- LocumJobsOnline (Greensboro, NC)
- … Nurse Practitioner / Physician Assistant to to provide primary care and medical management to adult offenders for a correctional facility in North Carolina. ... Job Quick Facts: ID: BD-878-22 Profession: Nurse Practitioner / Physician Assistant Specialty: Primary Care/Psychiatry/Emergency Medicine Job Type: Contract/Locum… more
- TravelNurseSource (Greensboro, NC)
- …promotes continuity of care and cost-effectiveness through the integration of case management , utilization review, and discharge planning. The Case Manager must ... week About The Position Job Title: Case Manager - RN Profession: Registered Nurse Specialty: Case Manager Duration: 13 weeks Shift: Day 4x10-Hour Hours per Shift:… more
- Fresenius Medical Care (Greensboro, NC)
- About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As ... a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in...of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- … Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in ... in Utilization Review process including benefit interpretation, contract language, medical and policy review. * Proficient in MCG and CMS criteria sets… more
- Brighton Health Plan Solutions, LLC (NC)
- … Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in ... in Utilization Review process including benefit interpretation, contract language, medical and policy review. * Proficient in MCG and CMS criteria sets… more
- CVS Health (Raleigh, NC)
- …holidays and evening hours._ **Must reside in CST or EST zone.** As a Utilization Management Nurse Consultant you will utilizes clinical experience and ... Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...Requirement to reside in EST or CST zone. + Utilization Management is a 24/7 operation and… more
- CVS Health (Raleigh, NC)
- …all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization ... with occasional holiday rotation.** **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience +… more
- CenterWell (Raleigh, NC)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- UNC Health Care (Kinston, NC)
- …applied clinical experience as a Registered Nurse required. + 2 years utilization review, care management , or compliance experience preferred. + Minimum 1 ... support the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying established… more
- Humana (Raleigh, NC)
- …and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
