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RN Utilization Review Specialist for Care & Compliance

Community Memorial Health System

Community Memorial Hospital, Inc. is seeking an experienced RN to lead utilization review activities at our Hamilton, NY facility. You will conduct concurrent, retrospective, and pre-admission reviews to determine medical necessity and level of care. Work with physicians, case managers, and payers to obtain authorizations, report delays, and support cost containment while ensuring CMS and Joint Commission compliance. #J-18808-Ljbffr

Vacancy posted 5 days ago
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