- CaroMont Health (Gastonia, NC)
- …RAC for reversal of original determination. May serve on the Medical Record/ Utilization Review Committee, providing detailed logs of denial activity and appeal ... practice in NC (NC license or multi-state (compact) license). Certification in Utilization Review / Management, Quality and/or Case Management preferred. Minimum… more
- Truist (Charlotte, NC)
- …Fluency:** English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** This is a Senior role and key ... drive socialization and input into the testing requirements. 4. Approve requirement, review results, and take appropriate action on the testing results. 5. Ensure… more
- United Rentals (Charlotte, NC)
- …Ongoing administration of US Short- and Long-Term Disability program including utilization review , ongoing program communications, resolution of escalated ... promoting a culture of awareness and understanding. + Drive the continuous review and modification of leave policies and procedures based on up-to-date expertise… more
- ThermoFisher Scientific (Charlotte, NC)
- …monitoring environments (ie FSO, FSP, Government, etc.). Acts as a site processes specialist , ensuring that the trial is conducted in accordance with the approved ... risks. Ensures data accuracy through SDR, SDV and CRF review as applicable through on-site and remote monitoring activities....personnel + Ability to maintain customer focus through the utilization of good listening skills, attention to detail and… more
- Lowe's (Charlotte, NC)
- …in a clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in a clinical position + ... will be responsible for medically managing a minimum caseload of 65 including review of claims identified for Medicare Set-Aside. **What you will do** + Manage… more
- Medtronic (Charlotte, NC)
- …and strategic sales to enhance Medtronic brand-driven referrals and expand the utilization of ICMs across multiple indications. + Lead the execution of market ... Support and exemplify a strong culture for the Market Development Specialist team, centered around collaboration, customer orientation, ethics, and execution… more