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ThermoFisher Scientific
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Wilmington, North Carolina
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lives.
Discover Impactful Work:
The Sr Dir CDM provides leadership to data management ... management department responsible for department budgets, utilization, quality and compliance with company
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ThermoFisher Scientific
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Greenville, North Carolina
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spans laboratory, digital and decentralized clinical trial services. Your determination to deliver ... positive impact on patient’s lives.
Discover Impactful Work:
The Sr Dir CDM provides
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LifePoint Health
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Wilson, North Carolina
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and external delivery of healthcare services. The Case Manager integrates the roles of Utilization ... RN license
BLS optional
Job: *Case Management/Social Services
**Organization
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First Health of the Carolinas
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Pinehurst, North Carolina
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required. Certification in Materials Management preferred. Knowledge of healthcare material management ... , standardization and utilization in conjunction with other members of purchasing team. Administers and insures
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Centene Corporation
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Raleigh, North Carolina
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on our Medical Management/Health Services team. Centene is a diversified, national organization ... planning
Analyzes BH member data to improve quality and appropriate utilization of services
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UNC Health Care
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Raleigh, North Carolina
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: NCHEALTH
Entity: UNC REX Healthcare
Organization Unit: Rex Case Management Services ... reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition
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CVS Health
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Raleigh, North Carolina
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opportunities to promote quality effectiveness of Healthcare Services and benefit utilization ... .
This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any
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CVS Health
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Raleigh, North Carolina
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quality effectiveness of Healthcare Services and benefit utilization
-Consults and lends ... .
This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any
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Humana
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Raleigh, North Carolina
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comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management ... independent determination of the appropriate courses of action.The Utilization Management Clinical Pharmacist
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Humana
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Raleigh, North Carolina
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... medical interpretation and determinations whether services provided by other healthcare professionals are
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Brighton Health Plan Solutions, LLC
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Chapel Hill, North Carolina
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About The Role
BHPS provides Utilization Management services to its clients. The Utilization ... .
• Collaborates with healthcare partners to ensure timely review of services and care.
• Provides referrals
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CenterWell
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Salisbury, North Carolina
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performance and delivery of quality home care services, and is available at all times during operating hours ... documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the
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LifePoint Health
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Hickory, North Carolina
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psychiatrists, nurses, mental health technicians, recreation therapists, utilization management, administration ... /treatment planning, provides therapies and conducts case management/discharge planning for behavioral health
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HCA Healthcare
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Asheville, North Carolina
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appropriate utilization of Post-Acute services.
Qualifications:
Required Education: Bachelor ... Healthcare has committed up to $300 million in programs to support our incredible team members over the
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CenterWell
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Winston Salem, North Carolina
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Manager** coordinates and oversees all direct care patient services provided by clinical personnel ... performance and delivery of quality home care services, and is available at all times during operating hours
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Humana
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Raleigh, North Carolina
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healthcare providers, clinical group practice management.
Utilization management experience in a medical ... medical interpretation and determinations whether services provided by other healthcare professionals are
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Compass Group, North America
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Charlotte, North Carolina
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Morrison Healthcare
Salary:
Other Forms of Compensation:
Pay Grade: 14
Morrison Healthcare is a leading national food and nutrition services company exclusively dedicated to
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Humana
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Raleigh, North Carolina
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medical interpretation and determinations whether services provided by other healthcare professionals are ... participating in teams focusing on quality management, utilization management, case management, discharge
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HCA Healthcare
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Asheville, North Carolina
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**
Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services ... . Do you want to be an influencer in healthcare? **Apply for our Director of Physician Services II
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Humana
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Raleigh, North Carolina
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... interpretation and determinations whether services provided by other healthcare professionals are in agreement
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Brighton Health Plan Solutions, LLC
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Chapel Hill, North Carolina
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About The Role BHPS provides Utilization Management services to its clients. The Utilization ... third-party administration services. Our unique perspective stems from decades of health plan management
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Humana
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Raleigh, North Carolina
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and determinations whether services provided by other healthcare professionals are in agreement with ... prior experience participating in teams focusing on quality management, utilization management, case
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First Health of the Carolinas
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Rockingham, North Carolina
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standardization and utilization. Demonstrates a commitment to maintain effective communications with all health ... , customer service and patient satisfaction. Ensures programs and services are implemented at the highest
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LifePoint Health
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Wilson, North Carolina
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.
Job: *Case Management/Social Services
Organization: **
Title: *Intake/Utiliz ...
· Opportunities for education and training through a partnership with Duke LifePoint Healthcare
· Growing Tree
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Humana
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Raleigh, North Carolina
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position with responsibility for utilization management and clinical decision-making as outlined in the ... **
Tasks include, but are not limited to:
70% :
Performing utilization management
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Takeda Pharmaceuticals
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Raleigh, North Carolina
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services including Gastroenterologists HCPs and professional or patient groups.
Use insight and ... .
Collaborate with partners on routing and resource utilization to maximize overall footprint performance
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Brighton Health Plan Solutions, LLC
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Chapel Hill, North Carolina
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About The Role BHPS provides Utilization Management services to its clients. The Utilization ... and changing environment.
Proficient in Utilization Review process including benefit
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Elevance Health
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Winston Salem, North Carolina
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staff supervision.
Previous experience in case management/utilization management with a broad ... .
Previous utilization management experience highly desirable.
Experience with taking crisis line calls
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Elevance Health
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CARY, North Carolina
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staff supervision.
Previous experience in case management/utilization management with a broad ... Spanish.
Previous utilization management experience highly desirable.
Experience with taking
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Elevance Health
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Cary, North Carolina
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staff supervision.
Previous experience in case management/utilization management with a broad ... Spanish.
Previous utilization management experience highly desirable.
Experience with taking
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