- UNC Health Care (Hendersonville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review ... met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the...Required + Must be licensed to practice as a Registered Nurse in the state of North… more
- Select Medical (Anderson, SC)
- …8-5pm** _Requires a current licensure in a clinical discipline either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work ... doing well by doing what is right. The Case Manager is responsible for utilization reviews and...**Current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist ( RN preferred)… more
- Select Medical (Anderson, SC)
- …high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, discharge planning, ... do. Minimum requirements: + **Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist OR current license /… more
- AnMed Health (Anderson, SC)
- …databases and documentation systems as required. Qualifications + BSN and Current South Carolina Registered Nurse License; BSN required, but if no BSN at the ... lead, and make a meaningful impact here. The Case Manager is an integral role within the Care Coordination...as a collaborative team member. + Licensed as a Registered Nurse in South Carolina. + Minimum… more
- UNC Health Care (Hendersonville, NC)
- …PARDEE Other information: Qualifications Required * Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact ... well-being of the unique communities we serve. Summary: The Clinical Nursing Manager leads operations of an assigned clinical area. Responsible for daily direction,… more
- Elevance Health (Hendersonville, NC)
- …considered for employment, unless an accommodation is granted as required by law._ The Manager I Care Management ( Manager I GBD Special Programs) is responsible ... include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members,...and current license as an LCSW, LCMHC, LMFT, or RN issued by the state of North Carolina. +… more
- CenterWell (Anderson, SC)
- …to the strategic intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: ... for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member per Month (PMPM)… more
- Elevance Health (Brevard, NC)
- …a related field, including prior management experience and clinical, quality, and/or utilization management experience in a managed care setting; or any combination ... Capabilities and Experiences:** + MBA or MHA preferred. + RN , LSW, or LPN/LVN license strongly preferred. + Prior...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Brevard, NC)
- …provide an equivalent background. + Requires an active, current and valid license as an RN , LCSW (as applicable by state law and scope of practice), LMHC, LPC (as ... residential and facility-based services within North Carolina, including the utilization of crisis and transition homes, Psychiatric Residential Treatment Facilities… more
- Medtronic (Greenville, SC)
- …prior authorization, patient support, case management, practice operations, and utilization review) + Demonstrated understanding of patient access dynamics, payer ... **Nice to Have:** + Clinical credentials or background (eg, RN , LPN, MA) and/or experience working with patients and...computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions… more