• Clinical Review Nurse

    Actalent (Charlotte, NC)
    Job Title: Clinical Review NurseJob Description: The Review Nurse will be responsible for reviewing approximately 20 cases a day to assess medical ... decisions and gather additional information about the member's condition. Responsibilities: + Review approximately 20 cases a day for medical necessity. +… more
    Actalent (08/02/25)
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  • Registered Nurse Utilization Review

    LifePoint Health (Louisburg, NC)
    Registered Nurse (RN) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound commitment to ... valid job field* **Organization:** **Maria Parham Franklin* **Title:** *Registered Nurse Utilization Review Coordinator* **Location:** *NC-Louisburg* **Requisition… more
    LifePoint Health (05/15/25)
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  • Clinical Review Nurse - Prior…

    Centene Corporation (Raleigh, NC)
    …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... Monday-Friday.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in… more
    Centene Corporation (08/02/25)
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  • Utilization Review Nurse

    UNC Health Care (Kinston, NC)
    …the right place at the right time. To accomplish these goals, the UR, Nurse applies established criteria to evaluate the appropriateness of admission, level of care, ... movement of patients throughout the continuum of care by conducting concurrent review and proactively resolving care, service, or transition of care delays/issues as… more
    UNC Health Care (06/05/25)
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  • Registered Nurse - Medical Surgical

    Granville Medical Center (Oxford, NC)
    Registered Nurse - Medical Surgical Location: Granville Health System, Oxford, NC About Granville Health System: For over a century, Granville Health System has ... Health System has extended its services throughout Granville County, ensuring convenient medical care access for its residents. The Granville Health System main… more
    Granville Medical Center (06/20/25)
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  • RN Clinical Nurse IV Team Leader UNC…

    UNC Health Care (Chapel Hill, NC)
    …our UNC Hospitals RN Incentive Program here: https://jobs.unchealthcare.org/pages/unc-hospitals- nurse -incentive-program Leadership opportunity! Seeking CN IV team ... experience with both young and older population as well as charge nurse / supervisory experience. UNC Hospitals Behavioral Health Emergency Department (BHED)… more
    UNC Health Care (06/03/25)
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  • Registered Nurse Medical Surgical

    Novant Health (Winston Salem, NC)
    …: Adult Acute Care unit specializing in adult care/tele patients + Location : Forsyth Medical Center - Winston-Salem, NC We are a 30 ‑ bed adult acute care unit ... offering medical ‑ telemetry...supports many nursing specialties Our leadership team includes a Nurse Manager supported by two Assistant Nurse Managers.… more
    Novant Health (07/23/25)
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  • Registered Nurse Medical Surgical

    Novant Health (Winston Salem, NC)
    …+ Unit description: We are a General Medical Surgical unit within our Forsyth Medical Center. As a Registered Nurse on this unit you will care for patients ... 24 - 7:00pm - 7:00am + Department : General Medical Surgical + Location : Forsyth Medical ...surgeries. Remarkable Care. Remarkable Careers. Why become a Registered Nurse at Novant Health? + Clinical Ladder Program to… more
    Novant Health (07/20/25)
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  • Case Manager, Registered Nurse - Oncology,…

    CVS Health (Raleigh, NC)
    …within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, ... Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.… more
    CVS Health (07/31/25)
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  • Registered Nurse , RN - Medical

    Novant Health (Winston Salem, NC)
    …Care unit specializing in adult care/tele and geriatric patients + Location : Forsyth Medical Center - Winston-Salem, NC We are a 35-bed Med-Tele, Acute Adult Care ... as needed. The Leadership Team consists of two Assistant Nurse Managers and a Nurse manager. Our... manager. Our patients are mostly adult or geriatric medical patients. Remarkable Care. Remarkable Careers. Why become a… more
    Novant Health (08/04/25)
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