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Vanderbilt Health

Nashville, Tennessee

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BJC HealthCare

Belleville, Illinois

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Veterans Affairs, Veterans Health Administration

Fargo, North Dakota, North Dakota

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Mary Washington Healthcare

Fredericksburg, Virginia

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Memorial Sloan Kettering Cancer Center

New York, New York

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Veterans Affairs, Veterans Health Administration

Panama City Beach, Florida, Florida

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Veterans Affairs, Veterans Health Administration

Little Rock, Arkansas, Arkansas

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Nemours

Wilmington, Delaware

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Harris Health System

Houston, Texas

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St. Charles Health System

Bend, Oregon

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Orlando, Florida, Florida

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Pensacola, Florida

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Veterans Affairs, Veterans Health Administration

Lexington, Kentucky, Kentucky

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AdventHealth

Hinsdale, Illinois

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Denver Health

Denver, Colorado

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Nemours

Wilmington, Delaware

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Indiana University Health

Indianapolis, Indiana

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Duke University Health System

Durham, North Carolina

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Registered Nurse Utilization Review
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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