Thank you for your continued interest in career opportunities with UNC Health! Please note the following:
Select a UNC Health entity below to log-in and get started.
Need further assistance? Please submit a request through the myHR Portal.
Current UNC Health Employees, learn about our Discovery Employee Referral Program! If you’re referring someone through our Discovery Employee Referral Program, please be sure to submit your referral before your referral applies.
Job ID: NUR00QZO
Location: Chapel Hill, NC
Facility/Division: UNC MEDICAL CENTER
Shift: Day Job
Location: UNC Medical Center Chapel Hill
Position: Utilization Manager
Hours: Monday to Friday (8 to 5p )
Description: Works in collaboration with the patient/family, and interdisciplinary team (including physicians, other care providers, and payors), and assesses the patient care progression from acute care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Care Management staff to ensure patient needs are met and care delivery is coordinated across the continuum. Actively participates in daily unit-based patient progression rounds with the care team. Responsibility will include um coverage of 1MEM OBS UNIT & 4WST OUTPATIENT UNIT AND POINT OF ENTRY (ED, PROCEDURAL AREAS, ETC).
Responsibilities include: To complete admission, continued stay, and discharge reviews in accordance with federal regulations and the Hospitals' Utilization Management Plan. To ensure revenue protection by reconciling physician orders, Patient Class, and medical necessity. This may include delivering notifications to patients directly and active participation in medical necessity reviews
Graduation from a state-accredited school of professional nursing or other professional degree with appropriate clinical and/or project management experience. If hired after October 1, 2015, must be enrolled in an accredited program within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date.
Licensed to practice as a Registered Nurse in the state of North Carolina. Two (2) years of clinical experience in a medical facility and/or comparable Utilization Management experience.
The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.
UNC Health is an equal opportunity employer. As such, UNC Health offers equal employment opportunities to applicants and employees without regard to race, color, religion, sex, national origin, age, genetic information, disability, sexual orientation, gender identity or political affiliation.