Utilization Review Jobs in North Carolina
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Search Results - Utilization Review Jobs in North Carolina
HonorVet Technologies-Greensboro
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 Technologies-Greensboro
08/24/2026
/n
• Duration: 12 weeks
/n
• 40 hours per week
/n
• Shift: 8 hours, evenings
/n
• Employment Type: Travel
/n
/n
/n
🩺 Registered Nurse – Case Manager (RN Case Management / Utilization Review)
/n 📍 Greensboro, NC
/n ⏳ 13 Weeks Contract...
HonorVet Technologies-Burlington (NC)
be required, depending on staffing.
Holidays as needed.
Minimum 2 yrs exp required. NO FIRST TIME TRAVELERS.
• BLS
• Acute Hospital exp req
• Exp w ICU, MS, PICU, SDU, PCU, IMC, Obs specialties req
• Previous Charge exp req
• EPIC
Case Mgmt and Utilization Review...
HonorVet Technologies-Burlington (NC)
IMC, Obs specialties req
/n *Previous Charge exp req
/n *EPIC
/n Case Mgmt and Utilization Review
/n *Discharge planning, Needs Assessment, Order DME, Plan of Care req
/n Regulatory Exp
/n *CMS - Centers for Medicare and Medicaid Services
/n
HonorVet...
LanceSoft-Chapel Hill (NC)
The overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning...
LanceSoft-Chapel Hill (NC)
goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning.
The Care...
LanceSoft-Chapel Hill (NC)
management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention...
Liberty Health-Wilmington
consultations, care plans, and follow-up notes accurately and timely in the designated electronic medical record.
• Ensure documentation meets regulatory, billing, and Liberty policy requirements.
• Participate in quality assurance, utilization review...
American Traveler-Chapel Hill (NC)
P
-733477. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
Posted job title: Travel RN
• Case Management/Utilization Review
• Case Management
About American Traveler...
Winton (NC)
with the facility providers and Health Services Administrators/designee to ensure all specialty consultation referrals (medical, dental and specialty referrals) approved by the Utilization Review Committee are scheduled within the established guidelines...
icims.com -
Windsor Run by Erickson Senior Living-Matthews (NC)
Utilization Review, and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee.
• Reviewing clinical outcomes to ensure that we stay above the National, State, and Erickson benchmarking thresholds.
• Collaborating with DON to plan, develop...
Cary
the discipline, maximizing staff utilization. Reviews staff utilization regularly and promptly addresses staff not meeting utilization goals.
• Responsible for fostering staff professional development, monitoring staffing/recruiting activity, and effectively...
colliersengineering.com -
Randstad-Aberdeen (NC)
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...
randstadusa.com -
Raleigh
for appropriateness, monitors insurance benefits, and ensures care aligns with coverage to optimize payment. Assists with insurance appeals and utilization reviews. Supports clinical staff with coverage guidance and medical record reviews.
Participates...
wakemed.org -
Raleigh
fair, evidence-based review and resolution of provider credentialing and claims-related matters.
This position will support as a consulting Medical Director role supporting a Credentialing Verification Organization (CVO), health plan, or utilization...
icims.com -
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