Top 77 Utilization management Jobs in Greensboro, Nc

Value Based Care Representative
Bethany Medical —High Point, NC
- Full-time
- Mid-level
- Office
- Analysis skills
- Paid holidays
- Disability insurance
Quick Apply
12d
RN Care Manager - Primarily remote - Greensboro, NC
Cityblock Health —Greensboro, NC
- $85,000 - $95,000 a year
- Full-time
- Nursing
- Current TB test
- Mid-level
- Health insurance
- Paid time off
Surgery Coordinator
Atrium Health —Greensboro, NC
- $21.85 - $32.80 an hour
- Full-time
- Surgery
- Mid-level
- Office
- Paid parental leave
- Disability insurance
CAP Case Manager - PRN
AuthoraCare Collective —Greensboro, NC
- Part-time
- Hybrid work
- Mid-level
- Driver's License
- Bachelor's degree
Quick Apply
Qualified Professional
Turning Point Relations —High Point, NC
- Part-time
- CPR Certification
- Addiction Medicine
- Experience working with individuals with disabilities
Quick Apply
Diversion Specialist - QP (Rowan/Alamance/Guilford Co., NC)
Vaya Health —Greensboro, NC
- $46,302.35 - $60,193.06 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
4d
Quality Care Manager
Randolph Health —Asheboro, NC
- $430 a day
- Full-time
- Nursing
- RN License
- Hospital
Qualified Professional PSR
SPRING LIFE BEHAVIORAL CARE LLC —High Point, NC
- $15 - $30 an hour
- Mid-level
- Office
- Master's degree
Certified Alcohol and Drug Counselor
RHA Health Services, LLC —Burlington, NC
- Full-time
- Experience working with individuals with developmental disabilities
- Addiction Medicine
- Mid-level
- Health insurance
- Paid time off
Quick Apply
11d
Nurse Manager, Behavioral Health Services
Signet Health Corporation —Guilford County, NC
- Full-time
- Nursing
- Psychiatry
- RN License
- Disability insurance
- Relocation assistance
9d
Licensed Mental Health Counselor
Lavni Inc —North Carolina
- From $50 an hour
- Part-time
- Remote
- Master of Social Work
- Microsoft Excel
- Psychiatry
Quick Apply
Hospice Registered Nurse Case Manager
Well Care Hospice, Inc. —Greensboro, NC
- Weekends as needed
- CPR Certification
- Nursing
- RN License
Quick Apply
Care Manager - LP (Vance County, NC)
Vaya Health —North Carolina
- $62,993.80 - $81,891.99 a year
- Full-time
- LMFT
- Nursing
- Microsoft Excel
Care Manager - LP (Rowan County, NC)
Vaya Health —North Carolina
- $62,993.84 - $75,000.00 a year
- Full-time
- LMFT
- Nursing
- Microsoft Excel
Travel RN - Case Management/Utilization Review - Case Management
American Traveler —Burlington, NC
- $2,326 a week
- Weekends as needed
- Acute care
- RN License
- Hospital
Quick Apply
Manager, Radiology
Cone Health —Greensboro, NC
- CPR Certification
- BLS Certification
- Senior level
Care Management Nurse Consultant, RN (Hickory/Forest City, NC)
Partners Behavioral Health Management —Winston-Salem, NC
- Full-time
- Spanish
- Nursing
- Microsoft Excel
- Paid holidays
- Disability insurance
Home Care Supervisor
Diamond Home Health Care Services Inc —Greensboro, NC
- $35 - $40 an hour
- Nursing
- RN License
- Mid-level
Quick Apply
Social Worker Care Manager Lead
Cone Health —Burlington, NC
- On call
- CPR Certification
- BLS Certification
- Licensed Clinical Social Worker
12d
RN CAP Case Manager - PRN
AuthoraCare Collective —Greensboro, NC
- Part-time
- Hybrid work
- Nursing
- Mid-level
- Driver's License
Quick Apply
13h

I want to receive the latest job alert for utilization management in greensboro, nc

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Value Based Care Representative

Bethany Medical -
High Point, NC

Quick Apply

Job Details

Full-time
12 days ago

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Collaborate with healthcare professionals
Medical performance measurement report preparation
Program design
Data visualization software proficiency
Data Integration (Data management)
Business intelligence
Phone communication
Maintaining patient confidentiality
Practice management software
Patient management software
Metrics Reporting
Mid-level
Cost control
Quality reports
Quality control data reporting
Medical administrative support
ICD-10
Analysis skills
Bachelor's degree
Clinical performance metrics
Cost analysis
Clinical program data analysis
Conflict management
Clinical outcome improvement
Management reporting
Patient interaction
Clinical data analysis
Healthcare performance metrics analysis
Data visualization projects
Communication skills

Full Job Description

Job description

“The Largest Independent Established Multi-Specialty Group in Central North Carolina is Seeking a Value-Based Care Representative to join our Team!”

VOTED “BUSINESS OF THE YEAR” 2018

VOTED ONE OF THE “FASTEST GROWING COMPANIES IN THE TRIAD” 2019, 2020, 2021, and 2022

Our mission at BMC is to provide excellent care through a multi-specialty approach from prevention to intervention of potentially life-threatening health problems. Seeking a Value-Based Care Representative for our Triad locations that include Greensboro, High Point, Winston-Salem, Kernersville, Mt Airy, and North Wilkesboro, North Carolina. They will work out of our High Point Corporate Office, will report to the Manager of VBC and the COO, and will work with the existing Value-Based Care Team.

