- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review /Medical and Case Management services for Workers' Compensation. The Workers' ... disability services for timely return to work. + Provides case management, utilization review , continued...MagnaCare policies and procedures. Essential Qualifications + Currently licensed Registered Nurse in the state of NY,… more
- UNC Health Care (Hendersonville, NC)
- …consultation for behavioral health services. Working closely with behavioral health clinicians, utilization review , case management, and finance teams, the ... appropriate care transition and patient placement. + Liaise with utilization review , psychiatry leadership, risk management, and/or...Nursing + Must be licensed to practice as a Registered Nurse in the state of North… more
- UNC Health Care (Kinston, NC)
- …promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The ... + **EXPERIENCE** + Two (2) years of health care experience as a Registered Nurse . + **LICENSURE/REGISTRATION/CERTIFICATION** + Licensed to practice as a … more
- HCA Healthcare (Asheville, NC)
- …compelling, we encourage you to apply for our Home Care Registered Nurse Coordinator PACE opening. We promptly review all applications. Highly qualified ... is recognized. Submit your application for our Home Care Registered Nurse Coordinator PACE (Program of All...Aides, Homecare Services Non-Skilled Aides and the Homecare Schedulers. Utilization of nursing skills to assess participants in their… more
- UNC Health Care (Raleigh, NC)
- …of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional ... episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to… more
- UNC Health Care (Hendersonville, NC)
- … reviews in accordance with federal regulations and the health system's Utilization Review Plan. Responsibilities: + Uses approved criteria and conducts ... well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and...Required + Must be licensed to practice as a Registered Nurse in the state of North… more
- UNC Health Care (Kinston, NC)
- …clinical experience as a Registered Nurse required. + 2 years utilization review , care management, or compliance experience preferred. + Minimum 1 year ... to support the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying… more
- UNC Health Care (Smithfield, NC)
- …continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care ... policies. Responsibilities: 1. Identify Cases & Prioritize Day - Review work list to prioritize patients and identify new...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- UNC Health Care (Morrisville, NC)
- …People** - Operational oversight of centralized and site-specific UM teams, including utilization review nurses and support staff. Cultivate and empower ... and optimize technology platforms (eg InterQual, MCG, EMR integrations) for efficient case review and documentation. Establish key performance indicators to… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review /Medical and Case Management services for Group Health and Workers' ... in QA activities. Essential Qualifications + Currently Licensed Practical Nurse (LPN) or Register Nurse ( RN...in a clinical environment required. + Previous workers' compensation case management experience a plus. + Strong skills in… more