- Intermountain Health (Raleigh, NC)
- **Job Description:** Physician will provide Physician Advisor Utilization Reviewer and Central Appeals Work services. Physician shall engage, ... as an expert and local resource to hospital Case Management Department and Medical Staff on issues relating to... Utilization Review ("UR") Committee and provide Regional Physician Advisor Educators information to be shared… more
- UNC Health Care (Raleigh, NC)
- …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... case management referrals. Initiates appropriate social work referrals. 3. Utilization Management Process - Performs utilization management… more
- UNC Health Care (Chapel Hill, NC)
- …of questionable clinical or administrative appropriateness per established guidelines to the Care Management Physician Advisor and/or Care Management ... through the integrating and functions of point of entry case management , utilization review, and effective patient flow activities. Responsibilities: 1. Capacity… more