- Veterans Affairs, Veterans Health Administration (Durham, NC)
- …The Durham VA Health Care System is looking to fill one (1) full time Registered Nurse - Nurse Manager vacancy. Responsibilities Job Description/ Scope of ... Practice: The Registered Nurse Manager for Cardiovascular Labs (CV...Catherization Laboratory, Interventional Recovery Unit, and Radiology Services. The RN Manager will assume responsibility for daily operations and… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- Summary The Durham VA Health Care System is looking to fill one (1) Registered Nurse vacancy for the Sterile Processing Services (SPS) Department. The SPS ... Quality Registered Nurse promotes a culture of quality...safety of patients, visitors, and staff. Manages core Quality Management programs to include Survey Readiness, External Peer Review… more
- Centene Corporation (Raleigh, NC)
- …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Highmark Health (Raleigh, NC)
- …Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Intermountain Health (Raleigh, NC)
- …REGISTRATION, LICENSE (*indicates primary source verification requirement) Required: + Active Registered Nurse License Preferred: + Certified Healthcare Access ... Associate (CHAA) EXPERIENCE Required: + Licensed Registered Nurse + Minimum of 2 years'...experience in acute clinical nursing setting + Knowledge of utilization management and case management … more
- Guardian Life (Raleigh, NC)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
- AmeriHealth Caritas (Wilson, NC)
- …complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. + Monitor appropriate utilization and ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- CVS Health (Raleigh, NC)
- …health care more personal, convenient and affordable. **Position Summary** **The Health Coach Consultant RN role is 100% remote work from home and candidates can ... US** The position is full time, 40 hours/week, and remote for a RN with a compact...every 4-6 weeks)** The Health Coach Consultant: Chronic Condition Nurse utilizes a collaborative process of assessment, planning, implementation,… more
- CVS Health (Raleigh, NC)
- …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... impact on our members, who are enrolled in Care Management and present with a wide range of complex...or changes in condition to be transitioned back to RN . + Complete post discharge call and required assessments… more
- United Therapeutics (Raleigh, NC)
- …Degree preferably in a health, biological sciences, or related field or + Registered Nurse ( RN ) nursing qualifications or relevant clinical research ... with superior financial performance and our communities with earth-sensitive energy utilization . Our company was founded by an entrepreneur whose daughter was… more
- Humana (Raleigh, NC)
- …your skills to make an impact** **Required Qualifications** + Associate degree + Active Registered Nurse , ( RN ), License in your state of residence without ... project management and/or process improvement experience + Minimum 3 years utilization management experience with exposure to grievance and appeals +… more