__
**

Job Purpose:

Value-Based Care Representative works with the medical leadership and value-based care team to improve provider performance on QC clinical quality metrics, hierarchical condition category (HCC) coding metrics, utilization and steerage efficiencies, and cost control metrics. This position uses data and reporting on clinical performance for direct-to-provider interventions and strategic improvement, focusing on user experience, education, EMR data, and workflow enhancements, and implementation of enhanced QC knowledge.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Uses VBC reporting on HEDIS/STARS quality, HCC/RAF coding, healthcare service cost and utilization, patient steerage patterns, etc., to design and implement innovative performance improvement strategies for practices and providers.
Collaborates with the medical leadership team to understand barriers to closing quality care gaps and effectively coding for services performed.
Interprets information from multiple data sources (internal, ACO, and third-party payer) to create a comprehensive performance visualization.
Applies knowledge of healthcare systems, operations, program design and implementation, technology, and innovation to maximize data impact.

EXPECTATION OF EMPLOYEE:

Collaborative team-first attitude, transparently sharing ideas and data.
Works well within a team atmosphere, flexible to pivot in approach
Demonstrates proficient computer skills, including EMRs
Uses strong attention to detail, advanced problem-solving, and complex reasoning to effectively produce change and demonstrate impact.
Performs administrative duties as workload necessitates
Possess a working knowledge of healthcare coding (ICD 10, CPT codes, etc.)
Demonstrates strong knowledge of provider workflows and practice performance
Maintains company confidentiality in all areas
Possess a strong knowledge of health care models, including ACOs
Uses superior communication skills- Speaks effectively in all environments; listens, requests clarification, and responds well to feedback.
Demonstrates flexible and efficient time management and ability to prioritize workload

QUALIFICATIONS:

2+ years of experience in the health industry; care gap management and/or coding preferred
2+ years of experience working with medical professionals preferred; clinical experience, provider relations, value-based care, etc.
Organized and self-motivated
Proficient computer skills, including Word and Excel spreadsheets, data entry, electronic medical record (EMR) / Practice Management (PM) systems, and analysis tools
Excellent communication skills with the ability to work collaboratively with physicians, staff, and external organizations
Strong phone skills, comfortable with patient engagement
Strong customer service skills
Ability to manage multiple tasks/projects simultaneously
Comfortable with continuous change and self-initiating

Use conflict resolution skills when reaching consensus about plans of care and treatment decisions
Experience with Value-Based Care programs required.

EDUCATION:

A bachelor’s degree in a related field is preferred

LICENSURE/CERTIFICATION/REGISTRY/LISTING:

PREFERRED:

Certified Medical Assistant certificate preferred. RNs also welcome to apply

BETHANY MEDICAL OFFERS A FULL BENEFITS PACKAGE TO INCLUDE:

Employee medical/dental/vision insurance. Family coverage is available at a discounted rate
Employee Life Insurance
Generous PTO and paid company holidays
Employee Short-Term Disability
401-K with company matching
**Earned Wage Access (EWA)** – Get part of your earned pay before payday

About Bethany Medical:

Bethany Medical is the largest independent, established multi-specialty group in Central North Carolina, serving the Triad and surrounding communities for over 35 years. Bethany Medical is open 7 days a week, with 13 convenient locations and 16 practices in Greensboro, Winston-Salem, High Point, Kernersville, Jamestown, North Wilkesboro, and Mt. Airy, North Carolina. We have grown to provide the facilities, staff, and support to offer urgent care, primary care, diagnostic testing, outpatient ancillary, and specialty care services onsite. Bethany Medical Center is staffed with board-certified physicians and providers representing over 16 medical specialties. Practice staff members are known for treating each patient with prompt, personalized care and attention. Bethany Medical employs over 60 providers and over 520 employees. You are invited to learn more about Bethany Medical at www.bethanymedicalcenter.com

About the Triad:

The Triad area includes Greensboro (the 3rd third-largest city in NC), Winston-Salem, High Point, and the surrounding area. The Triad is centrally located in NC with a population of 1.9 million. The Triad is 1 hour from the mountains and 3 hours from the beach. Charlotte and Raleigh are 1.5 hours from the Triad. The Triad offers all the amenities of a larger city without all the traffic. The Piedmont Triad International Airport is conveniently located in Greensboro with convenient non-stop flights to most major cities. Enjoy an outstanding quality of life with no shortage of arts, entertainment, recreation, shopping, and hundreds of restaurants. The Triad is home to 85 colleges and universities, including Wake Forest University, High Point University, UNC-Greensboro, NC A&T, Guilford College, Bennett College, and Greensboro College.

Job Type: Full-time

#IND102

lheZ1sZmSn

Quick Apply

Refine Your Search

utilization management jobs in greensboro, nc

Value Based Care Representative

RN Care Manager - Primarily remote - Greensboro, NC

Surgery Coordinator

CAP Case Manager - PRN

Qualified Professional

Diversion Specialist - QP (Rowan/Alamance/Guilford Co., NC)

Quality Care Manager

Qualified Professional PSR

Certified Alcohol and Drug Counselor

Nurse Manager, Behavioral Health Services

Licensed Mental Health Counselor

Hospice Registered Nurse Case Manager

Care Manager - LP (Vance County, NC)

Care Manager - LP (Rowan County, NC)

Travel RN - Case Management/Utilization Review - Case Management

Manager, Radiology

Care Management Nurse Consultant, RN (Hickory/Forest City, NC)

Home Care Supervisor

Social Worker Care Manager Lead

RN CAP Case Manager - PRN

I want to receive the latest job alert for utilization management in greensboro, nc

Related Searches

Explore jobs in more locations

Job description

Job Seeker Tools

Employer Tools

Browse

Stay Connected