• Manager , Utilization Management

    Healthfirst (NC)
    …as assigned **Minimum Qualifications:** + Associates degree + New York State Registered Nurse + Work experience demonstrating verbal and written communication ... Excel, Word, Power Point and Outlook **Preferred Qualifications:** + RN , LPN, LMSW, LMHC, LCSW, or any other relevant...planning across a variety of treatment settings for high risk , complex populations + Certified Case Manager more
    Healthfirst (06/11/25)
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  • Manager , Accreditation

    UNC Health Care (Goldsboro, NC)
    …Other information: Education Bachelor's degree in Nursing preferred. Licensure/ Certification Registered Nurse in North Carolina preferred Experience * Minimum ... for Medicare and Medicaid Services. In this role the Accreditation Manager proactively plans, implements, coordinates and continually improves Wayne UNC Health's… more
    UNC Health Care (05/15/25)
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  • Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    …to providing patients with a full range of services to meet their healthcare needs. We provide our services in a caring, professional environment through the ... staff and employees. Rutherford Regional Health System's partnership with Duke LifePoint Healthcare is bringing the pieces together to transform healthcare in… more
    LifePoint Health (06/09/25)
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  • Case Manager I- Case Management

    UNC Health Care (Rocky Mount, NC)
    …Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve ... dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this… more
    UNC Health Care (04/26/25)
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  • Clinical Documentation Specialist Auditor-…

    UNC Health Care (Chapel Hill, NC)
    …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... 5. Participates in the hiring and selection of new CDS with the hiring manager as requested. 6. Analyzes and audits medical records concurrently to ensure that the… more
    UNC Health Care (04/29/25)
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  • Experienced Dialysis Clinical Nurse II

    UNC Health Care (Rocky Mount, NC)
    …care consistent with professional standards. Reporting and accountable to the Nurse Manager /Director. Provides professional nursing care to patients assigned ... of professional nursing. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. *Basic Life… more
    UNC Health Care (06/10/25)
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  • Clinical Quality Consultant NP 100% Virtual,…

    Elevance Health (NC)
    …life through home-care and community based services. **Clinical Quality Consultant, Nurse Practitioner** Location: **Virtual** - This role enables associates to work ... - Friday, 8 am to 5 pm** . The **Clinical Quality Consultant, Nurse Practitioner** is responsible for quality documentation, coding and value capture. **How you… more
    Elevance Health (06/06/25)
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