Utilization Manager Jobs in North Carolina
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Search Results - Utilization Manager Jobs in North Carolina
100 LCMC HealthArdmore (NC)appcast.io
to patients admitted to various units.
• Coordinate patient care through collaboration with physicians, nursing staff, case managers, and ancillary service providers.
• Keep patients informed and provide periodic updates.
• Participate in utilization...
American TravelerChapel Hill (NC)
with Social Workers, Utilization Managers, and Care Management Assistants per departmental protocols
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• Identify barriers to discharge and coordinate family meetings as needed to support care progression
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• Educate patients and families on community resources...
HonorVet TechnologiesGreensboro
40 hours per week
• Shift: 8 hours, evenings
• Employment Type: Travel
🩺 Registered Nurse – Case Manager (RN Case Management / Utilization Review)
📍 Greensboro, NC
⏳ 13 Weeks Contract (Extension Possible)
🚀 Start: 08/24/2026
Shift: Evenings – 5x8...
HonorVet TechnologiesGreensboro
08/24/2026
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• Duration: 12 weeks
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• 40 hours per week
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• Shift: 8 hours, evenings
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• Employment Type: Travel
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🩺 Registered Nurse – Case Manager (RN Case Management / Utilization Review)
/n 📍 Greensboro, NC
/n ⏳ 13 Weeks Contract...
American TravelerChapel Hill (NC)
and Communication and Patient Planning (CAPP) meetings for assigned units
• Attend and present at weekly Complex Care Meetings to collaborate on complex patient cases and identify trends
• Coordinate with Social Workers, Utilization Managers, and Care Management...
CenteneGreensboro
testing requests
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Interact with network practitioners to provide education on best practice models and utilization management processes
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Interact with the Medical Director, or designee, to discuss clinical authorization...
4 similar jobs: Durham, Concord, Wilmington, Winston Salem
RandstadAberdeen (NC)randstadusa.com
expertise, and operational support for physical health services. This position ensures high quality, evidence based medical review processes and supports organizational goals related to clinical quality, utilization management, and care coordination...
100 LCMC HealthArdmore (NC)appcast.io
utilization management, risk management, and performance improvement programs.
Experience Qualifications
• 2 years of practice as a Hospitalist preferred.
Education Qualifications
• Bachelor’s Degree in a related field of study required.
• Doctor...
Liberty HealthAsheville
need for additional interventions.
• Collaborates with the broad range of Plan and Facility Interdisciplinary Care Team members (including Plan Medical Director, Nurses, and Utilization Management staff; Interdisciplinary Facility Leadership, Medical...
HumanaRaleigh
and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required
• At least five years of experience post-training providing clinical services
• Experience in utilization management review and case management...
3 similar jobs: Shreveport, New Orleans, Baton Rouge
Raleighicims.com
or utilization management organization.
• Experience with Medicaid, Medicare, or state healthcare programs.
• Previous Credentialing Committee leadership experience.
• Familiarity with quality improvement and accreditation initiatives.
Responsibilities...
Raleighwakemed.org
leaders, and clinical administrators to ensure appropriate patient flow and bed planning throughout the system. The Patient Flow Coordinator will also ensure compliance with federal, state, and third-party utilization management regulatory requirements...
Raleighenlyte.com
Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS...
1 similar job: Portland
Wilmingtonicims.com
population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
• Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional...
Statesvilleenlyte.com
Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse...
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