- Elevance Health (Durham, NC)
- ** Nurse Reviewer I** A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a ... Hours:** **Monday through Friday, 9:30AM - 6PM (CST).** The ** Nurse Reviewer I** is responsible for conducting...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Evolent (Raleigh, NC)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks ... cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on call… more
- Actalent (Charlotte, NC)
- Job Title: Medical Authorization Review Specialist Job Description We are seeking a dedicated Medical Authorization Review Specialist to analyze all prior ... healthcare providers and the authorization team to ensure timely review of services, ensuring members receive authorized care. +... or prior authorization. + LPN - Licensed Practical Nurse - State Licensure required. + RN license required… more
- UNC Health Care (Kinston, NC)
- …the right place at the right time. To accomplish these goals, the UR, Nurse applies established criteria to evaluate the appropriateness of admission, level of care, ... movement of patients throughout the continuum of care by conducting concurrent review and proactively resolving care, service, or transition of care delays/issues as… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …and Case Management services for Workers' Compensation. The Workers' Compensation Nurse Case Reviewer collaborates with medical care providers, employers, ... and the evaluation of coverage under the Plan. The Nurse Case Manager reports to the Casualty Department Manager....timely return to work. + Provides case management, utilization review , continued stay reviews, and based on clinical judgment… more
- Veterans Affairs, Veterans Health Administration (Salisbury, NC)
- Summary The Registered Nurse (VA Surgical Quality Improvement Program) is responsible for the administrative and scientific conduct of all components of the National ... database of all eligible patient cases. Responsibilities The Registered Nurse , VA Surgical Quality Improvement Program (VASQIP), demonstrates leadership, experience,… more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …months of appointment. Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards Duties include but are not limited to the following: ... are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Pay:… more
- UNC Health Care (Raleigh, NC)
- …Nurses **Next program start date: September 2025 - March 2026, the New Graduate Nurse Program will offer varied start dates based on graduation and NCLEX dates.** ... General Program Overview: The twelve-month UNC Health Rex Nurse Residency program supports the transition from academia to practice for new graduate nurses. The… more
- UNC Health Care (Hillsborough, NC)
- …430 Waterstone Drive, Hillsborough, NC and offers free parking for employees. The Clinical Nurse IV, RN, position is for the 25-bed surgical unit. This unit provides ... Groups + Performance Improvement Projects/Teams & Role + Peer Review and/or Recruitment & Retention Activities + Presentations +...of the unique communities we serve. Summary: The Clinical Nurse IV practices at the level of an expert… more
- Novant Health (Winston Salem, NC)
- …Center - Winston Salem, NC Join our dynamic nursing team now as a Registered Nurse in our neuroscience unit at FMC. The NHFMC Neurosciences Unit is a 43-bed acute ... apply! Remarkable Care. Remarkable Careers. Why become a Registered Nurse at Novant Health? + Clinical Ladder Program to...Best Places to Work in Healthcare by Becker's Hospital Review + Recognized as Leaders in LGBTQ+ Healthcare Equality… more
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