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Veterans Affairs, Veterans Health Administration

Asheville, North Carolina

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Good Samaritan Medical Center

West Palm Beach, Florida

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Duke University Health System

Durham, North Carolina

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Manchester, New Hampshire

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Frisco, Texas

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El Paso, Texas

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Shelby Medical Center

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Manchester, New Hampshire

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Tyler, Texas

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Shelby Medical Center

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Wilkes-Barre, Pennsylvania

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Tucson, Arizona

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Albany, New York

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Los Alamitos Medical Center

Los Alamitos, California

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West Boca Medical Center

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Conifer Revenue Cycle Solutions

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Valley Baptist Medical Center - Harlingen

Harlingen, Texas

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Doctors Medical Center of Modesto

Modesto, California

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West Boca Medical Center

Boca Raton, Florida

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Delray Medical Center

Delray Beach, Florida

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Veterans Affairs, Veterans Health Administration

Battle Creek, Michigan

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RN Utilization Review
RN Case Manager Position Summary The Case Manager is responsible for coordinating patient care activities to conform to evidence-based practice and/or regulatory/payor requirements. The individual�s responsibilities will include, but not be limited to the following activities: a) medical necessity screening b) care coordination c) discharge planning d) facilitating multi-disciplinary patient care conferences e) managing concurrent disputes f) making the appropriate referrals to other departments (e.g., nutrition, PT/OT/ST) g) referring complex social issues to Social Service h ) communicating with patients and their families about plan of care i) collaborating with physicians, office staff and ancillary departments (e.g., lab, pharmacy) j) participating


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