Join our Talent Network
Skip to main content

*Important Notice:

Thank you for your continued interest in career opportunities with UNC Health! Please note the following:

  • Positions are only open current UNC Health employees.
  • Please be sure to have your employee ID number and UNC Health email address available.

Select a UNC Health entity below to log-in and get started.

Caldwell UNC Health Care

Chatham Hospital

UNC Medical Center

UNC REX Healthcare

UNC Rockingham Health Care

UNC Physicians Network

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.

RN UTILIZATION MANAGER - UNCH CARE MANAGEMENT

This job posting is no longer active.

Job ID: NUR00RCK
Location: Chapel Hill, NC
Facility/Division: UNC MEDICAL CENTER
Status: Full-time
Shift: Day Job

Joining UNC Health Care system means you’ll become part of an inclusive organization with a mission to improve the health and well-being of the diverse communities we serve.

Job Description

Description

Location: UNC Medical Center Chapel Hill

Position: Utilization Manager

Hours: Monday to Friday (8a to 5p), occasional weekends.

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. The Utilization Manager is responsible for admission, continued stay, and discharge reviews in accordance with federal regulations & the Hospital's Utilization Management Plan. Actively participates in daily unit-based patient progression rounds with the care team. Responsibility includes UM coverage of Medicine, Surgery & Psychiatry.  In addition, the Utilization Manager is responsible for revenue protection by reconciling physician orders, bed billing type, and medical necessity. This may include delivering federal notifications to patients directly and active participation in medical necessity reviews. Interface is completed verbally, via email, data base tasks, or other electronic communication and via telephone.

Qualifications

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.

This is a State position employed by UNC Health Care System.
Share: mail
 
Recent Job Searches
Recently Viewed Jobs

Diversity Statement

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.

Equal Employment Opportunity

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.

To verify employment eligibility, UNC Health is committed to Form I-9 and the E-Verify process. Learn further E-Verify details in English or Spanish.

UNC Health supports your right to work. View the Right to Work Statement in English or Spanish.