RN Utilization Review Specialist - Mental Health
Memorial Physician Practices
Lifepoint Behavioral Health's Triangle Springs in Raleigh is seeking a Utilization Review Specialist to review patient admissions and ongoing stays. You will analyze records to confirm eligibility, coordinate with managed care and external reviewers, and support the treatment team in discharge planning. The role emphasizes collaboration with physicians, case managers, and payers to ensure appropriate, efficient care and coverage across services. #J-18808-Ljbffr Memorial Physician Practices
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the RN Utilization Review Specialist - Mental Health in Raleigh, NC vacancy
- ...matters Lifepoint Behavioral Health is part of Lifepoint Health... ...care for patients with mental health and substance use disorders... .... As a Registered Nurse (RN) joining our team, you're... .... How you'll contribute Utilization Review Specialist facilitates clinical reviews...SuggestedFull timeTemporary workPart timeShift work
- ...Alliance Health is seeking a UM Clinical Specialist-LTSS for full-time remote work, NC-based. You will perform utilization reviews and authorizations for I/DD and TBI waivers, ensuring services meet clinical guidelines and are provided in the least restrictive setting....SuggestedFull timeRemote work
Alliance Health in
Morrisville, NC2 days ago - Assessment Specialist, RN Schedule: Full-time, 7a-7:30p Your experience... ...Springs is part of Lifepoint Health, a diversified healthcare delivery... ...match. Employee Well‑being: Mental, physical, and financial... ...communication with external review organizations or comparable entities...SuggestedFull timeTemporary workPart time
- ...handle ethical or risk management issues. · Utilization and Quality Management/Outcomes experience preferred... ...· Prior experience in case management, home health, discharge planning, or Concurrent review. Qualifications · RN Diploma, RN Associate's degree or Bachelors of...SuggestedWork experience placement
- Join to apply for the Assessment Specialist- RN role at Triangle Springs . Night Shift: 3/12 hour... ...Springs, part of Lifepoint Behavioral Health, is a nationally recognized healthcare organization... ...care, and outpatient treatment for mental health and substance use disorders. Our...SuggestedFull timeFlexible hoursNight shiftRotating shift
$70k
Join to apply for the Assessment Specialist- RN role at Triangle Springs 4 months ago Be among... ...Triangle Springs, part of Lifepoint Behavioral Health, nationally known healthcare... ...care, and outpatient treatment for acute mental health and substance use treatment. Our...Full timeRelocation packageFlexible hoursShift workRotating shiftDay shift- Elevance Health is seeking an Utilization Management Representative I to coordinate precertification and prior authorization reviews. The role supports hybrid/virtual work with required in-person training and occasional office days. Responsibilities include processing calls...Work at office
- Lifepoint Behavioral Health, part of Lifepoint Health, invites a Registered Nurse to join Triangle Springs in Raleigh, NC, as a Utilization Review Specialist. You will review admissions, advocate for patients, and guide the care team on insurance requirements throughout...
- Insight Global is looking for a Utilization Review Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for evaluating 3.5 patient care cases per hour (both inpatient and outpatient) and collaborating with doctors...Hourly payRemote work
- A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality...Remote job
$1,950 per month
...Nursing Profession RN Specialty Psych... ...disorders including assessment of mental health needs, development of care... ...relationships and utilizing professional skills; fulfilling... ...rates. Before we submit you, we review the exact compensation package...Hourly payWeekly payContract workLocal areaImmediate startShift workTriangle Springs
Raleigh, NC5 days ago- ...~ Flexible schedule ~ Health insurance ~ Training & development... ...Therapist - Substance Abuse Specialist, you'll share our vision for... ...expanding access to quality mental health care and thrive in an... ...gaps in our community Utilize creativity in interventions to...Work at officeWork from homeFlexible hours
Ellie Mental Health
Raleigh, NC1 day ago - ...disabilities, and behavioral health challenges. As a... ...team, utilizing your nursing skill and... ...serious and persistent mental illness into everyday... ...on an ongoing basis, reviews the required outcomes... ...dentist, and other medical specialist, support clients with...Immediate startFlexible hoursShift workNight shift
Elwyn
Raleigh, NC25 days ago $1,464 per week
...exclusive features. Intake RN- Full Time- Days | Raleigh Oaks Behavioral Health | Garner, North... ...treatment and admission. Reviews patient charts to determine... ...years' experience in mental health or substance use... ...of care assessments and utilization. Outstanding...Full timePart timeWork at officeRelocation packageAll shiftsWeekend workDay shiftAfternoon shift- ## Intake RN- Full Time- Night ShiftApplylocations... ...Oaks Behavioral Health | Garner, North Carolina... ...completes call center duties reviewing and accepting patients,... ...years' experience in mental health or substance use... ...of care assessments and utilization.* Outstanding interpersonal...Full timeWork at officeAll shiftsNight shift
