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Optum

Hidalgo, Texas

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CHRISTUS Health

Santa fe, New Mexico

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CHRISTUS Health

Santa fe, New Mexico

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Santa fe, New Mexico

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Nicklaus Children’s Health System

Miami, Florida

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Raleigh, North Carolina

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Tarpon Springs, Florida

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University of Maryland Medical System

Glen Burnie, Maryland

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AdventHealth

Orlando, Florida

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Miami, Florida

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Linthicum Heights, Maryland

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Newark, Delaware

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Houston, Texas

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Phoenix, Arizona

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AdventHealth

Altamonte Springs, Florida

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Duke University Health System

Durham, North Carolina

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Kaweah Health Medical Center

Visalia, California

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North Kansas City Hospital

North Kansas City, Missouri

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Beebe Healthcare

Lewes, Delaware

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Northeast Georgia Health System

Gainesville, Georgia

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System Utilization Review Nurse Manager
The RN – Utilization Review Nurse Manager shall manage the daily Utilization Review and Appeals Management processes for the facilities within Baptist Health. This individual shall administer policies and operational procedures necessary to coordinate the resources needed for utilization review and appeal management. Additionally, the Manager shall be responsible for allocation and management of human resources in assigned departments. The Manager is responsible to manage a team of Utilization Review and Appeal Management Specialists, to develop and implement utilization review protocols, and collaborate with various departments to optimize resource utilization. The Manager will coordinate care of patients through collaboration with physicians, nursing staff and other health professiona


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