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Community Neonatal Associates (CNA) Logo
Community Neonatal Associates (CNA)

Silver Spring, Maryland

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Fairview

Minneapolis, Minnesota

Hoag Health System

Newport Beach/Irvine, California

OSF HealthCare

Peoria, Illinois

Reva, Inc. - Air Ambulance

Fort Lauderdale, Florida

Tower Health

West Reading, Pennsylvania

Pediatrix Medical Group

Florence, South Carolina

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Children's Nebraska

Omaha, Nebraska

Pediatrix Medical Group

Texas

St Peter's Health Partners

Albany, New York

Pediatrix Medical Group

Brooksville, FL, USA

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Pediatrix Medical Group

Brooksville, FL, USA

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Baylor Scott & White Health

Mesquite, Texas

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Pediatrix Medical Group

Decatur, GA, USA

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Penn State Health - Physician Recruitment

Hershey, Pennsylvania

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CHRISTUS Health

San Antonio, Texas

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Baylor Scott & White Health

Frisco, 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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