Top 51 Utilization management nurse Jobs in Chapel Hill, Nc

Field LPN, Full-time: Monday - Friday 8 am to 5 pm
TRANSITIONS LIFECARE —Raleigh, NC
- Full-time
- CPR Certification
- Computer literacy
- BLS Certification
Quick Apply
Care Manager - LP (Cherokee County, NC)
Vaya Health —North Carolina
- $62,993.84 - $75,000.00 a year
- Full-time
- LMFT
- Nursing
- Microsoft Excel
Innovations Care Manager (Cherokee County, NC)
Vaya Health —North Carolina
- $54,007.07 - $70,209.18 a year
- Weekends as needed
- Nursing
- Microsoft Excel
- Microsoft Outlook
Care Manager - LP (Vance County, NC)
Vaya Health —North Carolina
- $62,993.80 - $81,891.99 a year
- Full-time
- LMFT
- Nursing
- Microsoft Excel
Patient Admissions Officer - Advance Care at Home - Command Center
UNC Health —Chapel Hill, NC
- $38.55 - $55.43 an hour
- Part-time
- Hybrid work
- Nursing
- RN License
- Mid-level
RN Care Manager
UNC Health —Chapel Hill, NC
- Full-time
- Nursing
- RN License
- Mid-level
RN Patient Logistics Access Coordinator- UNC Capacity Command Center
UNC Health —Chapel Hill, NC
- $41.04 - $59.00 an hour
- Full-time
- Nursing
- RN License
- Mid-level
Case Manager PRN Weekends
Duke Health —Durham, NC
- Weekends as needed
- Master of Social Work
- Nursing
- Addiction Medicine
- Relocation assistance
Case Manager PRN
Duke Health —Durham, NC
- Weekends as needed
- Master of Social Work
- Nursing
- Addiction Medicine
- Relocation assistance
Patient Financial Coordinator - Transplant
Duke Health —Durham, NC
- Overtime
- Hybrid work
- Mid-level
- High school diploma or GED
- Contracts
12h
RN Care Manager - Women's & Children's Inpatient Services
UNC Health —Chapel Hill, NC
- $35.87 - $51.57 an hour
- Full-time
- Nursing
- RN License
- Inpatient
- Flexible schedule
Full Time Registered Nurse
Optum —Chapel Hill, NC
- $45.71 - $68.56 an hour
- Full-time
- CPR Certification
- RN License
- Writing skills
Quick Apply
6d
Medical Case Reviewer / Administrative Assistant (1099 Contractor)
Shikhara Corp —Raleigh, NC
- $30 - $35 an hour
- No weekends
- Background check
- RN License
- Mid-level
- Paid training
- Flexible schedule
Quick Apply
Senior Consultant - Clinical Documentation Specialist
Deloitte —Raleigh, NC
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Lead CCM Coordinator (LPN Req'd) - Hybrid
Avance Care —Durham, NC
- Full-time
- Background check
- Pass drug screening
- Mid-level
- Wellness program
- Health insurance
Quick Apply
Care Coordinator, RN
WakeMed Health & Hospitals —Cary, NC
- Full-time
- Nursing
- RN License
- Mid-level
RN Patient Logistic Transfer Specialist - Transfer Center
UNC Health —Raleigh, NC
- $33.37 - $47.97 an hour
- Weekends as needed
- Nursing
- RN License
- Mid-level
Transplant Coordinator, RN BSN - Abdominal Float
Duke Health —Durham, NC
- 8 hour shift
- Nursing
- Surgery
- RN License
Medical Field Case Manager
Enlyte —Raleigh, NC
- $70,600 - $80,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Health savings account
5d
Nurse Manager, Operations (NMO) ICU
Duke Health —Durham, NC
- Full-time
- Nursing
- Patient monitoring
- RN License
- Relocation assistance

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

Field LPN, Full-time: Monday - Friday 8 am to 5 pm

TRANSITIONS LIFECARE -
Raleigh, NC

Quick Apply

Job Details

Full-time | PRN

Qualifications

Computer operation
CPR Certification
Medicare
Computer literacy
BLS Certification
Medicare regulations
Computer skills
LPN

Full Job Description

The schedule for this role is Monday - Friday 8 am to 5 pm.
This is a full-time professional position. The LPN provides routine and prn visits for assigned patients under the supervision of the assigned RNCM and or IDG Team Leader. The LPN may also provide continuous nursing care for patients during a short-term period of crisis on a rotating basis and provide phone support to patients and their caregivers for their assigned team(s).

