- Healthfirst (NC)
- **Duties/Responsibilities:** + Oversees utilization management functions which include timely authorizations related to pre-certification, concurrent review, ... and reviews medical charts to obtain additional information required for appropriate utilization management and to solve complex clinical problems + Allocate,… more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Hospitals? Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders, bed… more
- Gentiva (Mooresville, NC)
- …a lasting difference in people's lives every day. **Overview** We're looking for a ** Utilization Manager ** to join our team. This position will directly report ... to the Director of Utilization Management and is responsible for planning, coordinating, implementing, and finalizing projects related to Pharmacy, Medical… 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 (Greensboro, 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 (Eden, 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
- Grifols Shared Services North America, Inc (Raleigh, NC)
- …specified "Account List" of Health Systems designed to increase the adoption and utilization of the Grifols Bleeding Management product portfolio. The KAM's ... countries and regions. **Role and Responsibilities of a Bleeding Management KAM** **About the Role:** The KAM will play...provide any necessary support to the responsible National Account Manager (NAM) in the execution of the contracting process… 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
- LifePoint Health (Rutherfordton, NC)
- …an initial 1st Level Review using McKesson InterQual Criteria to perform utilization management and quality screening for assigned patients.7. Addresses/resolves ... Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization ...by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement… more
- Black & Veatch (Cary, NC)
- **IT Asset Management Program Manager ** Date: Jun 5, 2025 Location: Overland Park, KS, US Cary, NC, US Company: Black & Veatch Family of Companies **Together, we ... Opportunity** The **Digital & Information Technology (D&IT) Asset Program Manager ** is responsible for the daily and long-term strategic...** is responsible for the daily and long-term strategic management of the global IT asset management … more