Top 35 Utilization management Jobs in Hickory, Nc

Care Management Nurse Consultant, RN (Hickory/Forest City, NC)
Partners Behavioral Health Management —Hickory, NC
- Full-time
- Spanish
- Nursing
- Microsoft Excel
- Paid holidays
- Disability insurance
Clinic Coordinator III - Family Medicine
Atrium Health —Conover, NC
- $41.10 - $61.65 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Paid parental leave
- Disability insurance
9d
Quality Coordinator
Kintegra Health —Conover, NC
- Full-time
- Nursing
- Microsoft Excel
- Mid-level
Quick Apply
Substance Abuse Specialist
RHA Health Services, LLC —Taylorsville, NC
- $48,000 - $62,000 a year
- Full-time
- Addiction Medicine
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
- Paid time off
Quick Apply
Licensed Mental Health Counselor
Lavni Inc —North Carolina
- From $50 an hour
- Part-time
- Remote
- Master of Social Work
- Microsoft Excel
- Psychiatry
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
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
Occupational Health Nurse
Corning —Newton, NC
- $61,911 - $85,128 a year
- Full-time
- CPR Certification
- Nursing
- Customer service
- Paid parental leave
- Disability insurance
SOCIAL WORKERS BSW PRN
UNC Health Blue Ridge —Morganton, NC
- PRN
- Home Health
- Social Work
- 1 year
Home Health Clinical Manager
Centerwell —Lincolnton, NC
- $77,200 - $106,200 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Registered Nurse (RN) - Case Manager PRN
Frye Regional Medical Center —Hickory, NC
- Part-time
- Acute care
- Nursing
- OSHA
Quick Apply
Social Worker (MSW) - Hickory YMCA
UNC Health —Hickory, NC
- $26.85 - $38.61 an hour
- Full-time
- Master of Social Work
- Mid-level
- Social Work
Registered Nurse
Optum —Hickory, NC
- $34.46 - $62.03 an hour
- Full-time
- CPR Certification
- RN License
- Writing skills
Quick Apply
Registered Nurse - Home Health Lincoln FT Days
Atrium Health —Lincolnton, NC
- $35.50 - $53.25 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Paid parental leave
- Disability insurance
Licensed Practical Nurse (LPN) - Home Health Lincoln FT Days
Atrium Health —Lincolnton, NC
- Full-time
- Microsoft Word
- CPR Certification
- Computer literacy
- Paid parental leave
- Disability insurance
3d
TeamVision - Patient Care Coordinator
TeamVision —Denver, NC
- Full-time
- HIPAA
- Mid-level
- Administrative experience
- Health insurance
- Paid time off
Registered Nurse (Home Health)
Optum —Hickory, NC
- $71,677 - $107,516 a year
- Full-time
- CPR Certification
- RN License
- Writing skills
Quick Apply
Grad Pharmacist
CVS Health —Hickory, NC
- $19.75 - $42.00 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Patient monitoring
- Dental insurance
- Vision insurance
Physical Therapist - Open Your Own Clinic!
Ivy Rehab Physical Therapy —Hickory, NC
- $90,000 - $110,000 a year
- Full-time
- Physical & Rehabilitation Medicine
- Mid-level
- Outpatient experience
- Continuing education credits
- Paid parental leave
Quick Apply
14d

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utilization management jobs near hickory, nc

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

Partners Behavioral Health Management -
Hickory, NC

Apply Now

Job Details

Full-time

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Pension plan
Vision insurance
401(k) matching
Loan forgiveness

Qualifications

RN License
Employee relationship building
Stakeholder relationship building

Full Job Description

Competitive Compensation & Benefits Package!

Position eligible for –

Annual incentive bonus plan
Medical, dental, and vision insurance with low deductible/low cost health plan
Generous vacation and sick time accrual
12 paid holidays
State Retirement (pension plan)
401(k) Plan with employer match
Company paid life and disability insurance
Wellness Programs
Public Service Loan Forgiveness Qualifying Employer

See attachment for additional details.

Office Location: Available for Hickory and Forest City NC locations; Remote Option

Projected Hiring Range: Depending on Experience
Closing Date: Open Until Filled

Primary Purpose of Position: This position is responsible for providing proactive intervention and care management consultation and support to promote high quality, whole person care for individuals with behavioral health (BH), intellectual/developmental disabilities (IDD), and/or traumatic brain injury (TBI) with or at risk for physical health complexities. The focus of this position is to ensure that individuals receive appropriate collaborative care assessment and services. This is a mobile position with work done in a variety of locations. Travel is an essential function of this position.

