5 utilization nurse jobs at 5 companies in Charlotte, NC
2w
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Utilization Revenue Coordinator PRN
Charlotte, North Carolina, United States
$36-$53/hr OnsitePart Time
Graduation from an accredited school of nursing with applicable state RN licensure required; BLS for Healthcare Provider required; clinical documentation and case review experience preferred.
4w
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Utilization Review RN Appeals Specialist
Gastonia, North Carolina, United States
OnsiteFull Time
3+ YOECurrent state RN license, bachelor's degree with strong clinical background required, 3+ years clinical experience, 1 year appeal writing experience, knowledge of payer regulations and InterQual, excellent writing and communication skills.
InterQual
1mo
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Manager, Medical Utilization and Care Management
Charlotte or Denver or New York
$95k-$130k/yr OnsiteFull Time
5+ YOE2+ MgmtActive unrestricted RN license,5+ years in utilization/care/case management,2+ years leadership,knowledge of medical necessity reviews,care coordination,URAC/NCQA familiarity;CCM/CMGT-BC/HCQM preferred.
1mo
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Registered Nurse (RN) - Case Manager PRN
Hickory, North Carolina, United States
OnsitePart Time
1+ YOECurrent state RN license required, BLS required, ACMA/CCM highly preferred, 1+ years case management experience preferred, performs assessments, utilization review, documentation, and interdisciplinary care coordination.
EMR, MCG Criteria
1w
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RN Care Manager - Charlotte Market
Charlotte, North Carolina, United States
RemoteFull Time
2+ YOEAssociate degree in nursing, active unrestricted RN license, and 2+ years of clinical experience required. Case management, utilization review, home health, or discharge planning experience preferred.
Microsoft Office, ICD-10, CPT, HCPCS, HEDIS, CMS