- ...Competitive Salaries, Reviewed Annually Annual Operational... ...Telemedicine Coverage Health & Dependent Care... ...patient's physical and mental health including the patient... ...to take initiative and utilize innovative techniques and... ...applicable) Valid NC RN license Valid Driver’s...Full timePart timeReliefWork at officeLocal areaFlexible hoursShift workWeekend work
- City National Bank is seeking a Senior Commercial Real Estate Review Appraiser to lead valuation projects, coordinate third-party vendors and ensure USPAP compliance. The role covers industrial, office, retail and multi-family properties nationwide, requiring strong analytical...Work at office
- ...YoutubeWHAT WE ARE LOOKING FORThe QC Sampling Specialist will operate in full compliance with... ...Specialist performs environmental, utilities, and product sampling in a GMP-regulated... ...or samplingExperience trending or reviewing environmental monitoring or utilities dataFamiliarity...Local area
- PRIMARY FUNCTION: The Feed Mill Utility Associate performs housekeeping, cleaning, and tasks associated with ensuring the work area is... ...of all visitors and obtain approval from appropriate personnel.Review and log inspection paperwork for incoming and outgoing trucks,...Local areaShift workNight shiftWeekend workDay shift
- ...and motivated Program Control Analyst/Specialist to support operations in our Raleigh, NC... ...estimate to complete (ETCs)Analyze labor utilization, indirect rate impacts, and project... ...and management reportsSupport invoice reviews and contract modificationsQualificationsBachelor...Contract workFor contractorsWork at office
$65k - $75k
Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate healthcare... ...care decisions. The ideal candidate will hold an active RN license with relevant experience. The position offers a salary...Remote job- ...telephone attempting to determine reason for overdue payment, reviewing terms of sales, service, or credit contract with customer in an... ...a valid State Driver’s License. Performance Aptitudes Data Utilization : Requires the ability to review, categorize, prioritize, and/...Contract workWork at office
Farmers Home Furniture
Raleigh, NC5 days ago - ...reports for management team reviews on observations pertaining to... ..., employee injuries/property/utility damage incidents. Keep detailed... .... Enforce OSH (occ. safety & health) policies (e.g. accident... ...Proven experience as safety specialist in the power construction industry...For subcontractor
PowerGrid Services
Garner, NC4 days ago - ...About the Recovery Specialist Position We’re seeking a driven and reliable Recovery Specialist... ...include Healthcare, Public and Private Utilities, Credit Unions, and Government. To... ...account status records for assigned accounts Review [daily/monthly] reports on collection...Work at office
Bull City Financial Solutions
Raleigh, NC2 days ago $16 - $20.5 per hour
...mission to make the world’s health data secure, accessible and actionable... .... ~ Comfortable utilizing phones, fax machine, printers... ...from these requirements will be reviewed by Datavant Human Resources... ...individuals with physical and mental disabilities. If you need an...Hourly payFull timeWork experience placementWork at officeRemote workMonday to FridayWeekend workAfternoon shiftDatavant
Raleigh, NC2 days ago- ...Asset Protection Specialist Position Purpose: The Asset Protection Specialist is primarily... ...assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring...
Home Depot
Garner, NC3 days ago $15 - $17.5 per hour
...procedures. • Maintains photo equipment and utilizes store systems and technology to support... ...continuity during times when the Photo Specialist is not scheduled. • Follows company... ...role will remain open until filled. To review benefits, please click here jobs.walgreens...Hourly payWork experience placementSeasonal workFlexible hoursAfternoon shiftWalgreens
Garner, NC2 days ago- ...Trenchless Technology Specialist / Design Consultant The Trenchless... ...trenchless and underground utility infrastructure projects (planning... ...that promotes employee health, performance, and success which... ...further information, please review the Know Your Rights notice from...Temporary workFor contractorsRemote work
Brown and Caldwell
Raleigh, NC3 days ago - ...Right Of Way Specialist RK&K is looking for a Right Of Way Specialist to support our Utilities/Real Estate Group in North Carolina. Build... ...compensation letters Appraisal Reviews Research county land... ...Tuition reimbursement Health, dental, vision, life, and disability...Local areaRelocationRelocation package
RK&K
Raleigh, NC5 days ago $60.93 per hour
...~ The Disaster Program Delivery Specialist: • Collects, coordinates and/or reviews applicant data to determine eligibility... ...’s Consolidated Resource Centers utilizing a web-based tool, schedules site... ...age, marital status, physical or mental disability, veteran status,...Work experience placementH1bImmediate startFlexible hoursCDM Smith
Raleigh, NC1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Review Specialist - Mental Health. Be the first to apply!
Related searches
- wound rn Raleigh, NC
- entry level registered nurse Raleigh, NC
- psych rn Raleigh, NC
- non clinical rn Raleigh, NC
- clinic registered nurse rn Raleigh, NC
- outpatient surgery centers rn Raleigh, NC
- part time rn Raleigh, NC
- rn relocation bonus Raleigh, NC
- registered nurse healthcare Raleigh, NC
- rn relocation assistance Raleigh, NC