Utilization Review Specialist (RN/Behavioral Health)
Universal Health Services
Universal Health Services in Raleigh, NC seeks a Registered Nurse for utilization management in inpatient and outpatient settings. You will coordinate and document patient care, and liaise with third‑party payors to support appropriate treatment; Monday–Friday (PRN). The role emphasizes high‑quality patient care, case reviews, and effective communication within the treatment team. RN licensure required; bachelor’s degree in nursing preferred. #J-18808-Ljbffr Universal Health Services
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Utilization Review Specialist (RN/Behavioral Health) in Raleigh, NC vacancy
- Universal Health Services (UHS) is seeking a dedicated Utilization Review professional to oversee documentation and authorization for inpatient and outpatient services. The role emphasizes coordinating with third-party payors and internal teams to ensure appropriate care...Suggested
- Alliance Health in Morrisville, NC is seeking an UM Clinical Specialist-Behavioral Health to perform utilization reviews and care management for PHIP-enrolled providers. The role emphasizes... ...an active NC license (e.g., LCSW, LCAS, RN). #J-18808-Ljbffr Alliance HealthSuggestedRemote jobWork at office
- Triangle Springs Hospital is seeking an RN Assessment Specialist to join our behavioral health team. The role includes coordinating initial responses, conducting assessments, and guiding patients through the admission process with accurate documentation and communication...Suggested
- A behavioral health organization located in Raleigh, NC, is seeking an Assessment Specialist- RN to manage patient assessments and provide high-quality care. Candidates should have a Master's degree in social work or counseling and RN licensure, as well as strong assessment...SuggestedFlexible hours
- Alliance Health is seeking an UM Clinical Specialist RN-Physical Health (Remote, NC Based) to assess medical necessity and oversee reviews across inpatient, outpatient, and elective services. The... ...of nursing experience and prior Utilization Management exposure. Strong...SuggestedRemote jobWork at office
- Triangle Springs is a 77-bed behavioral health hospital in Raleigh seeking an Assessment Specialist, RN to join our team on a full-time schedule from 7:00 am to 7:30 pm. You will conduct initial evaluations, document symptoms and needs, and coordinate with physicians for...Full time
- ...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...Work experience placement
Integrated Resources
Raleigh, NC14 hours ago - ...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... ...clinical experience in an acute environment (not behavioral health) ~1+ year MCG and InterQual tooling...Hourly payRemote work
Insight Global
Raleigh, NC3 days ago - ...seeking a Clinical Documentation Improvement (CDI) Specialist to perform concurrent and retrospective reviews of inpatient records, improve documentation... ...support accurate severity of illness and resource utilization. You will work with physicians to obtain complete...
R1 RCM
Raleigh, NC1 day ago $75k - $100k
...Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness... ..., and procedures for our Health Plan. This role uses clinical... ...to provide judgment to review medical services with evidence... ...reviewing medical and behavioral health prior authorization...For contractorsWork at officeLocal areaImmediate startRemote workWPS—A health solutions company
Raleigh, NC1 day ago- Assessment Specialist, RN Schedule: Full-time, 7a-7:30p Your experience... ...is part of Lifepoint Health, a diversified healthcare delivery... ...communication with external review organizations or comparable... ...Triangle Springs is a 77‑bed behavioral health hospital that has been...Full timeTemporary workPart time
- 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 work
Insight Global
Raleigh, NC1 day ago $65k - $78k
Utilization Review Nurse- Remote job at Gainwell Technologies LLC. North Carolina. It takes great... ...updated on clinical guidelines. Maintain RN license and meet continuing education... ...a 401(k) employer match, comprehensive health benefits , and educational assistance. We...Remote jobFull timeContract workWork at officeWork from homeFlexible hours- Gainwell Technologies LLC is seeking a skilled Utilization Review Nurse for a remote role based in the United States. The position reviews medical... ...0% travel. Benefits include flexible vacation, 401(k) match, health benefits, and professional development opportunities. #J-188...Remote jobContract workFlexible hours
- Join to apply for the Assessment Specialist- RN role at Triangle Springs . Night Shift: 3/12 hour shifts with a rotating weekend. 7pm-7am Triangle Springs, part of Lifepoint Behavioral Health, is a nationally recognized healthcare organization with a diversified network...Full timeFlexible hoursNight shiftRotating shift
- Overview: The Behavioral Health Discharge Specialist will assist the behavioral health team by coordinating discharge/transition planning services and providing clerical support by processing and disseminating the information and by performing departmental admin/clerical...
