RN Utilization Manager
3 weeks ago
We are seeking a highly skilled RN Utilization Manager to join our team at UNC Health. As a key member of our Clinical Care Management team, you will play a critical role in ensuring the quality, efficiency, and effectiveness of patient care.
Key Responsibilities- Conduct admission reviews and continued stay reviews to ensure appropriateness of setting and timely implementation of the 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.
- Identify patient/families with complex psychosocial, on-going medical discharge planning issues, continuing care needs, and initiate appropriate case management referrals.
- Perform utilization management assessments and interventions to ensure optimal patient outcomes.
- Graduation from a state-accredited school of professional nursing.
- Licensed to practice as a Registered Nurse in the state of North Carolina.
- Two (2) years of clinical experience in a medical facility and/or comparable Utilization Management experience.
UNC Health offers a competitive salary range of $34.65 - $49.81 per hour, with opportunities for career growth and professional development. We are an inclusive organization with over 40,000 teammates, committed to improving the health and well-being of the unique communities we serve.
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RN Utilization Manager
2 weeks ago
Chapel Hill, North Carolina, United States UNC Health Full timeJob SummaryWe are seeking a highly 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 highest quality patient care and optimal resource utilization.Key ResponsibilitiesConduct thorough clinical reviews to ensure appropriateness of patient care and resource...
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RN Utilization Manager
4 weeks ago
Chapel Hill, North Carolina, United States UNC Health Full timeJob SummaryWe are seeking a highly 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 highest quality patient care and optimal resource utilization.Key ResponsibilitiesConduct thorough clinical reviews to ensure appropriateness of patient care and resource...
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RN Utilization Manager
4 weeks ago
Chapel Hill, North Carolina, United States UNC Health Care Full timeJob SummaryWe are seeking a highly skilled RN Utilization Manager to join our team at UNC Health Care. As a key member of our clinical care management team, you will play a critical role in ensuring the optimal use of healthcare resources while delivering high-quality patient care.Key ResponsibilitiesConduct thorough clinical reviews to assess patient care...
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RN Utilization Manager
1 month ago
Chapel Hill, North Carolina, United States UNC Health Full timeJob SummaryWe are seeking a highly 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.Key ResponsibilitiesConduct thorough clinical reviews to ensure the appropriateness of...
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RN Utilization Manager
1 week ago
Chapel Hill, North Carolina, United States UNC Health Full timeJob Summary:As a RN Utilization Manager at UNC Health, you will play a critical role in ensuring the optimal use of healthcare resources while maintaining high-quality patient care. This position requires a strong clinical background, excellent communication skills, and the ability to work collaboratively with interdisciplinary teams.Key...
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RN Utilization Manager
4 weeks ago
Chapel Hill, North Carolina, United States UNC Health Full timeJob SummaryWe are seeking a highly skilled RN Utilization Manager to join our team at UNC Health. As a key member of our clinical operations team, you will play a critical role in ensuring the delivery of high-quality patient care while promoting efficient use of healthcare resources.Key ResponsibilitiesConduct thorough clinical reviews to ensure medical...
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RN Utilization Manager
2 weeks ago
Chapel Hill, North Carolina, United States UNC Health Full timeJob SummaryWe are seeking a highly skilled and experienced RN Utilization Manager to join our team at UNC Health. As a key member of our clinical care management team, you will play a critical role in ensuring the quality, efficiency, and effectiveness of patient care.ResponsibilitiesConduct admission reviews and continued stay reviews to ensure...
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RN Utilization Manager
1 month ago
Chapel Hill, North Carolina, United States UNC Health Care Full timeJob SummaryWe are seeking a highly skilled RN Utilization Manager to join our team at UNC Health Care. As a key member of our clinical team, you will be responsible for ensuring the optimal use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesConduct admission reviews and continued stay reviews to ensure appropriateness...
