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DMC Huron Valley-Sinai Hospital Logo
DMC Huron Valley-Sinai Hospital

Michigan

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CHRISTUS Health

Irving, Texas

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Baylor Scott & White Health

Dallas, Texas

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Vanderbilt Health

Nashville, Tennessee

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Vanderbilt Health

Nashville, Tennessee

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Baylor Scott & White Health

Dallas, Texas

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DMC Children's Hospital of Michigan

Detroit, Michigan

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Duke University Health System

Durham, North Carolina

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ChristianaCare Health System

Newark, Delaware

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Duke University Health System

Durham, North Carolina

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Baylor Scott & White Health

TEMPLE, Texas

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Providence

Portland, Oregon

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Veterans Affairs, Veterans Health Administration

Bath, New York

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Vanderbilt Health

Nashville, Tennessee

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Duke University Health System

Durham, North Carolina

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Veterans Affairs, Veterans Health Administration

Greenville, North Carolina

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Duke University Health System

Durham, North Carolina

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AdventHealth

Altamonte Springs, Florida

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Baylor Scott & White Health

TEMPLE, Texas

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The Hospitals of Providence Memorial Campus

El Paso, Texas

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MemorialCare Health System

Fountain Valley, California

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Providence

Central Point, Oregon

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Providence

Portland, Oregon

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Penn State Health

Camp Hill, Pennsylvania

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RN Clinical Access Specialist - Utilization Management
Job SummaryGeisinger is hiring a RN Clinical Access Specialist for Geisinger Medical Center in Danville, PA. The primary function of this role is completing Point of Entry reviews for the emergency room. Additionally this role performs reviews of SORU/Inpatient procedures to ensure correct operative status at the time of surgery.Job DutiesPerforms and ensures adherence to state, federal and third party payer certification requirements for initial, concurrent and retrospective medical record review for medical necessity and level of care determination.Identifies and notifies appropriate staff regarding discrepancy issues with third party payer health insurance coverage and lack of coverage.Maintains a working knowledge of third party payer hea


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