- UNC Health Care (Hillsborough, NC)
- …patient care progression from acute care episode through post discharge for quality , efficiency, and effectiveness. The Utilization Manager works collaboratively ... **Description** RN Utilization Manager is responsible for clinical reviews for...appropriateness of setting and that the services provided are quality -driven, efficient, and effective. Enters all pertinent review… more
- Fresenius Medical Center (Durham, NC)
- …As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility ... Manages the operations of the clinic, including costs, processes, staffing, and quality standards. + Provides leadership, coaching, and development plans for all… more
- UNC Health Care (Chapel Hill, NC)
- …care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly ... overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity...policies. Responsibilities: 1. Identify Cases & Prioritize Day - Review work list to prioritize patients and identify new… more
- CenterWell (Durham, NC)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... role is a focused on both home health clinical quality assurance and home health clinical operations initiatives. +...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions provides Utilization Review / Case Management/ Medical Management/Claims Review services to its clients. Care ... Coordinators facilitate care management and utilization review by performing data collection &...data collection & data entry, and effectively communicating with Nurse Case Reviewers/Managers, employers and claimants in regards to… more