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Clinical Pharmacy Coordinator
Chinese Community Health Plan

San Francisco, California

Clinical Lab Manager
US Oncology Network

Dallas, Texas

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Jackson Physician Search Logo
Chief Medical Officer | Tennessee Metro | Managed Care/Insurance|JO-2301-8042
Jackson Physician Search

Tennessee

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Veterans Affairs, Veterans Health Administration Logo
RN-Intermittent PACT
Veterans Affairs, Veterans Health Administration

Hawaii

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AdventHealth Logo
Virtual Credentialing Specialist Managed Care
AdventHealth

Altamonte Springs, Florida

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AdventHealth Logo
Registered Nurse MedSurg Renal Unit Seasonal
AdventHealth

Ocala, Florida

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CHRISTUS Health Logo
Provider Enrollment Specialist II - HP Enrollment
CHRISTUS Health

Irving, Texas

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St. Luke's Health System Logo
Registered Nurse Pre-Op .3 Flex - Magic Valley
St. Luke's Health System

Twin Falls, Idaho

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St. Luke's Health System Logo
Registered Nurse - OR Circulator 1.0 Full Time- Nampa
St. Luke's Health System

Nampa, Idaho

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St. Luke's Health System Logo
Registered Nurse Circulator .9 Full Time - Meridian
St. Luke's Health System

Meridian, Idaho

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Duke University Health System Logo
Autoimmune Brain Disease Nurse Navigator - Duke Hospital - Lenox Baker Children's Hospital
Duke University Health System

Durham, North Carolina

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St. Luke's Health System Logo
Registered Nurse Pre-Op .5 Part Time - Magic Valley
St. Luke's Health System

Twin Falls, Idaho

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Optum Logo
Optum Primary Care Physician Coral Springs FL
Optum

Coral Springs, Florida

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Optum Logo
Physician Leader - Home Visits - Framingham, MA
Optum

Framingham, Massachusetts

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St. Luke's Health System Logo
Lead Registered Nurse - Family Practice Clinic, Wood River
St. Luke's Health System

Hailey, Idaho

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Optum Logo
Physician Leader - Home Visits - Lowell, MA Area
Optum

Lowell, Massachusetts

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Optum Logo
Homebased Medical Care Physician Leader - Atlanta, GA
Optum

Atlanta, Georgia

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Optum Logo
Outpatient Primary Care Physician - WellMed - Plant City, FL
Optum

Plant City, Florida

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Optum Logo
Physician Team Lead - Cleveland - Akron - Canton, OH
Optum

Woodmere, Ohio

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Optum Logo
Primary Care Nurse Practitioner, Optum - Redlands, CA
Optum

Redlands, California

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Optum Logo
Family Medicine Physician, Optum - Hemet, CA
Optum

Hemet, California

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St. Charles Health System Logo
Bend Chief Medical Officer
St. Charles Health System

Bend, Oregon

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AdventHealth Logo
Acct Manager PHSO Network Operations
AdventHealth

Maitland, Florida

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Veterans Affairs, Veterans Health Administration Logo
Nurse (Endoscopy)
Veterans Affairs, Veterans Health Administration

Oregon

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Trinity Health Logo
Nurse Practitioner or Physician Assistant - Cardiology Opportunity
Trinity Health

Ann Arbor, Michigan

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Utilization Reviewer RN
OverviewSt. Luke's Health System in Twin Falls is seeking an Utilization Reviewer to join our Utilization Review team. The Utilization Reviewer - RN is responsible for evaluating medical necessity for patient hospitalization and acting as an internal resource for patient care. Ensures that utilization functions are complying with hospital procedures and federal regulations.Responsibilities Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but not limited to surgical procedures, Medicare Part B medications, Long Term Services and Supports, and Home Health. Reviews the medical necessity of admission, continued hospitalization, length of stay, and an


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