• Registered Nurse - Specialty…

    Veterans Affairs, Veterans Health Administration (Greenville, NC)
    …quality of care is achieved & a safe therapeutic environment. Responsibilities The Registered Nurse working in the Special Procedures departments in Greenville ... Preferred Level of Education: BSN Preferred Certifications: BLS ACLS Certified Gastroenterology Registered Nurse Moderate Sedation Full performance level of this… more
    Veterans Affairs, Veterans Health Administration (07/22/25)
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  • Manager of Case Management

    LifePoint Health (Hickory, NC)
    …Minimum Work Experience Five years hospital- based clinical experience. Experience in Case Management, Utilization Review and/or Discharge planning, ... Job Summary Manager of Case Management in the departments activities and resources...Nursing required Bachelor's Degree in Nursing preferred. Licenses: Current RN license to practice in NC (NC licensure or… more
    LifePoint Health (07/15/25)
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  • Utilization Manager ( RN )

    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 (06/24/25)
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  • RN Utilization Manager - Surgery,…

    UNC Health Care (Chapel Hill, 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 (07/26/25)
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  • RN Care Manager - Rex Gyn/Oncology

    UNC Health Care (Raleigh, 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 (07/02/25)
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  • Director Utilization Management

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …groups and clinical committees. Essential Qualifications + Active and unrestricted license as a Registered Nurse ( RN ). + Bachelor's degree in nursing, (or ... About The Role The Director, Utilization Management (UM) will manage the Utilization...stakeholders to ensure optimal partnerships and integration with our Case Management and Clinical Program teams. + Extensive knowledge… more
    Brighton Health Plan Solutions, LLC (07/18/25)
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  • Executive System Director of Utilization…

    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
    UNC Health Care (07/27/25)
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  • RN Clinical Manager, Home Health

    CenterWell (Charlotte, 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 ...insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (07/23/25)
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  • RN Patient Logistics Access Coordinator…

    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
    UNC Health Care (07/24/25)
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  • RN Patient Logistic Transfer Specialist…

    UNC Health Care (Raleigh, NC)
    …and cost effectiveness through the integrating and functions of point of entry case management, utilization review , and effective patient flow activities. ... Licensure/Certification Requirements: * Must be licensed to practice as a registered nurse in the state of North Carolina Professional Experience Requirements: *… more
    UNC Health Care (06/10/25)
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