- 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 (Clayton, 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 (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 (Youngsville, NC)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... on-site at our Youngsville, NC branch location.** The **Clinical Manager ** coordinates and oversees all direct care ...A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home… 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
- Gentiva (Roanoke Rapids, NC)
- …team. This role is ideal for a licensed Registered Nurse ( RN ) with strong leadership experience in hospice care , home health, or clinical operations ... you're a natural leader who is passionate about patient-centered care , team development, and clinical excellence, we invite you...+ We maintain a drug-free workplace Related Job Titles RN Branch Director, RN Branch Manager… more
- UNC Health Care (Rocky Mount, NC)
- …recommends eligibility for pathways, protocols, or guidelines that could improve patient care and utilization of resources. 2. Performs concurrent and ... reviews for private insurance companies, Medicare and Medicaid, in accordance with utilization review guidelines. Tactfully and effectively informs Manager of… more
- Elevance Health (Raleigh, NC)
- …therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** . is responsible for care management within the scope ... **Telephonic Nurse Case Manager Senior** **Sign on...claims or service issues. + Assists with development of utilization / care management policies and procedures, chairs and… 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