, Pennsylvania

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Environmental Services Technician (Flex)
Geisinger

Pittston, Pennsylvania

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Medical Laboratory Scientist - Part Time
Geisinger

Wilkes-Barre, Pennsylvania

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Nursing Assistant - No CNA Cert Required - GCMC Float Pool (Full time Eve/Night shift)
Geisinger

Scranton, Pennsylvania

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LPN - Nurse Navigator Licensed Practical Nurse - Infectious Disease
Geisinger

Danville, Pennsylvania

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System Support Specialist Intermediate
Geisinger

Scranton, Pennsylvania

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Laboratory Assistant - Per Diem
Geisinger

Scranton, Pennsylvania

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RN - Registered Nurse - NICU
Geisinger

Danville, Pennsylvania

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Utilization Management Specialist
DescriptionUnder the direction and supervision of the Utilization Management Manager, the Utilization Management Specialist is responsible for overseeing the research, resolution and workflow development of out-of-network (OON) referral requests. This role reviews OON referral requests from members and providers, acting as a key liaison to facilitate timely, accurate, and efficient processing. In addition, the UM Specialist will:Ensure compliance with organizational guidelines and regulatory standards, promoting quality care access for members while optimizing network utilization and reducing unnecessary out-of-network expenses


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