RN Utilization Manager — Care Coordination Leader

UNC Health; Smithfield (NC); On-site; USD 75,000 - 107,000; Full time

Job summary

UNC Health in North Carolina seeks a Utilization Manager to collaborate with physicians, nurses, and payors, guiding patient care from admission to discharge. You will review admissions, coordinate care transitions, and monitor documentation for accuracy and reimbursement.

The role emphasizes high-quality, cost-effective care across the continuum. The ideal candidate holds a NC RN license, a nursing degree, and two years of relevant clinical or utilization management experience.

Qualifications

• Graduation from a state-accredited school of professional nursing.
• Current license to practice as a Registered Nurse in North Carolina.
• Two years of clinical experience in a medical facility or Utilization Management preferred.

Responsibilities

• Clinical Review Process: admission review within 24 hours and collaboration with care teams.
• Discharge facilitation and complex discharge planning with social work referrals.
• Utilization management assessments and continued stay reviews for appropriate care.

Skills

Clinical nursing

Education

Bachelor's degree in Nursing

Job description

UNC Health in North Carolina seeks a Utilization Manager to collaborate with physicians, nurses, and payors, guiding patient care from admission to discharge. You will review admissions, coordinate care transitions, and monitor documentation for accuracy and reimbursement.

The role emphasizes high-quality, cost-effective care across the continuum. The ideal candidate holds a NC RN license, a nursing degree, and two years of relevant clinical or utilization management experience.