{"21261408":{"jobPath":"/jobs/21261408/behavioral-health-counselor-medical-weight-management-clinic-westwood","source":"naylor","job":"21261408","jobTitle":"Behavioral Health Counselor - Medical Weight Management Clinic, Westwood"},"21261924":{"jobPath":"/jobs/21261924/residential-coordinator","source":"naylor","job":"21261924","jobTitle":"Residential Coordinator"},"21261900":{"jobPath":"/jobs/21261900/academic-director-ms-programs","source":"naylor","job":"21261900","jobTitle":"Academic Director, MS Programs"},"21260676":{"jobPath":"/jobs/21260676/associate-dean-of-students-and-director-of-the-asian-asian-american-center","source":"naylor","job":"21260676","jobTitle":"Associate Dean of Students and Director of the Asian & Asian American Center"},"21260699":{"jobPath":"/jobs/21260699/manager-of-finance-and-contracts-lab-of-ornithology","source":"naylor","job":"21260699","jobTitle":"Manager of Finance and Contracts - Lab of Ornithology"},"21262410":{"jobPath":"/jobs/21262410/orthotist-prosthetist-supervisor-recruitment-relocation-incentive","source":"naylor","job":"21262410","jobTitle":"Orthotist-Prosthetist Supervisor - Recruitment/Relocation Incentive"},"21261487":{"jobPath":"/jobs/21261487/aesthetician-cosmetic-surgery-clinic","source":"naylor","job":"21261487","jobTitle":"Aesthetician- Cosmetic Surgery Clinic"},"21260131":{"jobPath":"/jobs/21260131/star-plus-ltss-svcs-coor-lvl1","source":"naylor","job":"21260131","jobTitle":"STAR+PLUS LTSS Svcs Coor Lvl1"},"21261908":{"jobPath":"/jobs/21261908/student-care-case-manager","source":"naylor","job":"21261908","jobTitle":"Student Care Case Manager"},"21259970":{"jobPath":"/jobs/21259970/counselor-psychologist","source":"naylor","job":"21259970","jobTitle":"Counselor/Psychologist"},"21261906":{"jobPath":"/jobs/21261906/assistant-dean-of-nursing","source":"naylor","job":"21261906","jobTitle":"Assistant Dean of Nursing"},"21260803":{"jobPath":"/jobs/21260803/mental-health-therapist-full-time-day-shift","source":"naylor","job":"21260803","jobTitle":"Mental Health Therapist (Full Time, Day shift)"},"21261859":{"jobPath":"/jobs/21261859/director-of-enrollment-management","source":"naylor","job":"21261859","jobTitle":"Director of Enrollment Management"},"21260867":{"jobPath":"/jobs/21260867/lcsw-lpc-ccp","source":"naylor","job":"21260867","jobTitle":"LCSW/LPC CCP"},"21260747":{"jobPath":"/jobs/21260747/assistant-director-sorority-fraternity-life-and-mgfc-advisor","source":"naylor","job":"21260747","jobTitle":"Assistant Director, Sorority & Fraternity Life and MGFC Advisor"},"21262428":{"jobPath":"/jobs/21262428/engineering-faculty-2025-2026","source":"naylor","job":"21262428","jobTitle":"Engineering Faculty 2025-2026 "},"21261675":{"jobPath":"/jobs/21261675/care-manager-ii-case-management-full-time","source":"naylor","job":"21261675","jobTitle":"Care Manager II, Case Management - Full time"},"21261973":{"jobPath":"/jobs/21261973/psychologist-pediatric-developmental-clinic","source":"naylor","job":"21261973","jobTitle":"Psychologist - Pediatric Developmental Clinic"},"21262421":{"jobPath":"/jobs/21262421/associate-dean-for-academic-affairs-carle-illinois-college-of-medicine","source":"naylor","job":"21262421","jobTitle":"Associate Dean for Academic Affairs - Carle Illinois College of Medicine"},"21261894":{"jobPath":"/jobs/21261894/associate-dean-student-affairs-heritage-college-of-osteopathic-medicine","source":"naylor","job":"21261894","jobTitle":"Associate Dean, Student Affairs - Heritage College of Osteopathic Medicine"},"21260660":{"jobPath":"/jobs/21260660/associate-dean-of-students-director-of-the-lgbt-resource-center","source":"naylor","job":"21260660","jobTitle":"Associate Dean of Students, Director of the LGBT Resource Center"},"21262021":{"jobPath":"/jobs/21262021/patient-billing-services-representative-ii-obstetrics-and-gynecology-billing","source":"naylor","job":"21262021","jobTitle":"Patient Billing/Services Representative II - Obstetrics and Gynecology (Billing)"},"21260582":{"jobPath":"/jobs/21260582/attending-pediatric-medical-geneticist-nemours-children-s-hospital-delaware","source":"naylor","job":"21260582","jobTitle":"Attending Pediatric Medical Geneticist-Nemours Children's Hospital, Delaware"},"21262196":{"jobPath":"/jobs/21262196/occupancy-planner-cafm-analyst","source":"naylor","job":"21262196","jobTitle":"Occupancy Planner/CAFM Analyst"},"21260708":{"jobPath":"/jobs/21260708/assistant-director-campus-activities-organizational-development","source":"naylor","job":"21260708","jobTitle":"Assistant Director, Campus Activities - Organizational Development"}}
DescriptionSummary:The Utilization Management Nurse II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and accurately utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services "CMS" Inpatient List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment and are responsible for maintaining current and accurate knowledge regarding commercial and government payors and Joint Commission regulations and gui
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