RN Utilization Manager
4 days ago
We are seeking a highly skilled RN Utilization Manager to join our team at UNC Health. This role will be responsible for conducting clinical reviews, facilitating patient movement, and ensuring optimal patient outcomes.
Key Responsibilities- Conduct admission reviews and status change reviews within 24 hours of patient admission to ensure appropriateness of setting and timely implementation of plan of care.
- Partner with physicians, nursing, and other care providers to ensure timely and accurate documentation of patient data and treatments.
- Communicate daily with the Case Manager to manage level of care transitions and appropriate utilization of services.
- Coordinate with the support center to assure third-party payor pre-certification and/or re-certifications when required.
- Utilize high-risk screening criteria to make appropriate referrals to Manager.
- Graduation from a state-accredited school of professional nursing.
- Two years of clinical experience in a medical facility and/or comparable Utilization Management experience.
- Licensed to practice as a Registered Nurse in the state of North Carolina.
UNC Health offers a competitive salary and benefits package, as well as opportunities for professional growth and development. We are an inclusive organization with over 40,000 diverse employees, and we are committed to improving the health and well-being of the unique communities we serve.
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Utilization Manager RN
3 weeks ago
Saint-Aubin-sur-Gaillon, Normandie, United States UNC Health Full timeJob SummaryWe are seeking a highly skilled Utilization Manager RN to join our team at UNC Health. As a key member of our care management team, you will play a critical role in ensuring the quality and efficiency of patient care.ResponsibilitiesConduct clinical reviews to ensure medical necessity and appropriateness of patient careCollaborate with...
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RN Utilization Manager
3 weeks ago
Saint-Aubin-sur-Gaillon, Normandie, United States UNC Health Full timeJob SummaryWe are seeking a skilled RN Utilization Manager to join our team at UNC Health. As a key member of our care management team, you will play a critical role in ensuring the optimal use of healthcare resources while promoting high-quality patient care.ResponsibilitiesClinical Review Process: Conduct admission reviews and status change reviews within...
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RN Utilization Manager
2 weeks ago
Saint-Aubin-sur-Gaillon, Normandie, United States UNC Health Full timeJob SummaryWe are seeking a skilled RN Utilization Manager to join our team at UNC Health. As a key member of our care management team, you will play a critical role in ensuring the efficient and effective delivery of patient care.ResponsibilitiesClinical Review Process: Conduct admission reviews and status change reviews within 24 hours of patient admission...
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Utilization Manager
2 weeks ago
Saint-Aubin-sur-Gaillon, Normandie, United States UNC Health Full timeJob SummaryWe are seeking a highly skilled Utilization Manager to join our team at UNC Health. As a Utilization Manager, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct clinical reviews to ensure medical necessity and appropriateness of patient careCollaborate with...
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Saint-Aubin-sur-Gaillon, Normandie, United States Brighton Health Plan Solutions Full timeAbout the RoleBrighton Health Plan Solutions is seeking a skilled Utilization Management Nurse to join our team. As a Utilization Management Nurse, you will play a critical role in ensuring that our members receive the necessary care and services while minimizing unnecessary costs.Key Responsibilities:Perform prospective utilization reviews and first-level...
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Travel Nurse RN Care Manager
3 weeks ago
Saint-Aubin-sur-Gaillon, Normandie, United States Accurate Staffing Consultants Full timeJob Title: Travel Nurse RN Care ManagerAccurate Staffing Consultants is seeking a skilled travel nurse RN care manager to join our team.Job SummaryThe purpose of this position is to provide ongoing support and expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs.Key ResponsibilitiesProvide...
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RN Patient Services Manager III
5 days ago
Saint-Aubin-sur-Gaillon, Normandie, United States UNC Health Care Full timeJob Title: RN Patient Services Manager IIIUNC Health Care is seeking a highly skilled and experienced RN Patient Services Manager III to join our team. As a key member of our leadership team, you will be responsible for overseeing the Cardiac, Vascular, Thoracic, and Transplant service lines with the Main Operating Room at UNC Chapel Hill Main Campus.Key...
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Nurse Manager
5 days ago
Saint-Aubin-sur-Gaillon, Normandie, United States Incredible Health Full timeIncredible Health is actively hiring for a Registered Nurse - Assistant Manager Case Management position in the Chapel Hill, NC area. We are seeking experienced nurses with expertise in areas such as Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Clinical pathway, Director, Manager, Navigator, Supervisor, Utilization Review, or VP. The...
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RN Patient Services Manager III
1 day ago
Saint-Aubin-sur-Gaillon, Normandie, United States UNC Health Full timeJob SummaryUNC Health is seeking a highly skilled and experienced RN Patient Services Manager III to oversee the Cardiac, Vascular, Thoracic, and Transplant service lines with the Main Operating Room at UNC Chapel Hill Main Campus. This is a challenging and rewarding role that requires strong leadership and management skills, as well as a passion for...
