UM Denials Coordinator - Chapel Hill

The UM Denials Coordinator supports the Utilization Management function by reviewing denied and partially denied authorizations and preparing denial correspondence within the Utilization Management system. · This role is responsible for drafting, editing, and formatting denial an ...

The UM Denials Coordinator supports the Utilization Management function by reviewing denied and partially denied authorizations and preparing denial correspondence within the Utilization Management system. · The position works closely with physicians and nursing staff and may req ...

Job summary · About The Role BHPS provides Utilization Review services to its clients. The UM Denials Coordinator supports the Utilization Management function by reviewing denied and partially denied authorizations and preparing denial correspondence within the Utilization Manage ...

The UM Denials Coordinator supports the Utilization Management function by reviewing denied and partially denied authorizations. · Review denied authorization cases within the Utilization Management system to understand the clinical determination and supporting rationale prior to ...

The RN Utilization Manager works collaboratively with other Clinical Care Management staff to ensure patient needs are met and care delivery is coordinated across the continuum. · Clinical Review Process - Uses approved criteria and conducts admission review/status change review ...

$10,000 Sign-on bonus · Position Overview · We are looking for anOccupational Therapist (OT)to join our team You will utilize your clinical expertise to assess, teach, and deliver therapy interventions and treatment directed by the Physician as established in the home health plan ...

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. This role will be hybrid - on-site Monday through Thursday at our Chapel Hill Quadrangle location, and remote on Fridays. ...

The job of RN Utilization Manager is a full-time position in the UNC Medical Center at Chapel Hill.Works collaboratively with the patient/family and interdisciplinary team to ensure timely implementation of plan of care. · ...

Carolina Sexual Wellness Center, a progressive, sex-positive organization dedicated to providing inclusive and affirming sex therapy and education, is seeking a detail-oriented and highly organized Insurance and Billing Coordinator to join our team in Durham, North Carolina. This ...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. · ...

We are driven by a commitment to compassionate care that changes the lives of patients and their loved ones. Join us at Duke Health in Durham North Carolina. · ...

Duke Health busca un Behavioral Health Case Manager para trabajar en Child and Adolescent PHP en Durham, Carolina del Norte. El candidato debe tener una licencia como LCSW y tres años de experiencia relevante. Las responsabilidades incluyen la coordinación y el cumplimiento de lo ...

Manage a designated caseload to coordinate and complete timely assessment planning implementation and evaluation of discharge plans and care transitions across the continuum of care ensuring optimum utilization of the patient's and the Health System's resources. · ...

Assesses for accuracy in the assignment of patient class (status) to reflect congruence with clinical condition, physician intent, and utilization review outcomes with current rules and regulatory requirements. · ...

This position is for a Behavioral Health Case Manager who will work with patients to coordinate and complete timely assessment, planning, implementation and evaluation of discharge plans. The manager will ensure optimum utilization of the patient's and the Health System's resourc ...

Work Arrangement: · Requisition Number: 266926 · Regular or Temporary: Regular · Location:Durham, NC, US, 27710 · Personnel Area: DUKE HEALTH INTEGRATED PRACTIC · Date: Feb 24, 2026 · At Duke Health, we're driven by a commitment to compassionate care that changes the lives of pat ...

The Manager reports directly to the Assistant Director of the Case Management Department and provides direct supervision and oversight of the Case Managers (CMs) who function within the inpatient settings. · ...

The Population Health Care Manager will be responsible for managing complex care patients in various areas at Duke University Hospital. They will coordinate and complete timely assessments, planning, implementation, and evaluation of discharge plans and care transitions across th ...

At 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. · Duke Health Integrated Practice · Duke ...

The Duke Raleigh Campus in Raleigh, North Carolina is seeking a Case Manager to join their team. The ideal candidate will have a strong understanding of case management principles and be able to work independently in a self-directed role. · Assess all assigned patients for case m ...