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AdventHealth

Ocala, Florida

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Northeast Georgia Health System

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Harris Health System

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Irving, Texas

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St. Luke's Health System

Nampa, Idaho

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On Site Utilization Reviewer RN
OverviewSt. Luke's Health System in Boise is seeking an on site Utilization Reviewer RN to join our 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. SIGN ON BONUS ELIGIBLEON SITE 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 necessit


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