Utilization Manager

Overview:Become part of a diverse organization dedicated to enhancing the health and wellness of the communities we serve. The Utilization Manager for the Psych Team is responsible for conducting clinical evaluations for inpatient and observation cases related to Youth Behavioral Health (YBH) and UNC Psychiatry.Key Responsibilities:1. Clinical Review...

Position OverviewBrighton Health Plan Solutions (BHPS) is dedicated to enhancing the delivery and accessibility of healthcare services. The Utilization Management Nurse - Prior Authorization is responsible for conducting medical necessity evaluations on prior authorization requests, ensuring compliance with national standards and contractual obligations...

Position OverviewBrighton Health Plan Solutions is seeking a dedicated Utilization Management Nurse specializing in Prior Authorization. This role involves conducting medical necessity evaluations on prior authorization requests, ensuring compliance with national standards and contractual obligations while working remotely.Key ResponsibilitiesConduct...

Position OverviewBrighton Health Plan Solutions is seeking a dedicated Utilization Management Nurse specializing in Prior Authorization. This role involves conducting medical necessity evaluations on prior authorization submissions, ensuring compliance with national standards, contractual obligations, and member benefit coverage while working remotely.Key...

Position OverviewBrighton Health Plan Solutions is seeking a dedicated Utilization Management Nurse specializing in Prior Authorization. This role involves conducting medical necessity evaluations on prior authorization submissions in line with established national standards, contractual obligations, and member benefit coverage, all while working...

Job SummaryWe are seeking a highly skilled Utilization Manager to join our team at UNC Health Care. As a Utilization Manager, you will play a critical role in ensuring the optimal use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesClinical Review ProcessConduct admission reviews and status change reviews within 24...

Position OverviewAt Brighton Health Plan Solutions, we are dedicated to providing exceptional Utilization Management services. The Utilization Management Nurse is responsible for conducting daily assessments of medical necessity. This role is supervised by the Director of Clinical Programs.Key Responsibilities1. Conduct concurrent utilization reviews across...

Position OverviewAt Brighton Health Plan Solutions, we are dedicated to providing exceptional Utilization Management services. The Utilization Management Nurse is responsible for conducting daily assessments of medical necessity. This role is under the supervision of the Director of Clinical Programs.Key Responsibilities1. Conduct concurrent utilization...

About the RoleAffiliated Engineers, Inc. (AEI) is a leading, multidisciplinary consulting engineering firm and collaborative community of over 800 employees who plan, design, and deliver high-performance, innovative, and holistic engineering solutions positively impacting society and advancing humankind.As a Mechanical Engineer I - Energy and Utilities in...

About the RoleAffiliated Engineers, Inc. (AEI) is a leading consulting engineering firm seeking a Mechanical Engineer I to join our team in Chapel Hill. As a Mechanical Engineer I, you will play a key role in empowering our clients to achieve energy-efficient building solutions and create a better, greener future for all.ResponsibilitiesPerform load...

About the RoleThe Care Manager RN plays a crucial 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, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication.Key...

About the RoleWe are seeking a highly skilled and experienced Pediatric Care Manager to join our team at UNC Health Care. As a key member of our Clinical Care Management Department, you will be responsible for leading a team of care managers and social workers in providing exceptional patient care and services.Key ResponsibilitiesProvide management direction...

Job Overview:Join a vibrant and inclusive organization dedicated to enhancing the health and wellness of diverse communities. We are looking for a passionate leader to oversee our Pediatric Care Management team.Position Summary:As the on-site manager at our UNC Chapel Hill campus, you will lead a dedicated group of care managers and social workers within our...

Job Overview:Join a diverse and inclusive organization dedicated to enhancing the health and well-being of the communities we serve. We are looking for a skilled leader to manage our pediatric care management team at our UNC Health Care facility.As the on-site manager, you will oversee a dedicated group of care managers and social workers focused on our...

Job SummaryWe are seeking a highly motivated and experienced Registered Nurse Case Manager to join our team at Focus Staff. As a Contract RN Case Manager, you will be responsible for providing case management services to patients according to policy and procedure.Key Responsibilities:Provides case management services to patients according to policy and...

Position Overview:Become a vital part of an inclusive organization dedicated to enhancing the health and wellness of diverse communities.We are looking for an experienced on-site manager to lead our skilled team of care managers and social workers within the Pediatric Care Management Department.The ideal candidate will possess a strong background in...

Job Overview:Join a diverse and inclusive organization dedicated to enhancing the health and wellness of the communities we serve. This role is pivotal in overseeing both the Certified Wound, Ostomy and Continence Nurse (CWOCN) team and the Diabetes Resource Nurses (DRN) team.These specialized teams provide professional, certified consultative services aimed...

Join Our Team as a Junior Project ManagerRNR CONSTRUCTION LLC is a prominent player in the construction industry, seeking a dedicated Junior Project Manager with a solid foundation in commercial building projects.Primary Responsibilities:Oversee project initiation and construction managementFacilitate the acquisition of necessary permitsIdentify utility...

Job DescriptionAccurate Staffing Consultants is seeking a skilled Care Manager for a travel nursing position.Job SummaryWe are looking for a highly organized and detail-oriented Care Manager to provide ongoing support and expertise to patients. The ideal candidate will have excellent communication skills and be able to work effectively in a fast-paced...

Job Overview:Join a diverse and inclusive organization dedicated to enhancing the health and wellness of the communities we serve. We are looking for a dedicated professional to take on the role of Manager of Care Management at our esteemed institution.Position Summary:As the on-site manager at our facility, you will oversee a talented team of care managers...