- Brighton Health Plan Solutions, LLC (NC)
- About The Role The Manager , Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical support ... Primary Responsibilities + Coordinate day to day operations of the Utilization Management team. + Serve as the primary contact for day-to-day operational… more
- Elevance Health (Winston Salem, NC)
- ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... to 6:30 PM Eastern. Training hours may vary. The ** Utilization Management Representative I** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Durham, NC)
- ** Utilization Management Representative II** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required ... shift between 8 am - 8 pm EST. The ** Utilization Management Representative II** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- LifePoint Health (Wilson, NC)
- …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management and Discharge Planning. The Case ... compact RN license - BLS optional **Job:** **Nursing* **Organization:** ** **Title:** *Case Manager - RN ED* **Location:** *NC-Wilson* **Requisition ID:** *7462-9340* more
- Performance Food Group (Statesville, NC)
- …Coordinates pick planning in conjunction with the Warehouse Manager . + Utilization of Company's warehouse management system and other technologies available ... **Job Category:** Operations **Preferred Qualifications:** Associates/2-year technical degree in business management , logistics or related area. 4 - 6 years of… more
- UNC Health Care (Raleigh, NC)
- …processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of ... the integrating and functions of case management , utilization review and discharge planning. The Care Manager...from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the… more
- UNC Health Care (Raleigh, NC)
- …processing) to Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain knowledge of ... the integrating and functions of case management , utilization review and discharge planning. The Care Manager...from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the… more
- CaroMont Health (Gastonia, NC)
- …required. Experience in case management , home health, quality and/or utilization management , community or hospital setting preferred. Thorough knowledge of ... required. Experience in case management , home health, quality and/or utilization management , community or hospital setting preferred. Thorough knowledge of… more
- UNC Health Care (Rocky Mount, NC)
- …Summary: Facilitates effective and cost-efficient care of patients through such case management functions as utilization review and discharge planning. May ... reviews for private insurance companies, Medicare and Medicaid, in accordance with utilization review guidelines. Tactfully and effectively informs Manager of… more
- Iron Mountain (Raleigh, NC)
- …welcome your unique contributions? If so, let's start the conversation. **Senior Manager , Application Governance & Asset Management ** This role is responsible ... utilization , software license optimization, and efficient procurement. **Risk Management :** Working with Information Security and EIT Risk in identifying and… more