• SNF Utilization Management…

    Humana (Raleigh, NC)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse ( RN )** in the… more
    Humana (09/12/25)
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  • Clinical Appeal and Grievance Nurse

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role BHPS provides Utilization Management (UM) services to its clients, ensuring high-quality, clinically sound decision-making. The Clinical Appeal ... and Grievance Nurse is responsible for conducting daily clinical and benefit...accurate decisions + Ensure strict adherence to Appeals and Utilization Management (UM) processes and regulatory and… more
    Brighton Health Plan Solutions, LLC (10/05/25)
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  • Supervisor Nursing - Skilled Nursing Facility

    UNC Health Care (Apex, NC)
    …a Staff RN . 5. Collaborates with other team leaders and management to ensure optimal efficiency throughout the department. Notifies Clinical Manager, as ... **Description** **Commitment Incentive** -$15,000 may be offered to an RN who has already earned an associate's, bachelor's, or master's nursing degree. Three (3)… more
    UNC Health Care (10/02/25)
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