Expired Utilization Management Nurse jobs in Wilmington, NC
Wilmington, NC
$56,516-$94,193/year (est.)
100% remote, any state of residence; Schedule is Monday-Friday 8:00am to 5:00pm local timeApplies critical thinking and knowledge for retrospective review in clinically appropriate treatment, evidence based care and medical necessity criteria for appropriate utilization of services. Consults and...
Wilmington, NC
$56,516-$94,193/year (est.)
LOCATION: Remote GENERAL STATEMENT OF JOB The MHSU UM Clinician - Lead performs multiple utilization review tasks, including review of service authorization requests (SARs), Person-Centered Plans/Service Plans and clinically relevant documentation for authorization of services. Collaborates with...
Wilmington, NC
$22,028-$187,262/year (est.)
Duration: Long Term Assignment Location: 100% Remote (Can be located anywhere in North Carolina) Duties: Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources. Ensures medically...