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The Joint Commission

Oakbrook Terrace, Illinois

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The Joint Commission

Oakbrook Terrace, Illinois

Tower Surgical Partners

Rockville, Maryland

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Unity Healthcare

Lafayette, Indiana

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UNM Hospital

Albuquerque, New Mexico

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Duke University Health System

Durham, North Carolina

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WMC Health

Margaretville, New York

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Trinity Health - St. Peter’s Health Partners

Capital District, New York

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Baylor Scott & White Health

Ennis, Texas

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Portland Metro Area, Oregon

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Richmond, Virginia

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Duke University Health System

Durham, North Carolina

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Memorial Sloan Kettering Cancer Center

New York, New York

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Banner Health

Greeley, Colorado

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Providence

Walla Walla, Washington

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The George Washington University Hospital

Washington, D.C.

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The George Washington University Hospital

Washington, D.C.

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Richmond, Virginia

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Baylor Scott & White Health

Midlothian, Texas

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MemorialCare Health System

Laguna Hills, California

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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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