Utilization Manager Jobs in North Carolina
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Search Results - Utilization Manager Jobs in North Carolina
Sentara Health-Elizabeth City
continuing education credits of at least 30 hours per year and maintains prescriptive authority and certification; acquires special clinical competencies as required by the group; participates in quality assurance and utilization management activities...
Sentara Health-Elizabeth City
clinical competencies as required by the group; participates in quality assurance and utilization management activities; and assists with risk management functions. National Registry of Certified Medical Examiners (NRCME) --- not required at time of offer...
Sentara Health-Elizabeth City
competencies as required by the group; participates in quality assurance and utilization management activities; and assists with risk management functions....
Addison Group-Charlotte
Responsibilities
• Lead, mentor, and develop a team of intake and utilization management specialists
• Oversee the patient onboarding process from initial referral through authorization and account setup
• Ensure efficient handling of insurance verifications...
American Traveler-Chapel Hill (NC)
needs
• Participates in daily Care Management Touchpoint meetings and weekly Complex Care Meetings (CCM) to review patient progression and problem-solve complex cases
• Collaborates with an interdisciplinary team including Social Workers, Utilization...
100 LCMC Health-Ardmore (NC)
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...
appcast.io -
Raleigh
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...
wakemed.org -
100 LCMC Health-Ardmore (NC)
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...
appcast.io -
LUKE Staffing-Cumberland (NC)
Genesis, Dragon dictation software, and Microsoft Office programs.
• Comply with regulatory, MTF, and Joint Commission quality inspection/ peer review/ utilization management requirements, and applicable system applications.
• Contractor employees shall...
Disability Solutions-Durham
access, reimbursement and utilization management
• Experience working with pharmacy and medical benefit data, including claims and lives data
• Proven ability to influence senior stakeholders and translate complex analytics into business strategy...
Charlotte
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...
enlyte.com -
Raleigh
patient needs and developing the plan of care. The Care Coordinator will also act as an advocate for the patient, physician and hospital relative to compliance with federal, state and third party utilization management regulatory requirements.
Department...
wakemed.org -
Greensboro
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, Certified Disability...
enlyte.com -
1 similar job: Austin
Wilmington
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...
icims.com -
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