- Humana (Raleigh, NC)
- …of our caring community and help us put health first** Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market ... team. The UM Coordinator provides non-clinical support for policies and procedures related...for policies and procedures related to the administration of utilization management , ensuring the best and most… more
- Sunrun (Raleigh, NC)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Highmark Health (Raleigh, NC)
- …for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is ... documentation including verification of benefit eligibility. Build cases in the utilization management system. + Use knowledge of process and judgement to… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions provides Utilization Review/ Case Management / Medical Management /Claims Review services to its clients. Care ... Coordinators facilitate care management and utilization review by performing data collection & data entry, and effectively communicating with Nurse Case… more
- Sunrun (Raleigh, NC)
- …and dispatch customer appointments in conjunction with Tech routes, schedules and utilization + Initiate and create tasks to complete further work required for ... within or across projects or cross functional teams with minimal direction from management + Meets all identified team and client performance metrics, goals and… more
- United Therapeutics (Durham, NC)
- …with superior financial performance and our communities with earth-sensitive energy utilization . Our company was founded by an entrepreneur whose daughter was ... of weekly and monthly department quality program reports + Collaborate with knowledge management team to highlight areas of opportunity / gaps in available messaging… more
- Elevance Health (Raleigh, NC)
- …in the state of North Carolina. The **RN Case Manager** **(LTSS Service Coordinator - RN)** is responsible for overall management of member's case within ... with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator , Case Management , or similar role; or any combination of… more
- UNC Health Care (Chapel Hill, NC)
- …of care and cost effectiveness through the integrating and functions of case management , utilization review and management and discharge planning. The ... The overall goal of the position is to enhance the quality of patient management and satisfaction, to aid transplant candidates in achieving a positive outcome by… more
- UNC Health Care (Chapel Hill, NC)
- …imaging, as well as endovascular cardiothoracic aortic repair with the utilization of moderate sedation or general anesthesia. Vascular Interventional staff are ... assist by offering sterile back table and intraprocedural supply management . Assists in administration and documentation of regulated pharmaceuticals (intravenous… more
- IBM (Research Triangle Park, NC)
- …at leading, collaborating and networking, you will be a lynchpin. A coordinator and conduit driving best-fit skills-mixes across your direct and cross-brand teams ... needs and proactively propose solutions - with and through others. + Resource Utilization : Promote the maximum usage of the full extent of our Technology Sales… more