- UNC Health Care (Goldsboro, NC)
- …of an accredited program of professional nursing required. Licensure/Certification Current Registered Nurse licensure in North Carolina. BLS certification ... cardiac care and develop further in their careers. Summary: The Supervisor , Clinical Operations-Nursing oversees the performance, daily operations, programs, and… more
- Novant Health (Wilmington, NC)
- …supervision, operations, monitoring ongoing quality, productivity, and efficiency for both Utilization Review and Case Management activities. Is available for ... current knowledge of available community resources/post acute care options and utilization review processes while ensuring pertinent information is communicated… more
- AdventHealth (Hendersonville, NC)
- …to succeed:** + Associate's of Nursing Required + 2 Years Work Experience Required + Registered Nurse ( RN ) Required This facility is an equal opportunity ... enjoy in every season **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social...is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is… more
- Sunrise Senior Living (Charlotte, NC)
- …of approved college / school of nursing + Maintains a current state license as a Registered Nurse per state regulations. + A minimum of two (2) years' experience ... located in beautiful Charlottesville, VA, is seeking a driven RN for our Director of Nursing role in Skilled...**Ideal candidate will have prior experience as a Clinical Supervisor with a strong understanding of state regulations, compliance… more
- Sedgwick (Raleigh, NC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Quality Review Nurse **PRIMARY PURPOSE** : To monitor team and colleague technical ... related line of business experience in telephonic case management (TCM) and/or utilization review or equivalent combination of education and experience required.… more
- UNC Health Care (Goldsboro, NC)
- …clinical experience as a Registered Nurse required. * 2 years utilization review , care management, or compliance experience preferred. * Minimum 1 year ... all denials and is key point person for assigning team review . ie denials to Coding Supervisor . 4. Reviews and documents findings on all medical necessity and… more
- Elevance Health (Fayetteville, NC)
- …Primary 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