- CVS Health (Raleigh, NC)
- …active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing… more
- LifePoint Health (Louisburg, NC)
- Registered Nurse ( RN ) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound ... as an employee but as a person. As a registered nurse ( RN ) joining our...a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator*… more
- AdventHealth (Fletcher, NC)
- …Flat Rock, Flat Rock, Tuxedo and Zirconia.** **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...**1 years relevant clinical RN experience** + ** RN - Registered Nurse -… more
- AdventHealth (Fletcher, NC)
- …Henderson, Polk, Buncombe and Transylvania Counties.** **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional ... and directs the home care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management of the Home Health… more
- UNC Health Care (Hendersonville, NC)
- …obtain Case Management certification. Requireds + Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact states. ... of care and cost effectiveness through the integrating and functions of care management , utilization review and discharge planning. The Care Manager must be… more
- Fresenius Medical Center (Garner, NC)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- Summary The Durham VA Health System, has 1 vacancy for a full-time Registered Nurse (Care Manager). The RN will be fully qualified and certified to function ... members to achieve maximum quality, positive outcomes, and appropriate utilization of resources in the delivery of care to...programs/degrees are not creditable as related degrees. Required Qualifications Registered Nurse ( RN ) and a… more
- Fresenius Medical Center (Carrboro, NC)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... of education and experience. + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+… more
- Sharecare (Raleigh, NC)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... according to the disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager (OM). All Sharecare… more
- LifePoint Health (Henderson, NC)
- Registered Nurse ( RN ) Job Type: Part-Time | 10-hour shifts Your experience matters At Maria Parham Hospital, we are driven by a profound commitment to ... as an employee but as a person. As a registered nurse ( RN ) joining our...certification through the American Heart Association is required. Case Management certification is preferred. *Required Skills* Critical thinking skills,… more