• Utilization Management

    Humana (Raleigh, NC)
    …us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Job Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures… more
    Humana (10/10/25)
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  • UM Coordinator 2

    Humana (Raleigh, NC)
    …a part of our caring community and help us put health first** The UM ( Utilization Management ) Administration Coordinator 2 contributes to ... administration of utilization management . We focus on living out our values daily...electronic medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization, preferably within a managed… more
    Humana (11/01/25)
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  • Registered Nurse (Referral Coordinator )

    Veterans Affairs, Veterans Health Administration (Durham, NC)
    …to fill one (1) full time Registered Nurse vacancy for the Referral Coordinator Team. Responsibilities Job Description/Scope of Practice The RN will work as a ... Referral Coordinator on an Initiative to streamline the scheduling of...a basic understanding of clinical treatment modalities, organization and administration of the VA healthcare delivery systems, educational principles,… more
    Veterans Affairs, Veterans Health Administration (10/30/25)
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  • SNF Utilization Management RN…

    Humana (Raleigh, NC)
    …the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...room, trauma units, etc. + Experience as an MDS Coordinator or discharge planner in an acute care setting… more
    Humana (09/12/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Raleigh, NC)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... home role anywhere in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
    CVS Health (10/15/25)
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