Role and Responsibilities:

The Care Management Nurse Consultant is responsible for (though not limited to):

Provides physical health expertise and consultation
Serves as the point of contact regarding collaborative care for care management teams
Uses available data and medical information to provide proactive consultation and advice to the dedicated care managers regarding action steps needed to promote and/or improve member health
Provides direct care management support as needed (informing, educating, linking, phone communication with member or collaterals, participation in care team meetings)
Participates in clinical huddles/rounds with care managers, clinical and medical leadership
Take lead on scheduling, presenting and providing updates in clinical huddles when indicated
Facilitates medication reconciliation
Assists department leadership in staff training and development, supporting care managers in development of necessary skills and resources to improve member health status
Provides guidance to care management staff on using Healthwise topics for health education and promotion with members
Measures results of intervention and treatment, including reduction in high risk events and inappropriate service utilization
Assists in quality of care monitoring through review of care plans, medical records, critical incident reports and other sources of information and provide consultation on quality of medical care or recommend areas for quality improvement.
Analyzes medical, psychiatric, behavioral health diagnosis and medication data reports to identify potential contraindications in treatment on a scheduled basis
Participates actively in learning collaborative with other Care Management nurses
Will serve as tailored care manager for an identified high cost/high risk population and complete all needed assessments and reviews for care management.
Will participate and complete other duties as assigned.

Knowledge, Skills and Abilities:

Ability to provide consultative supports for physical health diagnosis and treatment to include education, assessment, and care planning for whole person care.
Understanding of the Diagnostic and Statistical Manual of Mental Disorders (current version).
Considerable knowledge of the IDD/TBI/MH/SUD service array provided through the network of the LME/MCO’s Providers.
Knowledge of NC Medicaid, Managed Care, NC Innovations Waiver, 1915i option, LTSS, Tailored Plan and Standard Plans.
Ability to analyze data and use data to drive decision-making.
Ability to provide effective and clinically sound consultation/education/training to others.
Ability to establish and maintain positive and effective working relationships with others both within the agency and community.
Exceptional interpersonal and communication skills.
Excellent computer skills including proficiency in Microsoft Office products (Word, Excel, Outlook, and PowerPoint).
Excellent problem solving, negotiation, arbitration, and conflict resolution skills.
Detail-oriented, able to organize multiple tasks and priorities and effectively manage projects from start to finish.
Ability to make prompt independent decisions based upon relevant facts, to establish rapport and maintain effective working relationships.
Ability to change the focus of his/her activities to meet changing priorities.

Education/Experience Required:

Licensed to practice as a Registered Nurse in North Carolina and two years of experience in intellectual and developmental disabilities, traumatic brain injury, and/or behavioral health

AND

Must reside in North Carolina
Must have ability to travel regularly as needed to perform job duties

Education/Experience Preferred:

Licensed to practice as a Registered Nurse in North Carolina and two years of experience in psychiatric nursing with dually diagnosed MH/IDD; care management/care coordination experience. Experience in collaborative care. Fluency in written and verbal bi-lingual Spanish/English language expertise.

Licensure/Certification Requirements:

Must be licensed as a Registered Nurse in North Carolina. Employee is responsible for complying with respective licensure board’s continuing education/training requirements in order to maintain an active license.

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Refine Your Search

utilization management jobs in hickory, nc

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

Clinic Coordinator III - Family Medicine

Quality Coordinator

Substance Abuse Specialist

Licensed Mental Health Counselor

Care Manager - LP (Cherokee County, NC)

Care Manager - LP (Vance County, NC)

Care Manager - LP (Rowan County, NC)

Occupational Health Nurse

SOCIAL WORKERS BSW PRN

Home Health Clinical Manager

Registered Nurse (RN) - Case Manager PRN

Social Worker (MSW) - Hickory YMCA

Registered Nurse

Registered Nurse - Home Health Lincoln FT Days

Licensed Practical Nurse (LPN) - Home Health Lincoln FT Days

TeamVision - Patient Care Coordinator

Registered Nurse (Home Health)

Grad Pharmacist

Physical Therapist - Open Your Own Clinic!

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