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Utilization Manager

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đź•’ July 9

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Logo of Duke Careers

Duke Careers

10,000+ employees

Founded 1924

đź’Ľ Consulting

🏥 Healthcare

📚 Education

Consulting • Healthcare • Education

Duke Careers is a platform connected to Duke University's rich legacy, established in 1924. It aims to celebrate the centennial of Duke University while providing resources, stories, and interviews that reflect the university's history, current achievements, and future aspirations. A key focus of Duke Careers is to engage with alumni and the community, showcasing the transformative impact of education and leadership within the university.

đź“‹ Description

• Assesses for accuracy in the assignment of patient class (status) • Supports the medical chart audit process • Supports denials management by documenting activities related to denials adjudication • Validates authorization for all bedded patients • Manages concurrent cases to resolution • Conducts initial review and continued stay reviews • Collaborates with members of the healthcare team

🎯 Requirements

• Education BSN required • Minimum of three years recent acute clinical practice or related health care experience • Requires Case Management Certification (ACM, CCM or ANCC) within 2 years of hire • Must have current or compact RN licensure in state of NC • BLS certification required

🏖️ Benefits

• Relocation Assistance (based on eligibility) • Quality of Life: Living in the Triangle! • Flexible work arrangements

Apply Now

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