- LifePoint Health (Louisburg, NC)
- …**Please select a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator* **Location:** ... Registered Nurse (RN) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound… more
- UNC Health Care (Kinston, NC)
- …EXPERIENCE REQUIREMENT** + Five (5) years of health care experience as a Registered Nurse . **LICENSURE/REGISTRATION/CERTIFICATION** + Licensed to practice as a ... the unique communities we serve. **Summary:** This position facilitates utilization management processes to support the right care is...Registered Nurse in the state of North Carolina. **KNOWLEDGE, SKILLS… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Raleigh, NC)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience in a ... hospital setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Sharecare (Raleigh, NC)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- HCA Healthcare (Asheville, NC)
- …compelling, we encourage you to apply for our Home Care Registered Nurse Coordinator PACE opening. We promptly review all applications. Highly qualified ... is recognized. Submit your application for our Home Care Registered Nurse Coordinator PACE (Program of All...Aides, Homecare Services Non-Skilled Aides and the Homecare Schedulers. Utilization of nursing skills to assess participants in their… more
- UNC Health Care (Hendersonville, NC)
- …care and cost effectiveness through the integrating and functions of care management, utilization review and discharge planning. The Care Manager must be highly ... based on approved criteria and standards per the Hospital Utilization Review Plan. Directs delivery of notifications...Requireds + Must be licensed to practice as a Registered Nurse in the state of North… more
- LifePoint Health (Henderson, NC)
- Registered Nurse Case Manager Job Type: Part-Time |Days Your experience matters {Up To $20,000 in a Commitment Bonus} At Maria Parham Hospital, we are driven by ... as an employee but as a person. As a registered nurse (RN) joining our team, you're...skills. Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by… more
- LifePoint Health (Henderson, NC)
- Registered Nurse (RN) Job Type: Part-Time | 10-hour shifts Your experience matters At Maria Parham Hospital, we are driven by a profound commitment to prioritize ... as an employee but as a person. As a registered nurse (RN) joining our team, you're...skills. Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by… more
- LifePoint Health (Henderson, NC)
- * Registered Nurse Case Manager* *Job Type: PRN* *Your experience matters* *At Maria Parham Hospital, we are driven by a profound commitment to prioritize your ... as an employee but as a person. As a Registered Nurse (RN) joining our team, you're...skills. Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by… more
- HCA Healthcare (Asheville, NC)
- …Council approval. **Required License** : . Must have and maintain current licensure as registered nurse with the North Carolina Board of Nursing. Compact license ... Home Health Aides, Homecare Services Non-Skilled Aides and the Homecare Schedulers. Utilization of nursing skills to assess participants in their home environment… more
- Fresenius Medical Center (Plymouth, NC)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Fresenius Medical Center (Garner, NC)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- Evolent (Raleigh, NC)
- …are applied appropriately. **Qualifications:** + Current, unrestricted state licensure as a Registered Nurse + Associate or Bachelors in Nursing (Must be ... , you will be a key member of the utilization management team. We can offer you a meaningful...You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not...a Registered Nurse ) + Experience as an RN… more
- Lincoln Financial (Raleigh, NC)
- …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position...Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's it like… more
- UNC Health Care (Smithfield, NC)
- …care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly ... policies. Responsibilities: 1. Identify Cases & Prioritize Day - Review work list to prioritize patients and identify new...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- CenterWell (Winston Salem, NC)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- UNC Health Care (Chapel Hill, NC)
- …and social screening completion by the virtual hospitalist and the Mission Control registered nurse . Remains available to accept patient referrals and assist ... nursing. BSN preferred. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional… more
- Novant Health (Winston Salem, NC)
- …experience & charge nurse or comparable experience. A Clinical Coordinator is a Registered Nurse who functions as a role model, facilitator, mentor and coach ... Helps coordinate work shift activities in the clinical area. Assists the Nurse Manager with continuous quality improvement, personnel utilization , performance… more
- AdventHealth (Hendersonville, NC)
- …and family and comply with all regulatory and financial guidelines. Oversee utilization review , house supervisor and discharge planning **The value you'll ... the team:** + Maintains and utilizes current knowledge of utilization review criteria and reimbursement guidelines to...4 Supervisory or leadership experience Preferred + RN - Registered Nurse - State Licensure and/or Compact… more