- UNC Health Care (Smithfield, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- Fresenius Medical Center (Garner, NC)
- **About this role:** As a Clinical Manager with Fresenius Medical Care , you will ensure that quality patient care is delivered while maintaining clinical ... of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing...leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area… more
- Fresenius Medical Center (Cary, NC)
- …the direction of the Facility Manager , Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... quality standards. + Accountable for outstanding quality of patient care , as defined by the organization quality goals, to...the facility and reports any issues to the Facility Manager . + Ensures a clean, safe and sanitary environment… more
- CVS Health (Raleigh, NC)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- UNC Health Care (Raleigh, NC)
- **Description** **_Our Case Management Team is seeking an experienced full time RN Care Manager for Emergency Department patients. This role will work within ... management, utilization review and discharge planning. The Care Manager must be highly organized professional...**Professional Experience Requirements:** * Two (2) years of health care experience as a Registered Nurse… more
- UNC Health Care (Hillsborough, NC)
- …is to improve the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and ... Parking! Who are we looking for? Experienced RNs and RN Care Managers who: + Have at...within 7 years of employment date. **Licensure/Certification Requirements:** * Registered Nurse with a valid license to… more
- UNC Health Care (Morrisville, NC)
- …is to improve the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and ... communities we serve. We are in search of a Care Manager to join our team! This...within 7 years of employment date. **Licensure/Certification Requirements:** * Registered Nurse with a valid license to… more
- CenterWell (Lillington, NC)
- …A minimum of 2 years of experience as a Registered Nurse ( RN ). + Previous experience in home-based care required, including home health, hospice, and/or ... Lillington, NC branch location.** The ** RN Clinical Manager ** coordinates and oversees all direct care ...Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or… more
- CenterWell (Raleigh, NC)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... clinical operations across multiple branch locations.** The **Weekend Regional RN Clinical Manager ** provides weekend oversight and...A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home… more
- UNC Health Care (Chapel Hill, NC)
- …Social Workers, and Care Management Assistants. + Candidate must be a ** Registered Nurse ( RN )** or **Licensed Clinical Social Worker (LCSW/LCSWA)** + ... Join our dynamic Disposition Resource Team as an on-site manager at our UNC Chapel Hill campus, where you'll...Experience Requirements:** * Five (5) years of experience in care management, utilization management, discharge planning, … more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Gerontological Nursing, Maternity Nursing, Population health, Disease Management. + Current licensed Registered Nurse ( RN ) with compact state licensure; ... services to its clients. Cases are maintained by the Nurse Case manager . The Nurse ...and external resources for Case Management. + Determines appropriate care level and resource utilization for complex… more
- UNC Health Care (Raleigh, NC)
- **Description** UNC Home Care is seeking a candidate with process improvement experience. Will consider candidates with RN or Physical Therapy experience. This ... reports summarizing quality improvement findings. 5. Collaborates with the Operations Manager to select patients for audit review. Reviews patient records to… more
- Elevance Health (Durham, NC)
- …communicates, and monitors program schedule, budget, and resources plan. + Manages resource utilization to ensure appropriate delivery of care to members and ... so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP),...**:** + An active and current license as an RN , LCSW, LCMHC, or LMFT, issued by the state… more
- Deloitte (Raleigh, NC)
- …as clinical registered nurse , physician, physician assistant, case manager , clinical documentation specialist, utilization review, informatics RN , ... payments are appropriate for the type and level of care provided. + Strategic Risk: Helping clients to embrace...nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required… more
- Organon & Co. (Raleigh, NC)
- …Education, Experience and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience. + Customer knowledge and/or ... as well as other extended account team members to maximize appropriate utilization of Organon products. Integrates Senior Leadership into the overall business… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …the type of care needed immediately after an injury. The Intake Nurse reports to the Casualty Department Manager . Primary Responsibilities + Collaborates ... up to 10% of employed time in QA activities. Essential Qualifications + Currently Licensed Practical Nurse (LPN) or Register Nurse ( RN ) + Minimum of 2 years'… more