Responsibilities what you do

Provide and document safe, competent, compassionate hospice nursing care of assigned patients under the supervision of a registered nurse or physician. Nursing care is guided by the physician orders and the hospice plan of care. Patient response to care is reported to a registered nurse for evaluation, intervention and modification of the plan of care.
Provide and document telephone support to patients, families, physicians and partners to assist in immediate needs that may be able to be met at a distance. These needs may include, but are not limited to: Physician communication, obtaining orders, follow up on changes in patient condition and other tasks to assist in patient care from the office setting within the LPN scope of practice. LPNs will seek guidance and or direction for any situation that requires RN evaluation and modification of the established POC..
Responsible for reviewing supplemental orders, chart audits and other office duties as assigned.

Participate in own professional development by maintaining required nursing competencies and attending educational offerings.
Responsible for providing and documenting appropriate and relevant end of life information and education to patients and their families in compliance with current Centers for Medicare and Medicaid Services CMS Conditions of Participation (CoPs).
Responsible for performing facility chart audits, as assigned.
Responsible for professionally managing time, people and technology.
Monitors and manages the appropriate use of patients’ medical equipment, supplies and medications.
Collaborates with other Interdisciplinary Group (IDG) members to determine the patient’s level of care and coordinate the appropriate utilization of contract services.
Participate in the identification of clinical or operational performance improvement opportunities and assists in performance improvement activities.
Actively participates in the orientation and training of new employees of all disciplines.
Works collaboratively with IDG and other Transitions LifeCare (TL) departments in achieving patient care goals.
Performs other duties as assigned by supervisor.

Expectations how you do it

Model professionalism and empathy by consistently demonstrating compassion, respect, teamwork, and dedication in all interactions with coworkers, customers, and partners.
Adhere to all TL policies, procedures, and organizational guidelines, ensuring compliance in daily work and decision‑making.
Deliver care and services in accordance with ACHC Standards and Medicare Conditions of Participation when applicable to your role.
Comply with all relevant state and federal laws, regulations, and professional standards within your defined scope of responsibility.
Promptly communicate concerns, issues, or potential risks to your immediate supervisor or another member of the management team to support a safe and effective work environment

Requirements what you need

Licensed Practical Nurse with current NC license.
Minimum 2 years recent clinical experience. Hospice and/or home health or nursing home experience or equivalent preferred.
Hospice Nurse Certification preferred.
Knowledgeable about reimbursement sources, Medicare regulations, licensing laws, and accreditation standards.
Competent computer skills.
Must have reliable transportation.
Current CPR certification.
Must be able to travel to, enter and function in the homes/facility of any patient/family in the service area to assess and provide care to all patients.
May be required to lift and/or carry items up to 50 pounds.
Must have sensory abilities to complete physical assessment, communicate with patient/family care providers and physician and to complete the reporting and follow-up documentation responsibilities of the job. Workdays and scheduled hours with weekend and holiday commitments as outlined in Employee Information Agreement.

Environmental Factors

Tasks with potential for exposure to blood borne pathogens.
May be potentially exposed to communicable diseases or bodily fluids.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

Refine Your Search

utilization management nurse jobs in chapel hill, nc

Field LPN, Full-time: Monday - Friday 8 am to 5 pm

Care Manager - LP (Cherokee County, NC)

Innovations Care Manager (Cherokee County, NC)

Care Manager - LP (Vance County, NC)

Patient Admissions Officer - Advance Care at Home - Command Center

RN Care Manager

RN Patient Logistics Access Coordinator- UNC Capacity Command Center

Case Manager PRN Weekends

Case Manager PRN

Patient Financial Coordinator - Transplant

RN Care Manager - Women's & Children's Inpatient Services

Full Time Registered Nurse

Medical Case Reviewer / Administrative Assistant (1099 Contractor)

Senior Consultant - Clinical Documentation Specialist

Lead CCM Coordinator (LPN Req'd) - Hybrid

Care Coordinator, RN

RN Patient Logistic Transfer Specialist - Transfer Center

Transplant Coordinator, RN BSN - Abdominal Float

Medical Field Case Manager

Nurse Manager, Operations (NMO) ICU

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

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected