Utilization review nurse Jobs in High Point, NC

Last updated: 11 hours ago

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FT-RN CASE MANAGEMENT / UTILIZATION REVIEW COORDINATOR

Surgery PartnersNC, United States

Full-time

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RN UTILIZATION MANAGER - REX CASE MANAGEMENT

UNC HEALTHNC, United States

$35.52–$51.05 hourly

Full-time

RN Utilization Manager, Full time, 40 hours per week;.Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique commun...Show moreLast updated: 20 hours ago

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NURSE

Lutheran Services CarolinasNC, United States

$35.00 hourly

Part-time +1

LSC Raleigh Office - Raleigh, NC.The Assertive Community Treatment Team (ACTT) is designed to serve as a comprehensive treatment. The majority of services are provided in the consumer's home / communi...Show moreLast updated: 13 hours ago

TRAVEL MRI TECHNOLOGIST - $2,770 PER WEEK (HIRING IMMEDIATELY)

Nurse FirstNC, United States

$2,770.00 weekly

Full-time

Nurse First is seeking a travel Interventional Radiology Technologist for a travel job in Pinehurst, North Carolina.Job Description & RequirementsSpecialty : Interventional Radiology TechnologistDis...Show moreLast updated: 1 day ago

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REGISTERED NURSE

LHC Group, Inc.NC, United States

Full-time

At SunCrest Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it : for the whole patient, their families, eac...Show moreLast updated: 13 hours ago

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Travel Nurse RN - Labor and Delivery - $1,902 per week

Jackson Nurse ProfessionalsBiggs Park, NC, US

$1,902.00 weekly

Full-time

Jackson Nurse Professionals is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Lumberton, North Carolina. Job Description & Requirements Specialty : Labor and Delivery Discip...Show moreLast updated: 2 days ago

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REGISTERED NURSE

Ralph Scott LifeservicesNC, United States

Full-time

Provides oversight and general nursing care and services to persons with disabilities in residential homes and / or the day program. Relies on knowledge, experience, and judgment with limited directio...Show moreLast updated: 13 hours ago

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REGISTERED NURSE

Oak Street HealthNC, United States

Full-time

The purpose of a Center Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and th...Show moreLast updated: 13 hours ago

Utilization Management Nurse Consultant

CVS HealthWork from home, NC, US

$26.01–$62.31 hourly

Remote

Full-time

Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago

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RN SCHOOL NURSE - REGISTERED NURSE

BAYADA Home Health CareNC, United States

$28.00–$31.00 hourly

Full-time +1

Needing more 'life' in your work-life balance? Apply to our talent network today!.Now offering up to $5,000 sign-on bonus for school shifts!. BAYADA Offers Our Registered Nurses.One on one care with...Show moreLast updated: 2 days ago

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Registered Nurse

HexaQuEST Health, Inc.High Point, NC, US

Full-time

Class : RN Notice : • •Registry Personnel must bring a state or federal issued identification to the facility and wear a photo badge at all times. Agency staff must have completed the original or updat...Show moreLast updated: 2 days ago

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REGISTERED NURSE

Brookridge A Thrive More CommunityNC, United States

Full-time

Get Your New Career Started with a $10,000 Sign-On Bonus!.Do you have a passion for healthcare and want to make a difference in someone's life? Brookridge Retirement Community located in Winston-Sa...Show moreLast updated: 13 hours ago

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REGISTERED NURSE

PruittHealthNC, United States

Full-time

REGISTERED NURSE Full Time 12 hr shifts 7a- 7p & 7p-7a, ask about Part Time.Join the PruittHealth family, where the health and safety of our workforce is our top priority!.We're not only committed ...Show moreLast updated: 13 hours ago

Claims Clinical Specialist – Medical Review Team

Genworth FinancialNorth Carolina

$124,600.00 yearly

Remote

Full-time

At Genworth, we empower families to navigate the aging journey with confidence.We are compassionate, experienced allies for those navigating care with guidance, products, and services that meet fam...Show moreLast updated: 30+ days ago

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PEDIATRIC NURSE

MGA HomecareNC, United States

Full-time +1

Proudly serving Winston-Salem, Greensboro, High Point and surrounding areas!.At MGA Homecare, we're seeking passionate and dedicated Licensed Practical Nurses (LPN) or Registered Nurses (RN) to joi...Show moreLast updated: 13 hours ago

