• Medical Director - Medicaid N.…

    Humana (Raleigh, NC)
    …scenarios arise from outpatient , inpatient or post-acute care environments. The Medical Director will have discussions with external physicians by phone to ... caring community and help us put health first** The Medical Director relies on medical ...work is assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies and determinations,… more
    Humana (10/25/25)
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  • PCO Medical Director - UM - Part…

    CenterWell (Raleigh, NC)
    …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... caring community and help us put health first** The Medical Director , Primary Care relies on ...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
    CenterWell (11/06/25)
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  • Medical Director - Nat'l UM IP (4x10…

    Humana (Raleigh, NC)
    …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... caring community and help us put health first** The Medical Director relies on medical ...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
    Humana (11/07/25)
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  • Medical Director - Claims Mgmt…

    Humana (Raleigh, NC)
    …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... caring community and help us put health first** The Medical Director actively uses their medical...work is assisted by diverse resources, which may include national clinical guidelines, CMS and state policies and determinations,… more
    Humana (11/01/25)
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  • RN Clinical Nurse II - Outpatient Float…

    UNC Health Care (Chapel Hill, NC)
    …completed. Learn more here:** **https://jobs.unchealthcare.org/pages/unc- medical -center-unc-faculty-physicians- outpatient -commitment-incentive-program** The UNC ... Medical Center Float Pool is a staffing pool for outpatient and procedural areas. We provide staff for approximately 150 clinics, the majority of which are in… more
    UNC Health Care (11/07/25)
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  • Assistant Director of Rehab

    Genesis Healthcare (Chapel Hill, NC)
    …reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care ... Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and… more
    Genesis Healthcare (11/07/25)
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  • RN Wound/Ostomy Resource- UNC Medical

    UNC Health Care (Chapel Hill, NC)
    …and evaluates wound, ostomy and continence care throughout inpatient and outpatient areas. Functions primarily as a clinical consultant and provides direct ... work toward full CWOCN certification per timeline set by manager/ director and to provide regular updated on their progress...Certified Wound and Ostomy Nurses to provide consultation to medical staff, physicians and nursing staff for patients with… more
    UNC Health Care (08/22/25)
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  • Nurse Practitioner

    North Carolina Central University (Durham, NC)
    …variety of medical conditions under the supervision of a medical director . Patient care is provided in an outpatient clinical setting. Nurse Practitioner ... state Registered Nurse license and the completion of a national certification examination preferred completing the MSN or DNP... Director of Student Health Services and the Medical Director . Posting Detail Information **Posting Number**… more
    North Carolina Central University (11/13/25)
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  • Physical Therapist II

    UNC Health Care (Chapel Hill, NC)
    …the unique communities we serve. **Summary:** **UNC Therapy Services** , the outpatient orthopedic therapy division of the Rehabilitation Services Department at UNC ... Medical Center, is now accepting applications for a **Physical...therapist with at least 5 years of expertise in outpatient orthopedics. This position provides the opportunity to offer… more
    UNC Health Care (09/16/25)
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  • Compliance Audit Manager

    Cardinal Health (Raleigh, NC)
    …of documentation and coding related to physician or hospital (inpatient and outpatient ) billing and/or medical necessity reviews. + Prepares written reports ... and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director , this position supervises and manages compliance audits to determine… more
    Cardinal Health (11/08/25)
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  • Clinical Lab Supervisor - Core Laboratory

    UNC Health Care (Chapel Hill, NC)
    …and/or Histology Technicians. Reports to the Medical Lab Supervisor II, Medical Lab Supervisor III, Director of Laboratory Services or Associate Chair ... serve.** **Summary:** Oversees laboratory services and personnel in an outpatient or off-site laboratory setting. Provides human resource functions,...Medical Laboratory Technicians, Medical Laboratory Technologist… more
    UNC Health Care (09/19/25)
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  • Clinical Registered Nurse - Utilization Management…

    Cognizant (Raleigh, NC)
    …. Draft and submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member… more
    Cognizant (11/15/25)
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  • Rehabilitation Counselor - Jaycee Burn Center

    UNC Health Care (Chapel Hill, NC)
    …Facilitates the Final rating clinic in collaboration with the NC Jaycee Burn center medical director monthly to review and close workers' compensation claims for ... and systematic follow-up. The Rehabilitation Counselor practices in both inpatient and outpatient clinical areas to provide continuity of care. Work is self-planned… more
    UNC Health Care (09/02/25)
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  • Inpatient Audit Specialist FT 2,500 Sign on Bonus

    Datavant (Raleigh, NC)
    …and existing coders. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG ... results for review by the facility or CCS HIM director . + Review disagreements on APC/DRG changes with the...trauma centers + Experience coding and auditing inpatient and outpatient records for various facilities + Track record of… more
    Datavant (11/14/25)
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  • Occupational Therapy Assistant (COTA)

    Genesis Healthcare (Cary, NC)
    …reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care ... Powerback is the place for you. **Why Powerback?** + **Benefits** : We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and Vision… more
    Genesis Healthcare (09/26/25)
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  • Occupational Therapist (OT)

    Genesis Healthcare (Cary, NC)
    …reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care ... Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and… more
    Genesis Healthcare (09/22/25)
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  • RN Clinical Nurse II - Unch Oncology Adult Lab…

    UNC Health Care (Chapel Hill, NC)
    …RN Incentive Program here: https://jobs.unchealthcare.org/pages/unc- medical -center-unc-faculty-physicians- outpatient -commitment-incentive-program Full-time; 40 ... Draw area to work with a collaborative, supportive team in a high-volume outpatient setting. Our team is a diverse group committed to compassionate and comprehensive… more
    UNC Health Care (10/19/25)
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