• Registered Nurse Utilization…

    LifePoint Health (Louisburg, NC)
    …**Please select a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator* **Location:** ... Registered Nurse (RN) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound… more
    LifePoint Health (05/15/25)
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  • Utilization Review Nurse

    UNC Health Care (Kinston, NC)
    …EXPERIENCE REQUIREMENT** + Five (5) years of health care experience as a Registered Nurse . **LICENSURE/REGISTRATION/CERTIFICATION** + Licensed to practice as a ... the unique communities we serve. **Summary:** This position facilitates utilization management processes to support the right care is...Registered Nurse in the state of North Carolina. **KNOWLEDGE, SKILLS… more
    UNC Health Care (06/05/25)
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  • Utilization Management Nurse…

    CVS Health (Raleigh, NC)
    …and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of residence. + 3+ years of Nursing ... experience. Preferred Qualifications + Prior authorization utilization management/ review experience preferred Outpatient Clinical experience. + Knowledge of… more
    CVS Health (07/26/25)
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  • Utilization Review Clinician…

    Centene Corporation (Raleigh, NC)
    …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and...Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact… more
    Centene Corporation (07/19/25)
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  • Registered Nurse (RN), Clinical Case…

    LifePoint Health (Hickory, NC)
    * Registered Nurse (RN), Clinical Case Manager* PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound commitment to ... valued as an employee, but as a person. As a* registered nurse (RN)*joining our team, you're embracing...outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources,… more
    LifePoint Health (07/16/25)
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  • Registered Nurse (Community Care)

    Veterans Affairs, Veterans Health Administration (Salisbury, NC)
    Summary The Registered Nurse (Community Care) serves to support delivery of high quality, timely care to the Veteran receiving services in the community. ... Responsibilities The Registered Nurse , Community Care (CC) is responsible...intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation… more
    Veterans Affairs, Veterans Health Administration (07/31/25)
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  • Registered Nurse Sterile Processing…

    Veterans Affairs, Veterans Health Administration (Durham, NC)
    …Durham VA Health Care System is looking to fill one (1) full time Registered Nurse Educator vacancy for the Sterile Processing Service (SPS). Responsibilities ... incumbent will be responsible for tracking the staff mandatory review requirements and partnering with management to achieve annual...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (08/01/25)
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  • RN Utilization Manager - Surgery, Women's,…

    UNC Health Care (Chapel Hill, NC)
    …of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional ... episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to… more
    UNC Health Care (07/26/25)
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  • Case Manager Registered Nurse PRN

    HCA Healthcare (Asheville, NC)
    …satisfaction and personal growth, we encourage you to apply for our Case Manager Registered Nurse PRN opening. We review all applications. Qualified ... have the PRN career opportunities as a(an) Case Manager Registered Nurse PRN you want with your...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** + Required Experience:… more
    HCA Healthcare (07/14/25)
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  • Case Manager, Registered Nurse…

    CVS Health (Raleigh, NC)
    …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience in a ... hospital setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (07/31/25)
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