NewUTILIZATION MANAGEMENT RN Liberty HealthUTILIZATION MANAGEMENT RNWilmington, NCJOB SUMMARY: Day-to-day management of Utilization Management queues, dashboards, members, ensuring all Utilization Management activities, which include authorization timeliness, discharge planning, adherence to policies and procedures to ensure high quality and cost-effective utilization management services. Monitor members both inpatient/outpatient – provide updates to Director of Utilization Management and the clinical care teams.
Certified Professional Coder II Novant Health IncCertified Professional Coder IIWilmington, NCAs a Certified Professional Coder II, you will be part of a dynamic team of Surgical Coders supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. Demonstrate a comprehensive knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-10-CM, CPT, HCPCS, and CMS guidelines.
NewSenior Safety Specialist LifelancerSenior Safety SpecialistWilmington, North CarolinaRemoteMust have one (1) year of experience with: Database user interface and query software inclusive of Electronic Data Capture review and reconciliation to ensure accuracy and regulatory compliance; and Responsible for project implementation, maintenance and close out activities. Qualifications: Bachelor’s degree in Pharmaceutical Science, Health Informatics, Biology, Nursing, or related field and five (5) years of experience in the job offered or as a Safety Specialist, Research Associate, Medical Technologist, Pharmacist, or related role.
NewSenior Safety Specialist Thermo Fisher Scientific IncSenior Safety SpecialistWilmington, NC$75,800–$126,300 / yearMust have one (1) year of experience with: Database user interface and query software inclusive of Electronic Data Capture review and reconciliation to ensure accuracy and regulatory compliance; and Responsible for project implementation, maintenance and close out activities. Qualifications: Bachelor's degree in Pharmaceutical Science, Health Informatics, Biology, Nursing, or related field and five (5) years of experience in the job offered or as a Safety Specialist, Research Associate, Medical Technologist, Pharmacist, or related role.
NewUTILIZATION MANAGEMENT RN Liberty Home Care and Hospice LLCUTILIZATION MANAGEMENT RNWilmington, NCOther duties as assigned Less than 10% travel to the corporate office for Department meetings JOB REQUIREMENTS: Licensed Registered Nurse credentialed from an accredited school/college with 35 years of clinical experience Maintain Active Registered Nurse License, (Compact, RN preferred) 15 years managed care Utilization Management experience (preferably with a Health Plan) Demonstrated experience in health plan utilization management, initial reviews, facility concurrent review discharge planning, and case management required. Ability to contribute to the UM team to ensure compliant execution of UM program Review admissions and service requests for the following: Authorization requests to ensure appropriate care for members and within clinical guidelines Monitor members both inpatient/outpatient provide updates to Director of Utilization Management and the clinical care teams Recommend more appropriate care if required Assess and coordinate discharge planning with Care Team.
Development Manager / Technical Lead for Engineering Consultant Moffatt & NicholDevelopment Manager / Technical Lead for Engineering ConsultantWilmington, NCThe firm provides clients worldwide with customized service and a level of excellence that have become the firm's hallmark in several primary practice areas - ports and harbors; coastal, environmental and water resources; urban waterfronts and marinas; transportation, bridges and rail; inspection and rehabilitation; and energy. As part of the IT Group, the Development Manager / Technical Lead is a highly experienced technical leader and working manager responsible for leading and empowering the development team to deliver high-quality software solutions that align with the firm's objectives.
Medical Records Clerk IconmaMedical Records ClerkLeland, NC$16.91–$20.45 / hourResponsibilities: Ensures accurate, complete, and compliant medical records through review, documentation, and timely preparation for billing; may perform coding using ICD-10/CPT. Our client, a Behavioral Health company, is looking for a Medical Records Clerk for their Leland, NC location.
Medical Records Clerk ICONMA, LLCMedical Records ClerkLeland, NC$16.91–$20.45 / hourResponsibilities: Ensures accurate, complete, and compliant medical records through review, documentation, and timely preparation for billing; may perform coding using ICD-10/CPT. Our client, a Behavioral Health company, is looking for a Medical Records Clerk for their Leland, NC location.
NewSenior Performance Engineer- JMeter, JavaScript - Remote MaximusSenior Performance Engineer- JMeter, JavaScript - RemoteWilmington, NCRemoteFull timeDesign, develop, and maintain performance testing frameworks, automation utilities, CI/CD integrations, and cloud-native testing capabilities supporting AWS services, Kubernetes clusters, Docker containers, Helm deployments, and microservices architectures. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
NewPatient Services Coordinator III Novant HealthPatient Services Coordinator IIISupply, North CarolinaAdditional skills required: Knowledge of medical office software for the following: updating patient demographic information, posting charges, copays, and scheduling patient appointments. What We Offer: Responsible for timely and accurate recording of patient demographics, insurance information, patient charges and collections.
Medical Records Clerk Iconma LLCMedical Records ClerkLeland, NCResponsibilities: Ensures accurate, complete, and compliant medical records through review, documentation, and timely preparation for billing; may perform coding using ICD-10/CPT. Our client, a Behavioral Health company, is looking for a Medical Records Clerk for their Leland, NC location.