- UNC Health Care (Hillsborough, NC)
- … Manager position is for a Utilization Manager /Clinical Denials Nurse . RN Utilization Manager is responsible for clinical reviews for ... for delivery of Federally mandated notices to patients. The RN Utilization Manager will also...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- UNC Health Care (Chapel Hill, 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 (Rolesville, 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)
- … care pre, during and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to ... quality standards. + Accountable for outstanding quality of patient care , as defined by the FVC quality goals, to...the facility and reports any issues to the Facility Manager . + Ensures a clean, safe and sanitary environment… more
- UNC Health Care (Chapel Hill, NC)
- … career at UNC Medical Center **If this sounds like you apply now!** Summary: The Care Manager RN plays a crucial role in providing comprehensive and ... + Would like to learn how to be a Care Manager or would like to continue...within 7 years of employment date. **Licensure/Certification Requirements:** * Registered Nurse with a valid license to… more
- UNC Health Care (Raleigh, NC)
- …and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to ... Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain...**Professional Experience Requirements:** * Two (2) years of health care experience as a Registered Nurse… more
- UNC Health Care (Chapel Hill, NC)
- …and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to ... Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain...**Professional Experience Requirements:** * Two (2) years of health care experience as a Registered Nurse… more
- UNC Health Care (Raleigh, 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 ... interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers, patients, and… more
- CenterWell (Raleigh, NC)
- …sit on-site at our Raleigh, NC branch location.** The ** RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Highmark Health (Raleigh, NC)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- UNC Health Care (Raleigh, NC)
- …and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to ... Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain...**Professional Experience Requirements:** * Two (2) years of health care experience as a Registered Nurse… more
- UNC Health Care (Chapel Hill, NC)
- …with a background in pediatrics. Preference will be given to candidates who are Registered Nurses ( RN ) or Licensed Clinical Social Worker (LCSW) with acute ... Join our dynamic seasoned pediatric 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)
- …certifications like Diabetes educator, Pediatric Nursing, Gerontological Nursing. + Current licensed Registered Nurse ( RN ) with state licensure; bachelor's ... 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
- Elevance Health (Cary, NC)
- **Anticipated End Date:** 2024-10-25 **Position Title:** BH Care Manager I **Job Description:** A proud member of the Elevance Health family of companies, ... at 5 pm or 10 pm EST.** The BH Care Manager I responsible for managing psychiatric...equivalent background. + Current active unrestricted license, such as RN LCSW LMHC LPC (as allowed by applicable state… more
- UNC Health Care (Raleigh, NC)
- …coworkers, and evaluation of the coworkers performance to ensure safe, quality patient care and to ensure Rex standards of performance are met. 6. Evaluate patient ... Provides direction for the delivery of cost effective, quality patient care or service based on established regulatory, professional, organizational standards.… more
- UNC Health Care (Raleigh, NC)
- …Acts as liaison between staff, physicians, and management. Also performs direct patient care . Responsibilities: 1. Ensures care delivered to each patient is ... leaders to flex and coordinate the number of scheduled staff for optimal utilization and productivity within all areas. Assists with monitoring overtime hours. 3.… more
- Elevance Health (Cary, NC)
- …1-2 late nights per month required 11:30am - 8:00pm ET The ** Nurse Case Manager II** is responsible for care management within the scope of licensure for ... **Anticipated End Date:** 2024-09-06 **Position Title:** Nurse Case Manager II **Job Description:**...claims or service issues. + Assists with development of utilization / care management policies and procedures. **Minimum Requirements:**… more
- Motion Recruitment Partners (Durham, NC)
- Case Manager Durham, NC **100% Remote** Contract $35/hr - $40/hr Our client, a nationally recognized and award-winning company in the health insurance vertical, has ... a contract opening for a Case Manager . They have over 4 million customers and 5,000+...+ Computer experience needed, documentation skills and communication + RN degree for 5-7 years + RN ,… more
- Sharecare, Inc. (Raleigh, NC)
- …goals and objectives of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and ... individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com… more
- Granville Health System (Oxford, NC)
- …Summary: Performs all clerical and secretarial duties related to unit under supervision of Nurse Manager or Charge Nurse . Coordinates activities at nursing ... responsibility and accountability for a group of patients, providing care through the continues utilization of the...clean environment under the direction and supervision of the Registered Nurse in charge of the unit.… more