- Responsible for performing medical reviews to assess, and coordinate quality care for patients
- Determine medical necessity utilizing MCG criteria and medical policy/contractual benefits.
- Coordinate with patients and providers to produce high quality care
- RN or LPN- North Carolina license
- 3 + years of clinical experience, inpatient, ER/emergency clinical experience
- Case Management experience
- Utilization Management experience
- Annual Salary Range: $76,000-$79,000
- Comprehensive Benefits: Medical, Dental, Vision, 401k
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Assistant Nurse Manager
1 week ago
Duke University Health System Durham, United StatesDetails Salary: Open · Categories: · General Nursing Internal Number: · Duke University Hospital Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke ...
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Nurse Manager of Operations
2 days ago
Duke Health Durham, United States Full timeAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. · About Duke University Hospital · Pursue ...
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Registered Nurse Unit Manager
3 days ago
Southpoint Rehabilitation and Healthcare Durham, United States Full timeSouthpoint Rehabilitation And Healthcare Center, located in Southpoint-Durham, NC is a Long Term Care facility that provides quality care to our residents. Join a growing team of successful, happy caregivers who are valued and appreciated · Benefits: · New competitive wages and s ...
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Registered Nurse Unit Manager
3 weeks ago
Southpoint Rehabilitation and Healthcare Durham, United StatesSouthpoint Rehabilitation and Healthcare - Southpoint Rehabilitation And Healthcare Center, located in Southpoint-Durham, NC is a Long Term Care facility that provides quality care to our residents. Join a growing team of successful, happy caregivers who are valued and appreciat ...
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Supervising Nurse Manager
2 weeks ago
Avant Durham, United StatesJob Description · Job Description · SUPERVISING NURSE MANAGER NEEDED - DIRECT HIRE · We are currently seeking an exceptional and highly skilled Supervising Nurse Manager to join our dynamic team at our rapidly growing Durham office. In this pivotal role, the Supervising Nurse M ...
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Assistant Nurse Manager
3 weeks ago
Wellstar Health System, Inc. Durham, NC, United StatesFacility: North Fulton Hospital Job Summary: · Wellstar North Fulton Hospital has an opportunity for an Assistant Nurse Manager ANM- MedSurg- Surgical · Shift - Monday - Friday 2pm - 10pm · The Assistant Nurse Manager (ANM) is a registered professional nurse who provides supp ...
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Supervising Nurse Manager
2 weeks ago
AVANT Durham, United StatesJob Description · Job DescriptionSUPERVISING NURSE MANAGER NEEDED - DIRECT HIRE · We are currently seeking an exceptional and highly skilled Supervising Nurse Manager to join our dynamic team at our rapidly growing Durham office. In this pivotal role, the Supervising Nurse Manage ...
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Nurse Manager Operations-Advanced Heart
2 days ago
Duke Health Durham, United States Full timeAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. · About Duke University Hospital · Pursue ...
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Veterans Health Administration Durham, United StatesSummary · Durham VA Health Care System is hiring for an RN Nurse Manager in Mental Health for Outpatient . The Nurse Manager holds the responsibility for implementation of the Vision, Mission, and Values of the DHCS within their defined areas of responsibility. The Nurse Manage ...
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Nurse Manager
1 week ago
Duke University Durham, United StatesAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.About Duke University HospitalPursue your ...
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Nurse Manager
1 week ago
Duke University Durham, United StatesAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. · About Duke University Hospital · Purs ...
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Registered Nurse, RN
3 weeks ago
BAYADA Home Health Care Durham, United States Full timeBAYADA Home Health is looking for compassionate and dedicated Registered Nurses (RN) to join our team in our Raleigh, North Carolina office. · This office services our adult and geriatric clients on a per visit basis in territories throughout Durham county. · Full Time & Part T ...
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Registered Nurse,
1 week ago
BAYADA Home Health Care Durham, United States Full timeBAYADA Home Health is looking for a compassionate and dedicated Registered Nurse (RN) to join our team full time, part time, or per diem in our Raleigh-Durham Senior Living office located in Raleigh, NC. · This office services our adult and geriatric clients on a per visit basis ...
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Nurse Manager of Operations
3 weeks ago
Dukehealth Durham, United StatesAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. · About Duke University Hospital · Purs ...
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Nurse Manager of Operations
2 weeks ago
Dukehealth Durham, United StatesAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. · About Duke University Hospital · Purs ...
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Nurse Manager of Operations
2 weeks ago
Dukehealth Durham, United StatesAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. · About Duke University Hospital · Purs ...
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Duke Health Durham, NC, United StatesAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. · About Duke Primary Care · Pursue your ...
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Registered Nurse Unit Manager
2 weeks ago
Southpoint Rehabilitation and Healthcare Durham, NC, US, United StatesSouthpoint Rehabilitation And Healthcare Center, located in Southpoint-Durham, NC is a Long Term Care facility that provides quality care to our residents. Join a growing team of successful, happy caregivers who are valued and appreciated · Benefits: · New competitive wages and s ...
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Duke University Durham, United StatesShift · Leadership position: rotating 8-hours per day, 40 hours per week; to include possibility of call, weekends, holidays, and inclement weather. · At Duke Health, we're dricommven by a itment to compassionate care that changes the lives of patients, their loved ones, and th ...
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Aurora Ventures Cary, United StatesAre you passionate about helping people in your nursing profession and value joy in your work? · ▸ If respectful interaction in the workplace is important to you · ▸ If you are looking for a strong team and a good working atmosphere · ▸ If appreciation and recognition motivate ...
Remote Utilization Management Nurse - Durham, United States - Piper Companies
Description
Piper Companies is currently seeking a Remote Utilization Management Nurse for a remote opportunity within a health insurance organization. The Remote Utilization Management Nurse will be serving as an essential bridge between health care and medical coverage.
Responsibilities of the Remote Utilization Management Nurse:
#LI-REMOTE