RN Utilization Manager: Care Coordination Lead

UNC Health; Smithfield (NC); On-site; USD 49,000 - 71,000; Full time

Job summary

UNC Health in Smithfield, NC seeks a Utilization Manager to collaborate with patients, families, and interdisciplinary teams, guiding care from acute admission to post-discharge with emphasis on quality and efficient utilization. The role supports revenue protection and uses established criteria for reviews.

The position is per diem, onsite, daytime, with a 4-hour weekly schedule. Licensure as a Registered Nurse in North Carolina is required, with a Bachelor’s or Master’s in Nursing preferred

Qualifications

• Registered nurse licensed in North Carolina.
• Bachelor's or Master's degree in Nursing as required within seven years of hire.

Responsibilities

• Conduct admission reviews within 24 hours to ensure appropriate setting.
• Coordinate discharge planning with care teams and social work.
• Perform utilization management assessments and continued stay reviews.
• Communicate with physicians, payors, and interdisciplinary teams to optimize care and reimbursement.

Skills

Clinical Review

Discharge Planning

Utilization Management

Interdisciplinary Collaboration

Education

Licensed RN (NC)

Bachelor's or Master's in Nursing

Tools

EHR/EMR

Job description

UNC Health in Smithfield, NC seeks a Utilization Manager to collaborate with patients, families, and interdisciplinary teams, guiding care from acute admission to post-discharge with emphasis on quality and efficient utilization. The role supports revenue protection and uses established criteria for reviews.

The position is per diem, onsite, daytime, with a 4-hour weekly schedule. Licensure as a Registered Nurse in North Carolina is required, with a Bachelor’s or Master’s in Nursing preferred