Top 396 Benchmark physical Jobs in North Carolina

Physical Health Registered Nurse (Remote)
Vaya Health —North Carolina
- $68,033.34 - $88,443.35 a year
- Weekends as needed
- Remote
- Nursing
- RN License
- Computer literacy
11d
Advanced Inspection Programmer
restor3d —Durham, NC
- $45 - $48 an hour
- Microsoft Excel
- Microsoft Outlook
- Writing skills
Quick Apply
Manager of Sales Training & Enablement
Ashton Woods —Raleigh, NC
- Full-time
- Microsoft Outlook
- Construction site
- Ability to walk for extended periods
Exercise Physiologist
Duke Health —Mooresville, NC
- Full-time
- Hospital
- Mid-level
- ACLS Certification
Injury Prevention Specialist
Amazon.com Services LLC —Charlotte, NC
- $60,200 - $90,200 a year
- Full-time
- CPR Certification
- BLS Certification
- Mid-level
- Wellness program
- AD&D insurance
Senior Analyst - Chassis Management
EDRAY —Charlotte, NC
- Full-time
- Mid-level
- Bachelor's degree
- Ability to sit for extended periods
Quick Apply
Director- Asset Management
Wake County Public School System —Cary, NC
- Weekends as needed
- School experience
- Computer Science
- 5 years
Senior Customer Success Manager
Clever Devices Ltd. —Apex, NC
- $120,000 - $150,000 a year
- Full-time
- Contracts
- Budgeting
- Training & development
- Paid holidays
- Disability insurance
Quick Apply
Senior Director of Reentry
Arise Collective —Raleigh, NC
- $95,000 - $110,000 a year
- Full-time
- Doctoral degree
- Licensed Clinical Social Worker
- 11+ years
- Health insurance
- Dental insurance
Engineer, Whole Vehicle Test Requirements and Validation – Body Interior
Scout Motors —Charlotte, NC
- $110,000 - $135,000 a year
- Full-time
- 18 years or older
- Mid-level
- Office
- Paid jury duty
- Paid parental leave
Quick Apply
Strategy & Planning Manager (Remote)
Cisco Systems —Research Triangle Park, NC
- $155,300 - $317,600 a year
- Full-time
- Remote
- Analysis skills
- Bachelor's degree
- US work authorization
- Paid parental leave
- Paid holidays
7d
Senior Physical Security Program Manager Implementation, Worldwide Operations Security (WWOS)
Amazon.com Services LLC —Charlotte, NC
- $114,500 - $172,100 a year
- Full-time
- Construction site
- 5 years
- Analysis skills
- AD&D insurance
- Health insurance
12d
Compliance Quality Assurance and Auditing
Fairstead ESC LLC —Charlotte, NC
- $65,000 - $90,000 a year
- Mid-level
- Quality control
- Travel
- Paid holidays
- Disability insurance
Quick Apply
1d
CNC Machinist for Vertical Turning Center
J. C. Steele and Sons Inc. —Statesville, NC
- $24.00 - $29.81 an hour
- Full-time
- Mid-level
- 3 years
- Ability to lift 50 pounds
- Profit sharing
- Disability insurance
Quick Apply
1d
Electrical Mechanic
RD Graham Electric —Wilmington, NC
- Full-time
- Construction site
- Mid-level
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
Quick Apply
Electrical Foreman
RD Graham Electric —Wilmington, NC
- Full-time
- Construction site
- Mid-level
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
Quick Apply
CDL A Owner Operator Truck Driver
Dana Transport, Inc —Raleigh, NC
- Overtime
- Clean driving record
- Owner-operator
- Hazmat Endorsement
- Paid training
- Employee discount
Quick Apply
CDL A Owner Operator Truck Driver
Dana Transport, Inc —Greensboro, NC
- Overtime
- Clean driving record
- Owner-operator
- Hazmat Endorsement
- Paid training
- Employee discount
Quick Apply
CDL A Owner Operator Truck Driver
Dana Transport, Inc —Durham, NC
- Overtime
- Clean driving record
- Owner-operator
- Hazmat Endorsement
- Paid training
- Employee discount
Quick Apply
Local CDL B Concrete Delivery Truck Driver
Chaney Enterprises —Roxboro, NC
- $21 - $28 an hour
- Full-time
- CDL B
- DOT physical examination
- Local
- Profit sharing
- Disability insurance

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benchmark physical jobs near north carolina

Physical Health Registered Nurse (Remote)

Vaya Health -
North Carolina

Apply Now

Job Details

Full-time
$68,033.34 - $88,443.35 a year
11 days ago

Qualifications

Computer operation
Nursing
Managed care organization experience
Computer literacy
Coaching
Patient management software
Acute care facility experience
EMR/EHR
Utilization management
Conflict management
Mentoring
Resource utilization in healthcare
Productivity software
Benchmarking
Associate's degree
Associate Degree in Nursing
Healthcare data reporting
Nursing

Full Job Description

LOCATION: Remote – this a home based, virtual position that operates Monday – Friday from 8:30am-5:00pm EST. Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL.

