- UNC Health Care (Chapel Hill, NC)
- …whose mission is to improve the health and well-being of the unique communities we serve. RN Utilization Manager position specifically for a Utilization ... 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
- UNC Health Care (Hillsborough, NC)
- …mission is to improve the health and well-being of the unique communities we serve. This RN Care Manager will be supporting the UNC Ortho Clinic, Women's, ... management, utilization review and discharge planning. The Care Manager must be highly organized professional...**Professional Experience Requirements:** * Two (2) years of health care experience as a Registered Nurse… more
- UNC Health Care (Hillsborough, NC)
- …general medical/surgical care . Preference will be given to candidates who are Registered Nurses ( RN ) or Licensed Clinical Social Worker (LCSW) with acute ... we serve. Join our dynamic team as an on-site manager at our Hillsborough campus, where you'll lead a...Experience Requirements:** * Five (5) years of experience in care management, utilization management, discharge planning, … more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Outpatient, DME, and Complex Care Needs. Essential Qualifications + Current licensed Registered Nurse ( RN ) with state licensure. Must retain active and ... Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal...care setting. + 3+ years' experience in clinical nurse setting preferred. + Grievance experience preferred. + TPA… more
- CenterWell (Raleigh, NC)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... is not a remote or work-from-home position.** The **Clinical Manager ** coordinates and oversees all direct care ...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Prime Therapeutics (Raleigh, NC)
- …drives every decision we make. **Job Posting Title** Senior Project Solution Manager ( Utilization Management) - Remote **Job Description Summary** Responsible ... + For clinical related roles, clinical licensure (eg, LPN, RN , LCSW, LMSW) is preferred. + 7+ years of...effectively with cross-functional teams. + Basic knowledge of health care management. + Proven ability to plan, organize, schedule,… more
- Centene Corporation (Raleigh, NC)
- … care , or community setting. Knowledge of healthcare and managed care preferred. **Licenses/Certifications:** Current state's RN license. Pay Range: ... benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Perform care management duties to assess, plan and coordinate all aspects of… more
- UNC Health Care (Morrisville, 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
- Intermountain Health (Raleigh, NC)
- … Registered /Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ) in Colorado or Compact + Basic ... utilization management, emergency department, acute, ambulatory and specialty care . Essentials + Demonstrates critical thinking skills when utilizing the nursing… 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
- Humana (Raleigh, NC)
- …health-related field. + Care Management certification (CCM). + Active, unrestricted, Registered Nurse ( RN ) license or Licensed Mental Health Professional ... and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Service Coordination ( Manager , Care Coaching) who will lead teams of… more
- Marriott (Raleigh, NC)
- **Additional Information** Nurse CARE Manager ( CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 ... Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely,...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- Elevance Health (Cary, NC)
- …programs for autism and depression, and insightful analytics to improve the delivery of care .** **BH Care Manager II** Responsible for managing psychiatric ... + Will serve as a resource to other BH Care Managers. + Assists with more complex cases and...equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by… 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 . **This is an individual contributor role and the...equivalent background. + Current active unrestricted license, such as RN LCSW LMHC LPC (as allowed by applicable state… more
- UNC Health Care (Apex, NC)
- **Description** **_UNC Rex Rehabilitation and Nursing Care Center of Apex is a skilled nursing facility with 107 beds. We care for long-term care residents ... Acts as liaison between staff, physicians, and management. Also performs direct patient care . Responsibilities: 1. Ensures care delivered to each patient is… more
- Granville Health System (Oxford, NC)
- …Summary: Performs all clerical and secretarial duties related to unit under supervision of Nurse Manager or Charge Nurse . Coordinates activities at nursing ... responsibility and accountability for a group of patients, providing care through the continues utilization of the...clean environment under the direction and supervision of the Registered Nurse in charge of the unit.… more
- CenterWell (Raleigh, NC)
- …+ Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and procedures + Human ... + Supervise through qualified vendors, personnel who provide nursing care . + Reconciles monthly vendor billing and budgeting through...Graduate of an accredited school of nursing and current RN state license in good standing OR a graduate… more