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St. Joseph Regional Medical Center

Lewiston, Idaho

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AdventHealth

Tampa, Florida

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Kindred Hospitals

Santa Ana, California

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AdventHealth

Orlando, Florida

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Duke University Health System

Durham, North Carolina

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AdventHealth

Orlando, Florida

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AdventHealth

Orlando, Florida

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University of Maryland Medical System

Towson, Maryland

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AdventHealth

Tavares, Florida

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CHRISTUS Health

Santa fe, New Mexico

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CHRISTUS Health

San Antonio, Texas

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AdventHealth

Tavares, Florida

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WakeMed Health & Hospitals

Raleigh, North Carolina

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PIH Health

Los Angeles, California

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Northeast Georgia Health System

Gainesville, Georgia

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CHRISTUS Health

Santa fe, New Mexico

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AdventHealth

Orlando, Florida

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Kindred Hospitals

Paramount, California

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University of Maryland Medical System

Bel Air, Maryland

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Duke University Health System

Durham, North Carolina

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University of Maryland Medical System

Baltimore, Maryland

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Harris Health System

Houston, Texas

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ED Registered Nurse Access Case Manager, Utilization Management, Full time, Variable shift
The RN ED Access Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians, and other key disciplines in order to coordinate admissions, transfers and repatriation to PIH Health Hospitals through the emergency room or direct admission. The RN ED Access Case Manager works closely with insurance and various payor to coordinate and assist with repatriation/transfer of out-of-network patients from PIH Health Hospitals to the patient’s contracted facility. The RN ED Access Case Manager performs utilization review with a high level of expertise by using criteria that demonstrates medical necessity to achieve authorization and reimbursement for services for the appropriate le


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