Utilization Review Specialist $90,000 jobs in Cary, NC

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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....
Mgr, Case Management - MSW required
Raleigh, NC 27601 (Central area)
Utilization Review to include the point of entry UR case managers, payer specialists, case management reps, admin assistants and regulatory denial management...
RN Manager of Clinical Practice and Quality Assurance
Raleigh, NC 27609 (Falls Of Neuse area)
This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to...

PHARMACIST - 340B PROGRAM

Chapel Hill, NC 27517
Assesses opportunities for cost savings and businessimprovements in 340B contract pharmacy utilization. Routinely monitors monthly and annual reports on 340B...

Mgr, Case Management - MSW required

Raleigh, NC 27601 (Central area)
Utilization Review to include the point of entry UR case managers, payer specialists, case management reps, admin assistants and regulatory denial management...

President & CEO - Prevent Blindness NC

Armstrong McGuire
Raleigh, NC 27607 (Northwest area)
Work with the finance committee to develop an annual budget for the Board’s review and approval. Ensure high quality program delivery, evaluation, and reporting...
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Business Process Owner

Durham, NC 27712
Provide performance feedback for the mid-year and year-end review of the CSO Process Lead and Operation Specialists....

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....

Clinical Documentation Improvement Coordinator-Nurse Preferr...

Grace Federal Solutions LLC
Durham, NC 27705
Experience with utilization management, coding, billing, auditing, and various healthcare payers is preferred....
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Electrical systems studies engineer

Raleigh, NC
Applicants will be required to Mentor junior staff with respect to running power system studies and peer reviews....

Senior SAS Administrator (Linux OS)

Raleigh, NC 27601 (Central area)
Responsible for all aspects of license auditing through regular reporting and review, ensuring software is licensed accurately, and coordinating with...
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RN Manager of Clinical Practice and Quality Assurance

Raleigh, NC
This review includes verification of appropriate documentation, quality of care provided, visits utilization, appropriate contacts with physicians, adherence to...
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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