Top 14 Utilization management nurse Jobs in Jacksonville, Nc

Licensed Practical/Vocational Nurse (LPN/LVN)
ERP International —Camp Lejeune, NC
- Urgently hiring
- Background check
- Nursing
- LVN
- Health savings account
- Paid holidays
Certified Nursing Aide - In Home AIde
Onslow County Government —Jacksonville, NC
- $19.00 - $24.70 an hour
- Full-time
- In person
- CPR Certification
- Customer service
- BLS Certification
- Mileage reimbursement
- Health savings account
Quick Apply
Hospice Nurse, RN
3HC HOME HEALTH & HOSPICE CARE INC —Pollocksville, NC
- Full-time
- CPR Certification
- Nursing
- RN License
- Continuing education credits
Quick Apply
Appeal Analyst RN | Remote | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply

Related jobs to explore

Based on your search for utilization management nurse

Director of Clinical Services
Confidential —Wilmington, NC
Bachelor’s degree in related field. Master’s degree in related field (i.e. MBA/MHA). Ensure Practice compliance with local, state and federal regulatory…
From $95,000 a year
Quick Apply
Mental Health Supervisor, RN
ONSLOW MEMORIAL HOSPITAL —Jacksonville, NC
Minimum of a bachelor’s degree in nursing. Experience in the care of children, teens and adults with behavioral or mental health conditions.

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Patient Support Nurse
Valeris, Inc. —Columbus, OH
Must have active RN licensure in current state of practice. 2-3 years of nursing experience with relevant disease state experience preferred.
Quick Apply
6d
Registered Nurse, Care Coordinator - Cerebral Palsy (PFK)
Nationwide Children's Hospital —Columbus, OH
Valid Ohio driver’s license and proof of auto insurance as required by hospital policy. Pediatric certification, Advanced-Continuity of Care Certification (A-…

Show more jobs in cities nearby

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

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

Explore jobs in more locations

utilization management nurse jobs near jacksonville, nc

Licensed Practical/Vocational Nurse (LPN/LVN)

ERP International -
Camp Lejeune, NC

Apply Now

Job Details

Full-time

Benefits

License reimbursement
Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
Vision insurance
401(k) matching
Paid sick time

Qualifications

BLS Certification
Patient care
Healthcare Provider Certification

Full Job Description

Overview:

ERP International is seeking full-time Licensed Practical/Vocational Nurses (LPN/LVN) in support of Referral Management Center at the Naval Medical Center Camp Lejeune, NC. Apply online today and discover more about this outstanding employment opportunity. www.erpinternational.com

Be the Best! Join our team of exceptional health care professionals across the nation. Come discover the immense pride and job satisfaction ERP Employees experience in providing care for our Military Members, their Families and Retired Military Veterans! ERP International is honored to be named a 2026 Top Workplace by WTOP News! 7 Years Running.

We appreciate your interest in becoming part of our team. Although this requisition does not apply to a specific immediate opening , we value proactive candidates like yourself who are looking to build a meaningful career with ERP International. We will keep your application on file and contact you when suitable opportunities arise. (Applying for the future openings posting does not guarantee employment).

Excellent Compensation & Exceptional Comprehensive Benefits!
Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays!
Medical/Dental/Vision, STD/LTD/Life and Health Savings Account available!
Annual CME Stipend and License/Certification Reimbursement!
Matching 401K!

About ERP International, LLC: ERP is a nationally respected provider of health, science, and technology solutions supporting clients in the government and commercial sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states. Founded in 2006, ERP is headquartered in Laurel, MD and maintains satellite offices in Montgomery, AL and San Antonio, TX - plus project locations nationwide. ERP is an Equal Opportunity Employer - Disability and Veteran.

Responsibilities:

Work Schedule:

Monday - Friday between 7:30am to 4:30pm

No weekends

No On-Call or Call-Back

Core Duties:

Reviews referrals for administrative, clinical completeness and appropriateness. Validates requested medical service, and authorizes surgery/medical procedures, laboratory, radiology, pharmacy, and general hospital procedures and regulations. Collaborates with TRICARE Regional Office Clinical Liaison Nurse and MTF Liaison to address any process issues or concerns.
Schedules referral appointments in accordance with required Access to Care Standards within the direct care system or outside the MTF with network/non-network providers for 90% of all referrals.
Provides timely, descriptive feedback regarding utilization review issues.
Reviews and enters first right of refusal referrals into CHCS and database within one (1) business day of the date of the referral.
Submits referrals to non-network providers to TRICARE Service Center (TSC) for processing.
Receives and makes patient telephone calls and computer/written correspondence regarding specialty clinic appointments and referrals.
Tracks referral reports; obtain referral results within the required timelines and follow up with as necessary. Documents that paper referral results are properly filed in patient’s health record.

Qualifications:

Minimum Qualifications:

Degree: Certificate
Education: Graduation from a State Board of Nursing approved LPN/LVN training program or completion of equivalent military training that permits sitting for the State licensure examination.
Certification: Possess a current AHA or ARC BLS Healthcare Provider certification
Experience: Current experience requirement is one year in the last two years as a practical or vocational nurse.
Licensure: Current, full, active and unrestricted license as a practical or vocational nurse.
Security: Must possess ability to pass a Government background check/security clearance.

Apply Now

Refine Your Search

utilization management nurse jobs in jacksonville, nc

Licensed Practical/Vocational Nurse (LPN/LVN)

Certified Nursing Aide - In Home AIde

Hospice Nurse, RN

Appeal Analyst RN | Remote | Contract

Related jobs to explore

Explore jobs in cities nearby

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

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected