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BJC HealthCare

Belleville, Illinois

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BJC HealthCare

Saint Louis, Missouri

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BJC HealthCare

Glen Carbon, Illinois

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BJC HealthCare

Saint Louis, Missouri

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BJC HealthCare

O'Fallon, Missouri

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Moab Regional Hospital

Moab , Utah

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BJC HealthCare

Glen Carbon, Illinois

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BJC HealthCare

Glen Carbon, Illinois

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CHRISTUS Health

Santa fe, New Mexico

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Detroit, Michigan

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SageWest Health Care

Lander, Wyoming

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Detroit, Michigan

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CHRISTUS Health

Santa fe, New Mexico

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Molina Healthcare

United States - Nationwide

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Kindred Hospitals

Dover, New Jersey

Molina Healthcare

United States - Nationwide

Molina Healthcare

United States - Nationwide

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PIH Health

Downey, California

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ChristianaCare Health System

Newark, Delaware

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Duke University Health System

Durham, North Carolina

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CommonSpirit Health Mountain Region

Longmont, Colorado

Molina Healthcare

Nebraska City, Nebraska

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ChristianaCare Health System

Wilmington, Delaware

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WMCHealth

Suffern, New York

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Registered Nurse Utilization Review PRN-Case Management-PRN
DescriptionSummary:The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN 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-paces, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and Joint Commission regulations and guidelin


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