- Evolent (Raleigh, NC)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Oncology, you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Raleigh, NC)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Radiology you will be a key member of the utilization management team. We can offer you a meaningful… more
- Novant Health (Concord, NC)
- Job Summary Home Delivery Pharmacy- Concord, NC Clinical Pharmacist PRN role 4601 Corporate Dr NW, Ste 155, Concord, NC 28027 Novant Health is seeking a Clinical ... optimal medication management across all dimensions of care, every time. Novant Health is an integrated system of physician practices, hospitals, outpatient centers,… more
- Evolent (Raleigh, NC)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Rehab you will be a key member of the utilization management team. We can offer you a meaningful… more
- HCA Healthcare (Asheville, NC)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... our Mental Health Professional III Trauma Services opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a… more
- HCA Healthcare (Asheville, NC)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... satisfaction and personal growth, we encourage you to apply for our Mental Health Professional III License opening. We promptly review all applications. Highly… more
- HCA Healthcare (Asheville, NC)
- …guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality ... you want to join an organization that invests in you as a Mental Health Professional III License? At Mission Hospital, you come first. HCA Healthcare has committed… more
- Granville Medical Center (Oxford, NC)
- …skilled care, long term care, rehab, nursing home facilities as well as home health and durable medical agencies. Required: 1. Education: Master's Degree in ... patients in the involuntary commitment process. In a manner that upholds Granville Health System (GHS) mission and quality standards and results in better patient … more
- Humana (Raleigh, NC)
- …develop and maintain medical coverage policies utilizing an evidence based medicine review process. **Location:** work at home anywhere Humana is seeking ... and leadership during Medicare and Medicaid LOB - Medicare Clinical Criteria Review (MCCR), Utilization Management Committee (UMC), Medical Coverage Policy… more
- Evolent (Raleigh, NC)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...Nurse, you will be a key member of the utilization management team. We can offer you a meaningful… more