- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- … Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on ... any time with or without notice. Primary Responsibilities * Perform prospective utilization reviews and first level determinations for members using evidenced based… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Raleigh, NC)
- …documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... caring community and help us put health first** The Utilization Management Registered Nurse 2...of Skilled Nursing Facility experience** + Previous experience in utilization management required + Prior … more
- Elevance Health (NC)
- …acute care clinical experience. **Preferred skills, qualifications and experiences:** + Prior experience in inpatient Utilization Management , preferred. ... **Be Part of an Extraordinary Team** ** Nurse Medical Management I** **Location:** Remote- Candidates must reside within 50 miles or 1-hour commute each way of a… more
- Veterans Affairs, Veterans Health Administration (Jacksonville, NC)
- …a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... Summary Nurse Managers (NM) have dynamic duty that includes...prescribed treatment in the maintenance of health, prevention and management of illness, injury, disability or the achievement of… more
- Veterans Affairs, Veterans Health Administration (Charlotte, NC)
- …a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... Summary The Registered Nurse (Outpatient Mental Health) is responsible and accountable...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- Veterans Affairs, Veterans Health Administration (Greenville, NC)
- …to apply. Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for ... EDRP Coordinator for questions/assistance. Learn more. Duties: The primary purpose of the nurse practitioner (NP) is to practice to the full extent of their… more
- UNC Health Care (Chapel Hill, NC)
- …serve. The individual selected for this position will function as a Neonatal Nurse Practitioner (NNP) delivering critical care medical management in the Newborn ... **Description** Have you considered a Neonatal Nurse Practitioner career with UNC Health? This opportunity...standards. The practitioner has responsibility for complete daily medical management of a caseload of critically ill newborn infants… more
- Fresenius Medical Center (Lenoir, NC)
- …direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in optimum ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Fresenius Medical Center (Greensboro, NC)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... as defined by the quality goals, by working with management to ensure that policies and procedures are followed....from admission through discharge. + May confer with patients prior to the procedure to obtain necessary medical history,… more
- Gentiva (Southern Pines, NC)
- …care they need with dignity, grace, and love. The **Afterhours AIM (Advanced Illness Management ) Registered Nurse ** will report directly to the Director of AIM. ... **Education:** + Associates/Bachelor's degree Nursing **Experience:** + 2 years of prior skilled Registered Nurse experience + Demonstrated ability to… more
- Evolent (Raleigh, NC)
- …for operational performance of physician, nursing, and shared services staff in the utilization management value chain + Owns clinical rationale for ... point of responsibility for all clinical operations inclusive of nurse , physician, and shared services performance. and core work...utilization management decisions made by all clinical staff + Ensures… more
- Novant Health (Charlotte, NC)
- …Assists the Nurse Manager with continuous quality improvement, personnel utilization , performance appraisals, resource usage and budget management , and ... to assist the patient in navigating their health journey. The Registered Nurse accepts responsibility, authority, and accountability for management and provision… more
- LifePoint Health (Wilson, NC)
- …cath lab (LHC, RHC, peripheral/Coronary Interventions), Pericardiocentesis, IABP management , temporary pacemaker insertions, and tee/cardioversions. 2. Performs ... and that contraindicating conditions are identified and communicated to the physician prior to the initiation of the procedure Follows established procedures and… more