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RN Patient Services Manager II
1 day ago
Saint-Aubin-sur-Gaillon, Normandie, United States UNC Health Full timeJob SummaryUNC Health seeks a highly skilled RN Patient Services Manager II to lead the Certified Wound, Ostomy and Continence Nurse (CWOCN) team and the Diabetes Resource Nurses (DRN) team at UNC's Medical Center. This is a unique opportunity to leverage expertise in collaboration with the healthcare team to optimize patient outcomes and empower colleagues...
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RN Case Manager
4 days ago
Saint-Aubin-sur-Gaillon, Normandie, United States Jobot Full timeJob Title: RN Case Manager Job Summary: Jobot is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for evaluating patients' needs and developing comprehensive care plans to address medical, social, and emotional aspects of their health. Responsibilities: * Evaluate patients' needs and develop comprehensive...
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RN Case Manager
4 days ago
Saint-Aubin-sur-Gaillon, Normandie, United States Jobot Full timeHospital Case Management OpportunityWe are seeking a skilled RN Case Manager to join our team at a nationally recognized healthcare system. As a Hospital Case Manager, you will play a critical role in ensuring seamless care transitions for patients and their families.Key Responsibilities:Patient Assessment: Evaluate patients' needs and develop comprehensive...
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RN-Case Manager
2 days ago
Saint-Aubin-sur-Gaillon, Normandie, United States Grace Federal Solutions,Llc Full timeJob Title: RN-Case ManagerWe are seeking a dedicated and compassionate RN-Case Manager to join our team at Grace Federal Solutions, LLC. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and support.Job Summary:The RN-Case Manager will be responsible for assessing patient needs, developing and...
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Nurse Manager Case Coordinator
5 days ago
Saint-Aubin-sur-Gaillon, Normandie, United States Incredible Health Full timeIncredible Health is actively hiring for a Registered Nurse - Assistant Manager Case Management position in the Chapel Hill, NC area. We are seeking experienced nurses with expertise in areas such as Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Clinical pathway, Director, Manager, Navigator, Supervisor, Utilization Review, or VP. The...
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RN Case Manager
3 weeks ago
Saint-Aubin-sur-Gaillon, Normandie, United States Jobot Full timeHospital Case Management OpportunityWe are seeking a skilled RN Case Manager to join our team at a nationally recognized healthcare system. As a Hospital Case Manager, you will play a critical role in evaluating patients' needs and developing comprehensive care plans to address medical, social, and emotional aspects of their health.Key...
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RN Patient Services Manager II
3 weeks ago
Saint-Aubin-sur-Gaillon, Normandie, United States UNC Health Full timeJob SummaryWe are seeking a highly skilled and experienced RN Patient Services Manager II to join our team at UNC Medical Center. This is a unique opportunity to lead both the Certified Wound, Ostomy and Continence Nurse (CWOCN) team and the Diabetes Resource Nurses (DRN) team.Key ResponsibilitiesEnsure that appropriate care and services are available to...
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RN Patient Services Manager II
2 weeks ago
Saint-Aubin-sur-Gaillon, Normandie, United States UNC Health Full timeJob SummaryWe are seeking a highly skilled RN Patient Services Manager II to join our team at UNC Medical Center. This is a unique opportunity to lead both the Certified Wound, Ostomy and Continence Nurse (CWOCN) team and the Diabetes Resource Nurses (DRN) team.Key ResponsibilitiesEnsure that appropriate care and services are available to patients and...
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Saint-Aubin-sur-Gaillon, Normandie, United States UNC Health Full timePatient Services Manager III OpportunityThe Pediatric Intensive Care Unit (PICU) at UNC Medical Center is seeking a highly skilled and experienced RN Patient Services Manager III to join our dynamic team. As a key member of our leadership team, you will be responsible for ensuring that appropriate care and services are available to patients and families, and...
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RN Case Manager
4 weeks ago
Saint-Aubin-sur-Gaillon, Normandie, United States Jobot Full timeHospital Case Management OpportunityWe are seeking a skilled RN Case Manager to join our team at a nationally recognized healthcare system. As a Hospital Case Manager, you will play a critical role in ensuring seamless care transitions for patients and their families.Key Responsibilities:Evaluate patients' needs and develop comprehensive care plans to...
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Travel Nurse RN Manager
5 days ago
Saint-Aubin-sur-Gaillon, Normandie, United States OneStaff Medical Full timeJob Title: RN Manager Travel JobOneStaff Medical is seeking a skilled RN Manager to join our team for a travel nursing assignment in a dynamic healthcare setting.Job Description & RequirementsSpecialty: Nurse ManagerDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelAs an RN Manager, you will be responsible for...