Util Mgmt (UM) Nurse RN in Houston, TX for Harris Health System

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Pediatric Trauma Program Medical Director

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Nationally ranked Orlando Health is seeking a Gastroenterologist for our St. Cloud Hospital location in sunny Central Florida!

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Part-time Nurse Practitioner, HouseCalls - Graham County (PA accepted)

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Case Management Coordinator

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Primary Care Physician - WellMed Medical Group - Corpus Christi, TX

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Associate Chief Medical Officer for Ambulatory Services

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Neuroradiologist onsite with Orlando Health a Nationally Ranked Hospital in Central Florida! Generous Starting Bonus!

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Orlando, Florida

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Primary Care Physician - WellMed Medical Group - Brownsville, TX

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Nationally ranked Orlando Health is seeking a Hepatologist in sunny Central Florida!

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Medical Director of the Breast Program

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Nationally ranked Orlando Health is seeking a Cardiac CV ICU Intensivist Director in sunny Central Florida!

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Orlando, Florida

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Nurse Practitioner/Physician Assistant - Cardiology - Las Vegas, NV

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Primary Care Physician - WellMed Medical Group - Brownsville, TX

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Brownsville, Texas

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Util Mgmt (UM) Nurse RN

JOB SUMMARY: The UM RN will perform utilization review of Community members requiring authorization for health services. The UM RN will help ensure proper data entry of authorization in the managed care platform, and initiate the approval process for requested services/treatments utilizing nationally recognized evidenced based clinical criteria and/or internal policies, protocols, and procedures. The UM RN will screen and review clinical information for the most appropriate service areas within Community; making referrals to high risk perinatal team, complex case management and disease management. The UM RN will work closely with the Medical Directors and refer requests that do not meet medical neces

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