GENERAL STATEMENT OF JOB

The Physical Health Registered Nurse is responsible for completing clinical reviews for appropriateness, medical necessity, and quality. The Physical Health Registered Nurse applies standardized clinical review criteria to determine medical necessity for service authorization requests. The Physical Health Registered Nurse refers service authorization requests to an appropriate physician peer reviewer when medical necessity criteria are not clearly met. Reviews performed by the individual in this position may be pre-service, concurrent, or retrospective in nature. This position is part of a team of nurses, physicians, psychologists, pharmacists and non-clinical associates who work closely to care for our members.

The day-to-day operations of the Physical Health Utilization Management Department require coverage on weekends and holidays. The incumbent in this position will be required to participate in a rotation to ensure coverage every day including weekends and holidays. The amount of work on scheduled weekends and holidays will be subject to change.

ESSENTIAL JOB FUNCTIONS

Process requests for authorization of services:

Responsible for reviewing requests for authorization of services including inpatient hospital admissions, re-admissions, inpatient rehabilitation services, skilled nursing admissions, home care /home infusion services, outpatient and/or inpatient services as designated.
Documents timely decisions and actions taken within the managed care information system (MCIS).
Meets contractual timelines for completion of review activities
Communicates and interacts with providers as well as internal and external partners to facilitate and coordinate the activities of the UM process.
Utilizes technology (computer-based systems) and resources to support work activities appropriately.
Communicates determinations to providers per established business process

Supporting UM Functions:

Actively participates in all required staff meetings and complex case rounds
Perform discharge planning to achieve safe and timely enrollee discharges from hospitals and facilities
Successfully completes Inter-rater Reliability (IRR) training, exams, and testing with at least an 80% passing rate or above thresholds established by management
Follows all UM workflow processes

All other duties as assigned in support of UM functions.

KNOWLEDGE, SKILLS, & ABILITIES

This position requires a high degree of autonomy, professional relationships and organizational skills. Applicants with thorough knowledge of the following are prioritized:

Primary care, behavioral health and healthcare system in NC;
Vaya Health Provider Network;
Medical practice workflows;
Vaya contracts with the NC Department of Heath and Human Services (NCDHHS) and other contracts for which Vaya is responsible;
Vaya organizational purpose/role per federal and state statute, strategic plan, leadership and departmental roles, relationships and scope;
Federal and state confidentiality requirements;
Member and staff health & safety requirements;
Corporate compliance requirements;
Vaya Policies and Procedures;
Project management principles.

Additional required skills and abilities include but are not limited to the following:

Clear, concise and appropriate verbal, written and electronic communication;
Ability to present in large group settings;
Ability to adapt to rapid changes;
Effectively implement new initiatives;
Computer literacy and familiarity with Microsoft Office software as well as Vaya's Administrative Health Record and/or Care Management Platform, Vaya’s Member Services and UM Platform.
Strong conceptual skills, with knowledge and skill in problem-solving, decision-making, conflict resolutions, and critical thinking.
Ability to mentor, coach and facilitate change and innovation.
Ability to develop reporting mechanisms that will produce data needed to support and benchmark quality initiatives.

PHYSICAL REQUIREMENTS

Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
Mental concentration is required in all aspects of work.

EDUCATION & EXPERIENCE REQUIREMENTS

Associate Degree in Nursing required. Bachelor’s Degree in Nursing preferred.

Five (5) years of clinical experience preferably across the continuum of care with at least two years of acute care experience.
Experience performing utilization management functions in a managed care setting.
Proficient at using software programs such as Microsoft Office tools.

Licensure/Certification Required:

Active and unrestricted RN License in the State of North Carolina or Nurse Licensure Compact (NLC) license.

RESIDENCY REQUIREMENTS: The person in this position must live in NC, SC, GA, TN, VA, MD, or FL.

SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation.

DEADLINE FOR APPLICATION: Open Until Filled

APPLY: Vaya Health accepts online applications in our Career Center, please visit https://www.vayahealth.com/about/careers/.

Vaya Health is an equal opportunity employer.

Apply Now

Refine Your Search

benchmark physical jobs in north carolina

Physical Health Registered Nurse (Remote)

Advanced Inspection Programmer

Manager of Sales Training & Enablement

Exercise Physiologist

Injury Prevention Specialist

Senior Analyst - Chassis Management

Director- Asset Management

Senior Customer Success Manager

Senior Director of Reentry

Engineer, Whole Vehicle Test Requirements and Validation – Body Interior

Strategy & Planning Manager (Remote)

Senior Physical Security Program Manager Implementation, Worldwide Operations Security (WWOS)

Compliance Quality Assurance and Auditing

CNC Machinist for Vertical Turning Center

Electrical Mechanic

Electrical Foreman

CDL A Owner Operator Truck Driver

CDL A Owner Operator Truck Driver

CDL A Owner Operator Truck Driver

Local CDL B Concrete Delivery Truck Driver

I want to receive the latest job alert for benchmark physical in north carolina

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