- UNC Health Care (Chapel Hill, NC)
- …and cost effectiveness through the integrating and functions of point of entry case management, utilization review , and effective patient flow activities. ... Nursing **Licensure/Certification Requirements:** * Must be licensed to practice registered nurse in the state of North...* Must be licensed to practice registered nurse in the state of North Carolina **Professional Experience… more
- CenterWell (Raleigh, NC)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case ...A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Gerontological Nursing, Maternity Nursing, Population health, Disease Management. + Current licensed Registered Nurse ( RN ) with compact state licensure; ... services to its clients. Cases are maintained by the Nurse Case manager. The Nurse ... Management. + Determines appropriate care level and resource utilization for complex cases. + Facilitates discharge planning and… more
- KBR (Fayetteville, NC)
- Title: Special Operations Nurse Case Manager (USASOC DPA, Fort Bragg, NC) THIS POSITION OFFERS RELOCATION. We attract the best minds in the world because our ... and services. We are seeking a stellar Special Operations Nurse Case Manager that will provide a...care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual… more
- Battelle Memorial Institute (Fort Bragg, NC)
- …Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government ... ensuring comprehensive support for those who serve. As a Nurse Case Manager, you will contribute to...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report… more
- UNC Health Care (Rocky Mount, NC)
- …and wellbeing. Summary: Facilitates effective and cost-efficient care of patients through such case management functions as utilization review and discharge ... reviews for private insurance companies, Medicare and Medicaid, in accordance with utilization review guidelines. Tactfully and effectively informs Manager of… more
- CenterWell (Asheville, NC)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Deloitte (Raleigh, NC)
- …as clinical registered nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics ... Bachelor's degree in nursing, medical degree, or physician assistant required + Current Registered Nurse ( RN ) license required + Certified Clinical… more
- Elevance Health (NC)
- …supervision. **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management/ utilization management with a broad range of experience ... and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** Primary duties may include… more
- Elevance Health (Wilmington, NC)
- …duties may include, but are not limited to** **:** + Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all ... tasks and job responsibilities. + Review all Care Plans and ISPs for quality control...current license as an LCSW, LCMHC, LPA, LMFT, or RN issued by the state of North Carolina. +… more