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REGISTERED NURSE (RN) STAFF NURSE

Freedom Staffing ServicesNC, United States

Full-time

To assure quality nursing care for patient by following physician's orders, state and federal regulations and this Facility's policies and procedures. Essential Job Functions and Requirements : .Makes...Show moreLast updated: 2 days ago

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Travel Nurse RN - Med Surg / Telemetry - $1,966 per week

Wellspring Nurse SourceThomasville, NC, United States

$1,966.00 weekly

Full-time

Wellspring Nurse Source is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Thomasville, North Carolina. Job Description & Requirements.Medical-Surgical Telemetry Registere...Show moreLast updated: 11 hours ago

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PROFESSIONAL NURSE

Della Infotech, Inc.NC, United States

Permanent

Salary range for this role- BR,518- BR,000 based on experience for the position.This is a direct hire position.The manager is looking for someone with at least 1 years experience however will consi...Show moreLast updated: 13 hours ago

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REGISTERED NURSE

Progressive HealthNC, United States

Full-time

ProgressiveHealth Occ Health, LLC -.This position will provide onsite health services to employees, medical screenings, and wellness programs. Come be a part of a growing organization within a progr...Show moreLast updated: 13 hours ago

Utilization Behavioral Health Professional

HumanaWork at Home, North Carolina

Remote

Full-time

Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while...Show moreLast updated: 30+ days ago

FT-RN CASE MANAGEMENT / UTILIZATION REVIEW COORDINATOR

Surgery PartnersNC, United States

13 hours ago

Job type

Full-time

Job description

North Carolina Specialty Hospital (NCSH), is a private, physician-owned medical center that opened its doors in 1926. North Carolina Specialty Hospital's commitment to growth and continuous improvement has helped the hospital maintain a number of high rankings in both quality measures and patient satisfaction. North Carolina Specialty Hospital offers surgical specialties in orthopedics, ophthalmology, ear, nose and throat as well as sports medicine, oral, plastic, podiatry, general surgery, interventional radiology, pain management, reconstructive surgery and more.

Why join North Carolina Specialty Hospital?

Award Winning Hospital for Special Surgery
5 Star CMS rated facility for patient experience
Positive Work culture
Career growth opportunities
Comprehensive Medical, Dental, Vision Insurance, Life and Disability Insurance
Telemedicine / You have access to Physicians 24 / 7 / 365 through MDLIVE
Paid Time Off
401k Employer Match
Tuition Assistance

Job Summary

Under the direction of the Performance Outcomes Director, this position is responsible for coordinating patients in healthcare continuum to achieve optimal clinical, financial, operation and satisfaction outcomes. Act in a liaison function with the interdisciplinary healthcare team to promote and / or facilitate utilization of medical services. Identify and intervene when necessary to ensure efficient and cost-effective delivery of patient care services. Establish and promote collaborative relationships with physicians, patients, families and additional members of the healthcare team. Educate members of the healthcare team on utilization review and managed care concepts. Act as a resource for routine and complex problem solving as it relates to utilization review and case management. Anticipate the needs of customers and work proactively to improve services. Work with others to improve customer satisfaction and participates in special projects as needed.

Training & Education

Graduate of an accredited school of professional nursing required.

Current licensure in the state of North Carolina required.

Current certification BLS

Must be able to communicate and understand the English language both verbal and written.

Experience :

A minimum of 1 year previous Medical and / or Surgical nursing experience preferred.

Utilization Review and Case Management experience required .

Skills & Abilities :

Able to work independently and meet established deadlines.

Able to make sound reasonable decisions.

Highly organized.

Ability to concentrate on many detailed requests.

Demonstrates accountability, professionalism, openness, receptive to change, creativity and innovative.

Ability to identify and calmly handle inherently stressful situation with tact.

Excellent communication skills

Ability to develop excellent working relationships with consumers and staff.

Seeks guidance, direction and assistance when needed.

Our employees are critical to our success, and we value their contributions. North Carolina Specialty Hospital offers a competitive compensation and benefits package and an opportunity to grow and develop your career in an environment that values employee ideas and diversity. Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled. We maintain a drug-free workplace and require pre-employment drug screening and background check.