Utilization Review Jobs in North Carolina
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Search Results - Utilization Review Jobs in North Carolina
Coast Medical Service-Mount Olive (NC)
Coast Medical Service is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Mount Olive, NC. Shift: 5x8 hr days Start Date: ASAP Duration: 8 weeks Pay: $1542.5 / Week Coast Medical Service...
Maria Parham Health-Henderson (NC)
for Case Management team. the Case Management Director has accountability and responsibility for departmental functions of case management, concurrent coding, utilization review, financial outcomes management, social work, patient education.
Plans...
mindmatch.ai -
Rutherford Regional Health System-Rutherfordton
Utilization Review Plan with regard to resources, appropriateness of care and adherence to a designated Geometric Length of Stay (GLOS) for each patient. Essential Functions: Assists with developing specific departmental goals, standards, and objectives which...
Wilson Medical Center-Wilson (NC)
therapies.
The Case Manager independently performs clinical reviews based on the Utilization Review Plan with follow-up actions identified for medical necessity and level of care
Maintains clinical and financial documentation
Participates in performance...
Rutherford Regional Health System-Rutherfordton
Utilization Review Plan with regard to resources, appropriateness of care and adherence to a designated Geometric Length of Stay (GLOS) for each patient. Essential Functions: Assists with developing specific departmental goals, standards, and objectives which...
Wilson Medical Center-Wilson (NC)
Assures patient/family/caregiver understands and has access to all prescribed post-discharge therapies.
6. Communicate with patients/families admission to discharge
7. The Case Manager independently performs clinical reviews based on the Utilization Review...
Crescens Inc.-Raleigh
General Counsel, Office of Procurement, Contracts and Grants, among others.
Roles and Responsibilities
Supports one or more Pharmacy business process areas, including.
Clinical policies and Prior Authorizations.
Drug Utilization Review (DUR)...
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CenterWell Home Health-Rocky Mount (NC)
documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed.
• Analyzes situations, identifies problems, identifies and evaluates alternative...
Crescens Inc.-Raleigh
and innovative PBM Solution. The primary responsibility of this position is to serve as the subject matter expert and content lead in collaboration with the Pharmacy Business team for Clinical policies and Prior Authorizations, Drug Utilization Review (DUR)...
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CenterWell Home Health-Greenville (NC)
needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed.
• Analyzes situations, identifies...
PlanIT Group-Raleigh
to evaluate, identify and remediate, when necessary, issues related to computer system health, i.e. status of critical services, restarting failed services, low disk space, high CPU utilization, review event logs for issues, etc.
Collaborate/interact...
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Encompass Health-Rowland (NC)
for the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, Performance Improvement and Patient Safety).
Manages implementation of hospital policies and applicable corporate (e.g., Compliance) policies.
o...
BCforward-Raleigh
high CPU utilization, review event logs for issues, etc.
Collaborate/ interact with other diverse functional groups to accomplish stated objectives.
Research, evaluate, and develop a wide variety of complex technology components of a tactical nature...
DOCTORS CHOICE PLACEMENT SERVICES, INC.-Charlotte
unit. […]
This is the only inpatient Behavioral Health program within Iredell County. The new Psychiatrist will be walking into an active program. […]
Full support staff: BH Medical Director, Director, Nurse Manager, Intake Coordination, Utilization...
doccafe.com -
UNC Health Care Systems-Chapel Hill (NC)
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 to detail, adaptable to frequent change, and compliant with regulatory...
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