• Utilization Manager ( RN )

    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
    UNC Health Care (06/24/25)
    - Related Jobs

  • Case Manager - RN

    UNC Health Care (Kinston, NC)
    …preferred. **EXPERIENCE** + Two (2) years of health care experience as a Registered Nurse . **LICENSURE/REGISTRATION/CERTIFICATION** + Licensed to practice as a ... and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning....Registered Nurse in the state of North Carolina. **OTHER SKILLS… more
    UNC Health Care (06/06/25)
    - Related Jobs

  • Case Manager - BSW, MSW or RN…

    CaroMont Health (Gastonia, NC)
    …required. At least 1 year's social work experience required. Experience in case management, home health, quality and/or utilization management, community or ... least 1 year's social work experience required. Experience in case management, home health, quality and/or utilization ...but required completion within 3 months of hire date. RN - Associates degree in Nursing from a recognized… more
    CaroMont Health (07/09/25)
    - Related Jobs

  • RN Clinical Manager , Home Health

    CenterWell (Kinston, NC)
    …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... sit on-site at our Kinston, NC branch location.** The ** RN Clinical Manager ** coordinates and oversees all...insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (07/10/25)
    - Related Jobs

  • Manager , Utilization Management

    Healthfirst (NC)
    …across a variety of treatment settings for high risk, complex populations + Certified Case Manager + Interqual, Milliman, and/or TruCare knowledge + Knowledge of ... preauthorization of outpatient or inpatient services + Knowledge of utilization management/quality management case philosophies and reporting requirements… more
    Healthfirst (07/02/25)
    - Related Jobs

  • RN Care Manager - Rex Gyn/Oncology

    UNC Health Care (Raleigh, NC)
    …and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly ... from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
    UNC Health Care (07/02/25)
    - Related Jobs

  • Care Manager RN (Delaware)

    Highmark Health (Raleigh, NC)
    …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN ... Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care… more
    Highmark Health (07/08/25)
    - Related Jobs

  • RN Care Manager

    UNC Health Care (Lenoir, NC)
    …the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and coordinated care ... major in nursing within 7 years of employment date. **Licensure/Certification Requirements:** * Registered Nurse with a valid license to practice in North… more
    UNC Health Care (05/28/25)
    - Related Jobs

  • Special Operations Nurse Case…

    KBR (Fayetteville, NC)
    Title: Special Operations Nurse Case Manager (JFKSWC,... license; full, active, and unrestricted license as a Registered Nurse in one of any US ... and services. We are seeking a stellar Special Operations Nurse Case Manager that will...care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential… more
    KBR (07/10/25)
    - Related Jobs

  • Special Operations Case Manager…

    KBR (Fayetteville, NC)
    …certifying organization, ie Commission for Case Management Certification , American Case Manager Association, or American Nurse Credentialing Center, or ... Title: Special Operations Case Manager (JSOC, Fort Bragg, NC)...; full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker… more
    KBR (07/18/25)
    - Related Jobs