Utilization Review Specialist jobs in Cary, NC

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Financial Specialist, Senior - Pharmacy, 340B
Raleigh, NC 27601 (Central area)
Position Information The Financial Specialist, Sr. Performs ongoing internal audits and review of applicable reports to ensure program integrity, compliance and...
Nurse Care Manager
Durham, NC 27703
1-2 years of utilization management experience a must. Complete an initial member assessment on all new enrolled members, including a medical record review...
System Director Care Management & CDI - Relocation to Northe...
Bileddo Associates
United States
Certified Clinical Documentation Specialist (CCDS) preferred. Identifies opportunities to improve inpatient discharge planning, utilization management and...
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Triangle Springs - Utilization Review Specialist

Raleigh, NC 27601 (Central area)
Utilization Review Specialist (Full-time). Triangle Springs " Utilization Review Specialist. Triangle Springs - Utilization Review Specialist Location:....

HUMAN RESOURCES SPECIALIST - PRMO

Durham, NC
Independently research, document and respond to management inquiries and prepare appropriate communication tools to support the efficient system utilization....

Human Resources Specialist

Durham, NC
Independently research, document and respond to management inquiries and prepare appropriate communication tools to support the efficient system utilization....
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POPULATION HEALTH SPECIALIST

Durham, NC
Proficient in review and assess needs quickly. Review patient data related to disabilities or medical limitations and maintain liaison with primary health care...

Credentialing Specialist

Raleigh, NC
Review provider credentialing files and work with providers to obtain the necessary missing, incomplete and expiring items....

Transition Care Coordinator

Chapel Hill, NC
Close working relationship with In-Reach Specialist and Transition Support Specialist is key. Actively participates in clinical case reviews when applicable....

Operations Specialist 2 / Operations Specialist 1 - Drug Saf...

Durham, NC
Preparation of material for submission of secondary review. Contribute to achievement of departmental goals e.g. utilization realization and productivity...

Warehouse Systems Specialist

Raleigh, NC 27616 (Northeast area)
Review the finished product with the customer and get customer approval when the project is complete. Responsible for analyzing, developing and recommending...
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Co-occurring Disorder Specialist

Durham, NC 27707 +1 location
Prepares and presents documentation for utilization review. Participates in peer review. The ACT team shall be staffed with a substance abuse specialist who...

Clinical Documentation Improvement Specialist-Technical Writ...

Grace Federal Solutions LLC
Durham, NC 27705
Case management or utilization review and acute care clinical experience is preferred. Communicate with coders, compliance specialists and/or clinical...
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