• RN Utilization Manager - Surgery,…

    UNC Health Care (Chapel Hill, NC)
    …care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management ... and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
    UNC Health Care (07/26/25)
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  • 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 ... in accordance with federal regulations and the health system's Utilization Review Plan. Responsibilities: + Uses approved...patient data and treatments. Communicates daily with the Care Manager to manage level of care transitions & appropriate… more
    UNC Health Care (06/24/25)
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  • Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    …being admitted to the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of ... outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources,...appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible for monitoring and… more
    LifePoint Health (06/09/25)
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  • Registered Nurse (RN), Clinical Case

    LifePoint Health (Hickory, NC)
    *Registered Nurse (RN), Clinical Case Manager * PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound commitment to ... execution, adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and… more
    LifePoint Health (07/16/25)
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  • RN Care Manager - Rex Case

    UNC Health Care (Raleigh, NC)
    …through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized ... Case Management team is seeking a System-wide Complex Case Manager to provide support to a...from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the… more
    UNC Health Care (07/24/25)
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  • Special Operations Nurse Case

    KBR (Fayetteville, NC)
    Title: Special Operations Nurse Case Manager / Case Manager (JSOC, Fort Bragg, NC) THIS POSITION OFFERS RELOCATION. Belong. Connect. Grow. with KBR! KBR ... and services. We are seeking a stellar Special Operations Case Manager that will provide a full...care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual… more
    KBR (07/18/25)
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  • Transplant Case Manager

    UNC Health Care (Chapel Hill, NC)
    …continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and management and discharge planning. ... issues resulting in barriers to discharge. Communicates with the Utilization Manager to maintain up to date...adheres to regulatory requirements for the role of transplant case manager /social worker as stated by all… more
    UNC Health Care (07/25/25)
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  • Special Operations Nurse Case

    KBR (Fayetteville, NC)
    Title: Special Operations Nurse Case Manager (JFKSWC, Fort Bragg, NC) THIS POSITION OFFERS RELOCATION. We attract the best minds in the world because our ... services. We are seeking a stellar Special Operations Nurse Case Manager that will provide a full...care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual… more
    KBR (07/10/25)
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  • Case Manager , Registered Nurse…

    CVS Health (Raleigh, NC)
    …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (07/31/25)
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  • Registered Nurse, Case Manager

    CVS Health (Raleigh, NC)
    …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....lower levels of care - 1+ years' experience in Utilization Review - CCM and/or other URAC… more
    CVS Health (07/31/25)
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