$43.89k - $91.05k
Location Columbus - 4561 River Rd A, Columbus, GA 31904 Brief Description Oak Street Health's graduate Behavioral Health Specialist Fellowship is a 12-month paid training program that provides all the necessary skills, support, and learning required to become a highly...Hourly payFull timeTemporary workWork experience placementLocal areaFlexible hours$68.89k - $92.14k
# Utilization Management Nurse - Physical HealthTrillium Health ResourcesUnited StatesFull timeRemoteUSD 68,... ...Nurse performs clinical reviews and coordinates care to... ...(ER, ICU, Med-Surg), behavioral health, compliance, or... ...as a Registered Nurse (RN). Must have a valid driver...Work at officeLocal areaImmediate startRemote workWork from homeFlexible hours- ...Behavioral Health Associate- Full Time- Day Shift Raleigh Oaks Behavioral Health | Garner, North Carolina About the Job: Schedule:... ...members as required. Receives report from previous shift to utilize information in planning shifts; give accurate and thorough...Full timeShift workWeekend workDay shift
$33.52 - $50.28 per hour
...Description The 7M Medical / Behavioral Unit is a specialized... ...-occurring behavioral health needs, and substance... ...Managers, Addiction Specialists, and Behavioral Health... ...treatment. The RN provides professional... ...outcomes and resource utilization. Serves as a role model...Work experience placementRemote workFlexible hoursCarilion Clinic
Raleigh, NCmore than 2 months ago- Novant Health is seeking an experienced RN to join our Behavioral Health Bed Management team as a Patient Flow Coordinator. This remote role requires NC, SC,... ...Access, and hospital departments to optimize bed utilization, assess patient needs, and promote safe, coordinated...Remote jobPart timeWeekend workDay shift
- ...Guided by our mission to make the world’s health data secure, accessible and actionable,... ...computer proficiency. Comfortable utilizing phones, fax machine, printers, and other... ...exempted from these requirements will be reviewed by Datavant Human Resources and determined...Full timeWork experience placementWork at officeRemote workWork from homeMonday to Friday
Datavant
Raleigh, NC14 hours ago - ...Job Description Registered Nurse (RN) Behavioral Health - Nights Schedule : 3 12-hour shifts - weekend rotation 7A- 7P $10,000 Sign on bonus eligibility Your experience matters Triangle Springs is part of Lifepoint Behavioral Health, a diversified...Full timeTemporary workPart timeRelocationRelocation packageShift workNight shiftWeekend work
LifePoint Health
Raleigh, NC14 hours ago - ...RN (PRN) Raleigh Oaks Behavioral Health | Garner, North Carolina Must work 2 shifts per month- (12-hour... ...documents appropriately; transcribes and reviews provider's orders ensuring all... ...medications per ordered utilizing at least two patient identifiers....ReliefAll shiftsShift work
Peak Behavioral Health Services
Garner, NC1 day ago - BrightStar Care of Midtown Raleigh is seeking an experienced RN to cover high paying per diem shifts lasting 3 to 4 hours across the RDU of North Carolina. This part-time role offers flexible scheduling and compensation reflecting clinical skills and a positive client-...Daily paidPart timeFlexible hoursShift work
- UNC Health is seeking compassionate nurses to join the Staffing Response Team (SRT) at UNC Rex Raleigh and Holly Springs. Inpatient float... ...shifts, at least every other week. Requires BSN preferred and NC RN licensure with BLS/ACLS. Minimum two years acute care experience...Daily paidNight shift
- UNC Health's Surgical Trauma Critical Care Unit in Chapel Hill is seeking a registered nurse with stepdown experience to join a fast-paced, Level 1 Trauma team. This 36-hour-per-week role offers three 12-hour shifts, day/night/weekend rotations, and a comprehensive benefits...Shift workNight shiftWeekend work
- UNC Health Care seeks a Clinical Nurse for the Johnston Health program in North Carolina. The per diem position provides bedside nursing... ...plans with the team, and ensuring safe, high-quality care. Requires RN licensure in NC, BLS, and at least one year of nursing experience...Daily paid
- Call 4 Health is seeking an experienced Registered Nurse for remote 24/7 triage support across multiple states. You will perform telephone... ...hold an associate or bachelor degree in nursing, 2-4 years of RN clinical experience (ER/urgent care, ICU, ambulatory), and an active...Remote job
- Raleigh Plastic Surgery Center, Inc. is seeking a full-time Registered Nurse to join our Ambulatory Surgery Center (ASC) team in Raleigh, NC. The ideal candidate has at least two years of OR/PACU experience, an active NC license, and BLS certification; ACLS is a plus. The...Full timeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Review Specialist (RN/Behavioral Health). Be the first to apply!
Related searches
- patient safety specialist Raleigh, NC
- credit card specialist Raleigh, NC
- senior specialist Raleigh, NC
- zoning specialist Raleigh, NC
- health program specialist Raleigh, NC
- microsoft specialist Raleigh, NC
- transportation specialist Raleigh, NC
- color specialist Raleigh, NC
- hearing specialist Raleigh, NC
- crisis specialist Raleigh, NC