Utilization Review Specialist jobs in Cary, NC

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RN Case Manager
Raleigh, NC 27615 (North area)
Participates in Quality Assurance and Utilization Review activities, as directed. Acts as a liaison between primary care providers, specialist, and/or patient....
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RN Case Manager

Raleigh, NC 27615 (North area)
Participates in Quality Assurance and Utilization Review activities, as directed. Acts as a liaison between primary care providers, specialist, and/or patient....
Easily apply

Sr. Salesforce Analyst - CRM

Durham, NC
Provide performance feedback for the mid-year and year-end review of the Customer Support Organization Process Lead and Operation Specialists....

Case Management Manager (Social Worker)

Connections Healthcare Staffing
Raleigh, NC
Utilization Review to include the point of entry UR case managers, payer specialists, case management reps, admin assistants and regulatory denial management...
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Social Worker Manager

Healthcare Employment Partners
Raleigh, NC 27610 (Southeast area)
Utilization Review to include the point of entry UR case managers, payer specialists, case management reps, admin assistants and regulatory denial management...
Easily apply

Social Work Manager (Hospital)

Connections Healthcare Staffing
Raleigh, NC
Utilization Review to include the point of entry UR case managers, payer specialists, case management reps, admin assistants and regulatory denial management...
Easily apply

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....

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...

CLINICAL DOCUMENTATION IMPROVEMENT SPECIALIST (NURSE PREFERR...

Durham, NC
For Nurses case management or utilization review and acute care clinical experience is preferred. You will also communicate with coders, compliance specialists...

CLINICAL DOCUMENTATION IMPROVEMENT SPEC

Durham, NC
Prior Case Management / Utilization Review experience and/or training Advanced communication and interpersonal skills with all levels of internal and external...

CLINICAL DOCUMENTATION IMPROVEMENT MANAGER

Durham, NC
Specialist, if deemed necessary by team staff shortage. Experience with utilization management,coding, billing, auditing, and various healthcare payers is...
Case Management Manager (Social Worker)
Connections Healthcare Staffing
Raleigh, NC
Utilization Review to include the point of entry UR case managers, payer specialists, case management reps, admin assistants and regulatory denial management...
Easily apply
Sr. Salesforce Analyst - CRM
Provide performance feedback for the mid-year and year-end review of the Customer Support Organization Process Lead and Operation Specialists....
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...
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