- UNC Health (Raleigh, NC)
- …processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of ... the integrating and functions of case management , utilization review and discharge planning. The Care Manager...from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the… more
- UNC Health (Chapel Hill, NC)
- …7. Payer Communication: a. Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely ... Description Have you ever considered a role in Care Management ? UNC Medical Center is the place for you!...Would like to learn how to be a Care Manager or would like to continue their Care … more
- UNC Health (Chapel Hill, NC)
- …7. Payer Communication: a. Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely ... high-quality, coordinated care. What You'll Do As a Care Manager RN, you'll: Provide ongoing support and clinical expertise...discharge planning. Serve as a key resource in case management , utilization review, and discharge planning. Stay… more
- UNC Health (Garner, NC)
- …7. Payer Communication: a. Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely ... the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and coordinated care to… more
- UNC Health (Raleigh, NC)
- …reports summarizing quality improvement findings. 5. Collaborates with the Operations Manager to select patients for audit review. Reviews patient records to ... determine appropriate utilization . 6. Coordinates educational programs related to staff and...DFS and other regulatory and licensing bodies. Coordinates risk management activities to reduce or prevent legal liability issues… more
- UNC Health (Chapel Hill, NC)
- …imaging, as well as endovascular cardiothoracic aortic repair with the utilization of moderate sedation or general anesthesia. Vascular Interventional staff are ... used for diagnostic and interventional procedures. Notifies Clinical Supervisor/Imaging Manager of equipment malfunction. Troubleshoots equipment functionality with vendor… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Manager , Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical support ... Primary Responsibilities + Coordinate day to day operations of the Utilization Management team. + Serve as the primary contact for day-to-day operational… more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders, bed… more
- Elevance Health (Durham, NC)
- ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... shift between 8 AM and 6 PM Eastern. The ** Utilization Management Representative I** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Cherry Bekaert (Raleigh, NC)
- …Resource Manager , you will:** + Compile and analyze resource management reports (available resources, current resource allocations, resource needs due to ... your career growth and continuous professional development. We are seeking for a Resource Manager to join our team. The Resource Manager will have an opportunity… more
- CenterWell (Lillington, NC)
- …to sit on-site at our Lillington, NC branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- Ryder System (Raleigh, NC)
- …: **We are immediately hiring a Senior Continuous Improvement Logistics Manager (Engineering) in Indianapolis, IN (REMOTE) for our Supply Chain Solutions ... the use of continuous improvement methods to support new and existing operations. The Manager will manage the CI resources across the business to influence and drive… more
- SAM LLC (Raleigh, NC)
- …and managed throughout their lifecycles. Your Impact at SAM A Survey Project Manager is responsible for the oversight and reporting of budgets and utilization ... + 5+ years of industry related work experience in a professional or management capacity + Bachelor's degree in related discipline/and or equivalent experience +… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review/Medical and Case Management services for Workers' Compensation. The Workers' ... evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty Department Manager ....services for timely return to work. + Provides case management , utilization review, continued stay reviews, and… more
- CVS Health (Raleigh, NC)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health....position consists of working intensely as a telephonic case manager with patients and their care team for fully… more
- Burns & McDonnell (Raleigh, NC)
- …, Program Manager as well as internal and external executive management as required. + Collaborate with engineering team to establish the development and ... **Description** The Transmission and Distribution Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program … more
- Burns & McDonnell (Raleigh, NC)
- …, Program Manager as well as internal and external executive management as required. + Collaborate with engineering team to establish the development and ... **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day… more
- Burns & McDonnell (Raleigh, NC)
- …Engineer Procure Construct (EPC), Construction Management , Construction, and Program Management projects. The Project Manager leads projects from inception ... **Description** The Project Manager will lead and motivate a team in...will lead and motivate a team in the day-to-day management of project safety, quality, schedule, cost control, contracts,… more
- Red River (Raleigh, NC)
- **Position Summary:** The Manager , Residency Services reports to Director of Professional Services. Responsibilities include: Identifying new Residency Services ... further our Corporate Mission, Values and Objectives. Red River's Residency Services Manager will be responsible for our residents' growth and operational … more
- Kimley-Horn (Raleigh, NC)
- **Overview** Kimley-Horn is looking for a Bentley Applications Manager to join our Raleigh, North Carolina (NC) office! This is not a remote position. ... and surface water practices + Support + Support various project teams' utilization of Bentley engineering software from 3D modeling into design, production, and… more
