- Centene Corporation (Raleigh, NC)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... to ensure level of care and services are medically appropriate + Performs prior authorization reviews related to mental health and substance abuse to determine… more
- UNC Health Care (Chapel Hill, NC)
- …communities we serve. **_The incumbent of this position functions as a Neonatal Nurse Practitioner (NNP) delivering critical care medical management in the ... Hospital and served by 11 board-certified attending neonatologists, 18 nurse practitioners, and more than 150 neonatal specialists._** **Commitment Incentive:**… more
- Fresenius Medical Center (Cary, NC)
- …procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in optimum ... acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other FVC administrative and… more
- Humana (Raleigh, NC)
- …first** The RN, Compliance Nurse 2, Quality Assurance Auditor reviews utilization management activities and documentation to ensure adherence to policies, ... an acute care, skilled and/or rehabilitation clinical setting + Experience with utilization management , pre-service denials and/or quality assurance audits +… more