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


Chapel Hill, NC 27517
Provides management direction to Inpatient Social Work Care Managers, Care Managers, Utilization Managers, Clinical Social Workers, Clinical Authorization...
Desired Experience: Leadership Experience

Diabetes Sales Representative, - Greenville, NC A1CD102S

Angier, NC
Drives appropriate utilization of approved DCV products. Prioritizes time and effort to ensure optimal coverage of appropriate physician specialists, based on...
Desired Experience: Clean Driving Record, Driver's License

Orthodontists and Board Certified Physicians - Remote

National Medical Reviews Inc
Raleigh, NC
Under the direction of the Chief Medical Director, provides peer reviews services, which may include benefit coverage opinions, case reviews, claims auditing,...
Desired Experience: Patient Care, BC/BE
Easily apply

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....
Desired Experience: Clinical Documentation Certification, RN, Certified Nurse Practitioner, Supervising Experience, Clinical Documentation Improvement
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VP, Professional Services

Raleigh, NC
Proposal review and refinement. Directly supervise Software Implementation Project Managers, Implementation Specialists, and Trainers;...
Desired Experience: PMP, Process Improvement, Six Sigma Certification
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Chief Medical Officer North Carolina - Raleigh

Raleigh, NC 27617 (Central area)
Utilization Management experience and knowledge of quality accreditation standards preferred. Review case management data, identifies trends and gaps in care...
Desired Experience: Management Experience

SAS GRID Administrator (Linux OS)

Raleigh, NC
Responsible for all aspects of license auditing through regular reporting and review, ensuring software is licensed accurately, and coordinating with...
Desired Experience: Linux, Microsoft SQL Server, Data Mining, SAS, Oracle, LDAP, SQL, Active Directory, Project Management Methodology, AWS
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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...
Desired Experience: RN, ICD-10, ICD-9, Home Care
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