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RN Utilization Manager
4 days ago
Chapel Hill, North Carolina, United States UNC Health Care Full timeJob Summary:As a Utilization Manager RN at UNC Health Care, you will play a vital role in ensuring the quality and efficiency of patient care. This evening position requires a skilled and experienced RN to work collaboratively with the patient, family, and interdisciplinary team to assess and improve patient care progression from acute care episode through...
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Chapel Hill, North Carolina, United States UNC Health Full timeJob SummaryUNC Health is seeking a skilled RN Utilization Manager to join our team. This role will be responsible for ensuring the appropriate utilization of healthcare resources, promoting quality patient care, and optimizing patient outcomes.Key ResponsibilitiesConduct admission reviews and continued stay reviews to ensure the appropriateness of patient...
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RN Utilization Manager
6 days ago
Chapel Hill, North Carolina, United States UNC Health Full timeJob SummaryWe are seeking a 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 ResponsibilitiesConduct admission reviews and continued stay reviews to ensure appropriateness of setting and timely implementation...
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Chapel Hill, North Carolina, 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 clients receive the best possible care while minimizing unnecessary costs.Key ResponsibilitiesPerform prospective utilization reviews and first-level...
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Chapel Hill, North Carolina, United States Brighton Health Plan Solutions Full timeAbout the RoleBrighton Health Plan Solutions provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior authorization requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working remotely.Key...
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Utilization Management Nurse
6 days ago
Chapel Hill, North Carolina, United States Brighton Health Plan Solutions, LLC Full timeJob DescriptionAbout The RoleBrighton Health Plan Solutions, LLC provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization is responsible for performing medical necessity reviews on prior authorization requests in accordance with national standards, contractual requirements, and a member's benefit...
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Chapel Hill, North Carolina, United States Brighton Health Plan Solutions Full timeAbout The RoleBrighton Health Plan Solutions provides Utilization Management services to its clients.The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior authorization requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working remotely.This job...
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Care Manager RN
4 weeks ago
Chapel Hill, North Carolina, United States UNC Chapel Hill Full timeJob OpportunityUNC Chapel Hill is seeking experienced Registered Nurses for Care Manager roles at our Chapel Hill location.Job SummaryThe Care Manager RN plays a critical role in providing comprehensive and coordinated care to patients within UNC Health. This position involves utilizing a variety of skills, including risk segmentation, patient assessments,...
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RN Care Manager
2 weeks ago
Chapel Hill, North Carolina, United States UNC Health Care Full timeCare Manager RN Job DescriptionUNC Health Care is seeking a skilled RN Care Manager to join our team. As a Care Manager RN, you will play a vital role in providing comprehensive and coordinated care to patients within our healthcare system.Key Responsibilities:Conduct comprehensive care manager assessments to evaluate patients' functional abilities,...
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RN Care Manager
1 week ago
Chapel Hill, North Carolina, United States UNC Health Full timeCare Management Opportunity at UNC HealthWe are seeking a skilled RN Care Manager to join our team at UNC Health. As a Care Manager, you will play a crucial role in providing comprehensive and coordinated care to patients within our healthcare system.Key Responsibilities:Conduct comprehensive care manager assessments to evaluate patients' functional...
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RN Care Manager
1 week ago
Chapel Hill, North Carolina, United States UNC Health Care Full timeCare Manager RN Job DescriptionUNC Health Care is seeking a skilled and compassionate RN Care Manager to join our team. As a Care Manager RN, you will play a vital role in providing comprehensive and coordinated care to patients within our healthcare system.Key Responsibilities:Conduct comprehensive care manager assessments to evaluate patients' functional...
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Care Manager RN
4 weeks ago
Chapel Hill, North Carolina, United States UNC Health Full timeCare Manager RN Job DescriptionUNC Health is seeking a skilled Care Manager RN to join our team. As a Care Manager RN, you will play a crucial role in providing comprehensive and coordinated care to patients within our healthcare system.Key Responsibilities:Conduct comprehensive care manager assessments to evaluate patients' functional abilities, cognitive...