- UNC Health Care (Hillsborough, NC)
- **Description** RN Utilization Manager is responsible for clinical reviews for medical necessity for both admission and continuing stay patients during the ... for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care ...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- Fresenius Medical Center (Rolesville, NC)
- **About this role:** As a Clinical Manager with Fresenius Medical Care , you will ensure that quality patient care is delivered while maintaining clinical ... of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing...leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area… more
- Veterans Affairs, Veterans Health Administration (Raleigh, NC)
- …The Durham VA Health Care System is looking to fill one (1) Registered Nurse vacancy for the Raleigh Ambulatory Care department. Responsibilities Job ... ear irrigations and education related to disease/self-management and equipment. The Registered Nurse responsibilities include but are not limited to:… more
- Fresenius Medical Center (Cary, NC)
- … care pre, during and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse , utilizing standard nursing techniques to ... quality standards. + Accountable for outstanding quality of patient care , as defined by the FVC quality goals, to...the facility and reports any issues to the Facility Manager . + Ensures a clean, safe and sanitary environment… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- …disorders and/or tuberculosis (TB). Responsibilities Job Description/Scope of Practice The Assistant Nurse Manager (ANM), in collaboration with the Nurse ... evenings, nights and weekends, except when covering for the Nurse Manager (NM). The ANM reports to...evidence-based practice/research with clinical expertise to improve quality of care and resource utilization at the expert… more
- UNC Health Care (Chapel Hill, NC)
- …is to improve the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and ... on-call** Who are we looking for? Experienced RNs and RN Care Managers who: + Have at...within 7 years of employment date. **Licensure/Certification Requirements:** * Registered Nurse with a valid license to… more
- UNC Health Care (Raleigh, NC)
- …and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to ... Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain...**Professional Experience Requirements:** * Two (2) years of health care experience as a Registered Nurse… more
- UNC Health Care (Chapel Hill, NC)
- …and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to ... Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain...**Professional Experience Requirements:** * Two (2) years of health care experience as a Registered Nurse… more
- UNC Health Care (Morrisville, NC)
- …is to improve the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and ... interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers, patients, and… more
- CenterWell (Raleigh, NC)
- …sit on-site at our Raleigh, NC branch location.** The ** RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Elevance Health (Raleigh, NC)
- …in-person with patients, members or providers in the state of North Carolina. The ** RN Case Manager ** **(LTSS Service Coordinator- RN )** is responsible for ... members that would benefit from an alternative level of care or other waiver programs. + The RN...services. + May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization … more
- UNC Health Care (Raleigh, NC)
- …and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to ... Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain...**Professional Experience Requirements:** * Two (2) years of health care experience as a Registered Nurse… more
- Highmark Health (Raleigh, NC)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of… more
- Humana (Raleigh, NC)
- …_(Washington DC, MD, WV, KY, TN & NC)_ **.** + An active, unrestricted, Registered Nurse ( RN ) license or Licensed Mental Health Professional (LMHP) ... and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (LTSS-ABD) who will lead a team of nurses and behavior… more
- Elevance Health (Cary, NC)
- …weekends and holidays, and starting at 5 pm or 10 pm EST.** The BH Care Manager I responsible for managing psychiatric and substance abuse or substance abuse ... depression, and insightful analytics to improve the delivery of care . **The ideal candidate will live within 50 miles...equivalent background. + Current active unrestricted license, such as RN LCSW LMHC LPC (as allowed by applicable state… more
- Prime Therapeutics (Raleigh, NC)
- …this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse ( RN ). + 5 years of post-degree clinical experience. ... + Experience in managed care , specialty drugs, care management and utilization review. + Meets...- Required: RN - Registered Nurse , State and/or Compact State Licensure - Care… more
- UNC Health Care (Raleigh, NC)
- …Acts as liaison between staff, physicians, and management. Also performs direct patient care . Responsibilities: 1. Ensures care delivered to each patient is ... leaders to flex and coordinate the number of scheduled staff for optimal utilization and productivity within all areas. Assists with monitoring overtime hours. 3.… more
- Elevance Health (Cary, NC)
- …1-2 late nights per month required 11:30am - 8:00pm ET The ** Nurse Case Manager II** is responsible for care management within the scope of licensure for ... with providers, claims or service issues. + Assists with development of utilization / care management policies and procedures. **Minimum Requirements:** + Requires… more
- Motion Recruitment Partners (Durham, NC)
- Case Manager Durham, NC **100% Remote** Contract $35/hr - $40/hr Our client, a nationally recognized and award-winning company in the health insurance vertical, has ... a contract opening for a Case Manager . They have over 4 million customers and 5,000+...+ Computer experience needed, documentation skills and communication + RN degree for 5-7 years + RN ,… more
- HealthEdge Software Inc (Raleigh, NC)
- …improve both clinical outcomes and the member experience. **What you bring:** + ** RN /NP/MSN** with **10+ years of health care experience** **required** ; ideally ... implementations by developing and managing the clinical components of our care programs. This includes overseeing content development, clinical product design, and… more