- FURNITURELAND SOUTH INC (Jamestown, NC)
- …World's Largest Furniture Store, is seeking a skilled and proactive Client Communications Specialist to join our Customer Services team. In this role, you will be ... Address client inquiries and concerns with professionalism and empathy. AI Utilization : Utilize AI tools and technologies to automate and enhance communication… more
- 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
- City of Durham (Durham, NC)
- …+ Knowledge of service delivery systems including counseling, treatment planning, documentation, utilization review , and NC clinical policies (eg, ACT, CST, IOP, ... knowledge level of service delivery systems including counseling, treatment planning, documentation, utilization review , and NC clinical policies (eg, ACT, CST,… more
- City of Durham (Durham, NC)
- …coverage policies (NC Service Definitions, ie ACT, CST IOP, SACOT, Innovation Wavier), utilization review , and data management. + Knowledge of: + the signs ... Street Outreach Specialist Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/4923157) Apply Street Outreach ...Service Definitions, ie ACT, CST IOP, SACOT, Innovation Wavier), utilization review , and data management? + No… more
- City of Asheville (Asheville, NC)
- Communication Specialist Print (https://www.governmentjobs.com/careers/ashevillenc/jobs/newprint/5104018) Apply Communication Specialist Salary $55,661.20 - ... Asheville is currently seeking qualified applicants for the position of Communication Specialist to join the Communication and Public Engagement team. This position… more
- General Dynamics Information Technology (Fort Bragg, NC)
- …**Job Description:** At GDIT, people are our differentiator. As a Cognitive Performance Specialist you will help ensure today is safe and tomorrow is smarter. Our ... work depends on Cognitive Performance Specialist joining our team. The Cognitive Performance ...development, and planning. + Participates in periodic meetings to review human performance training provided to patients and identify… more
- KBR (Fort Bragg, NC)
- Title: Special Operations Strength and Conditioning Specialist , 3rd SFG(A) (Ft. Bragg, NC) Strength & Conditioning Specialist Belong. Connect. Grow. with KBR! ... and services. We are seeking a stellar Strength and Conditioning Specialist that will establish and administer effective strength and conditioning protocols… more
- Datavant (Raleigh, NC)
- …tools. The specialist serves as a key liaison between coding, billing, utilization review , case management, and payer relations to reduce denials and improve ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… more
- Bank of America (Charlotte, NC)
- Enterprise Financial Risk Capital Markets Risk Sr. Specialist Charlotte, North Carolina;New York, New York **To proceed with your application, you must be at least ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Enterprise-Financial-Risk-Capital-Risk-Sr- Specialist \_25005709-2) **Job Description:** At Bank of America, we are… more
- Bank of America (Charlotte, NC)
- Enterprise Financial Risk Capital Risk Sr. Specialist Charlotte, North Carolina;New York, New York **To proceed with your application, you must be at least 18 years ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Enterprise-Financial-Risk-Capital-Risk-Sr- Specialist \_25038338) **Job Description:** At Bank of America, we are… more
- KBR (Fayetteville, NC)
- Title: Special Operations Cognitive Performance Specialist (3rd SFG (A), Fort Bragg, NC) THIS POSITION OFFERS RELOCATION. Belong. Connect. Grow. with KBR! KBR ... spanning kinesiology, psychology, and motor learning and control. The Cognitive Performance Specialist shall train SOF personnel, with the priority on SOF Operators… more
- NTT DATA North America (Charlotte, NC)
- …organization, apply now. We are currently seeking a Software Development Senior Specialist to join our team in Charlotte, North Carolina (US-NC), United States ... this person will do on a daily/weekly basis)** + Monitoring & Alerts - Review and respond to alerts from Azure Monitor, Log Analytics, and other monitoring tools,… more
- CVS Health (NC)
- …We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a specialized team who will ... all sales presentations. + Servicing of existing members and inquiries related to utilization of their product, benefits, etc. + Cross selling applicable products to… more
- Novant Health (Winston Salem, NC)
- Job Summary The Patient Safety Specialist assists in the development and implementation of patient safety programs. Facilitates cause analysis of actual or near miss ... and strategies. Responsibilities + Coordinates and facilitates the investigation, review and disposition of patient safety events though interviews, medical… more
- Cognizant (Raleigh, NC)
- …and retro-authorization as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral, preauthorization, medical ... necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and third-party… more
- Service Source (Fayetteville, NC)
- …These duties and responsibilities will be rated on the Annual Performance Review . + Conduct engaging, relevant, informative, and dynamic group sessions with high ... reports, case notes, and other supporting documentation, meeting milestone utilization expectations. Additional Responsibilities + Be aware of and respond… more
- Granville Medical Center (Oxford, NC)
- …Assists Providers: Psychosocial Assessments; Discharge planning; Treatment plan development and review . 9. Monitors compliance with standards of care for patients ... arrangements for case management patients. 16. Provides input into resource utilization and appropriate care settings. 17. Maintains positive working relations with… more
- Granville Health System (Oxford, NC)
- …Assists Providers: Psychosocial Assessments; Discharge planning; Treatment plan development and review . 9. Monitors compliance with standards of care for patients ... arrangements for case management patients. 16. Provides input into resource utilization and appropriate care settings. 17. Maintains positive working relations with… more
- Evolent (Raleigh, NC)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- …understanding and practicing documentation and coding practices to maximize clinical utilization . Contributes to the maintenance of a safe, therapeutic environment ... education such as attending workshops and conferences, and through continuous review of professional therapeutic literature as indicated. Assists in teaching and… more
