Durham, North Carolina, United States · Hybrid
$70k–$89k/yr
The Utilization Management (UM) Clinical Specialist RN for physical health (PH) independently assesses the medical necessity of inpatient admissions, outpatient services, surgical and diagnostic procedures, and out of ne…
Skills: Utilization management, Medical necessity assessment, Clinical review, Nursing, Physical health
Newton, North Carolina, United States · On-site
Are you looking to make a positive job change to meaningful work? We have some special opportunities for the right team members At Abernethy Laurels, we believe mealtime is a meaningful part of our residents’ day. …
Skills: Food service, Dishwashing, Sanitation, Customer service, Teamwork
Pinehurst, North Carolina, United States · On-site
Position Summary The Emergency Medicine Pharmacist is a visible and integrated member of the multidisciplinary emergency department responsible for a variety of activities that improve the medication use process and pati…
Skills: Emergency medicine, Medication management, Patient safety, Code blue response, Medication reconciliation
Pinehurst, North Carolina, United States · On-site
Overview 4-Medical is a 27-bed inpatient medical-surgical unit that cares for a diverse patient population, with a focus on gastrointestinal illnesses and diabetes management. We are seeking a dedicated and compassionate…
Skills: Patient care, Medical-surgical nursing, Gastrointestinal care, Diabetes management, Critical thinking
Hickory, North Carolina, United States · On-site
Summary of Performance Expectations Provides professional nursing care and makes nursing care decisions that are appropriate for the age and condition of the patient, using the nursing process. Collaborates with other he…
Skills: Nursing care, Patient assessment, Nursing process, Collaboration, Cardiac monitoring
Durham, North Carolina, United States · On-site
Clinical Data Management Lead (Contract) Department: Clinical Employment Type: Contract / Temp Location: Research Triangle Park, NC Description Kriya is a biopharmaceutical company whose mission is to develop life-changi…
Skills: Clinical Data Management, Database Design, Edit Check Development, CRO Management, Regulatory Compliance
Hickory, North Carolina, United States · On-site
Summary of Performance Expectations Provides professional nursing care and makes nursing care decisions that are appropriate for the age and condition of the patient, using the nursing process. Collaborates with other he…
Skills: Nursing care, Patient assessment, Inpatient rehabilitation, Clinical decision making, Collaboration
Asheville, North Carolina, United States · On-site
Our Accolades. Four Seasons is proud to have been named one of Modern Healthcare’s Best Places to Work, and to have been Living Wage Certified in Western North Carolina. Our approach to providing not only excellent…
Skills: Personal care, Hospice care, Palliative care, Infection control, Patient assessment
Hickory, North Carolina, United States · On-site
Summary of Performance Expectations: Cleans and services medical center building areas Performs a variety of housekeeping duties to maintain medical center in a clean, sanitary, and orderly condition. Performs specialize…
Skills: Housekeeping, Floor maintenance, Sanitation, Cleaning, Medical facility maintenance
Hickory, North Carolina, United States · On-site
Summary of Performance Expectations: Promotes a professional patient-centered practice image by efficiently performing a wide variety of clinical and administrative duties to medical office outpatients under the direct s…
Skills: Clinical duties, Administrative duties, Patient care, Electronic health record system, EHR
Hickory, North Carolina, United States · On-site
Summary of Performance Expectations: Performs routine inspections on EVS staff and their assigned areas, ensuring employees have all necessary equipment to provide a clean, sanitary, orderly, and attractive area. Educati…
Skills: Team Leadership, Environmental Services, Facility Inspection, Sanitation Management, Equipment Maintenance
Rutherfordton, North Carolina, United States · On-site
Medical Laboratory Technician Schedule: Full-time, nights Your experience matters Rutherford Regional Health System is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. W…
Skills: Laboratory testing, Bloodborne pathogen safety, Clinical documentation, Medical record management, Specimen analysis
Morehead City, North Carolina, United States · On-site
Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Grow your career with Brookdale! Our Caregivers have the option to explore exciting opportunities for advancement in positions…
Skills: Caregiving, Clinical care, Hospitality, Patient support, Professional development
Charlotte, North Carolina, United States · On-site
$17/hr–$20/hr
Our brand purpose is to Elevate the Lives of the People we Touch. Join the Massage Heights team to help us inspire, educate, and promote a balanced lifestyle for every member and guest. Benefits/Perks · Flexible Scheduli…
Skills: Sales, Customer service, Communication, Phone etiquette, Membership sales
Flat Rock, North Carolina, United States · On-site
Our Accolades. Four Seasons is proud to have been named one of Modern Healthcare’s Best Places to Work, and to have been Living Wage Certified in Western North Carolina. Our approach to providing not only excellent…
Skills: Nursing assessment, Hospice care, Palliative care, Symptom management, Pain management
Wendell, North Carolina, United States · On-site
Description At Wendell Animal Hospital, our team and the animals we look after are our top priorities. Choosing a career at our veterinary hospital provides a gratifying and enriching experience for those who have a deep…
Skills: Client communication, Patient triage, Diagnostic testing, Radiographs, Lab work
Pitt County, North Carolina, United States · On-site
Overview Hospice RN On Call Weekend Respond to telephone requests at home from our after-hours Triage RN for assistance by addressing the request by telephone or by making an in person visit that includes skilled assessm…
Skills: Nursing assessment, Hospice care, Triage, Patient care planning, Pain management
Wilmington, North Carolina, United States · On-site
Riccobene Associates Family Dentistry | Wilmington, NCDental Hygienist - Full Time Riccobene Associates Family Dentistry is seeking a Full-Time Dental Hygienist to join our growing Downtown Wilmington team! If you're loo…
Skills: Patient Care, Dental Hygiene, Patient Education, Preventive Dentistry, Clinical Autonomy
Charlotte, North Carolina, United States · On-site
About Us Health is the most important thing in life, and the American healthcare system is completely broken - poor outcomes, high cost, bad patient experience. We're building a new system from the ground up. Our mission…
Skills: Relationship Building, Business Development, Territory Management, Sales Prospecting, Account Growth
Pinehurst, North Carolina, United States · On-site
Overview A corporal serves as an experienced officer who performs all the duties of a Public Safety Officer but also takes on supervisory tasks occasionally. Responsibilities 1. Uses appropriate problem-solving approach …
Skills: Security operations, Emergency response, Supervision, Incident management, Report writing
Durham, North Carolina, United States • Hybrid
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The UM Clinical Specialist RN independently assesses the medical necessity of physical health services and monitors consumer treatment to ensure adherence to clinical guidelines. They also collaborate with cross-agency teams and providers to ensure enrollees are linked to appropriate treatment resources.
Candidates must hold a current, active, and unrestricted North Carolina Registered Nurse license. The role requires either an Associate's degree in Nursing with five years of experience or a Bachelor's degree in Nursing with three years of experience.
The Utilization Management (UM) Clinical Specialist RN for physical health (PH) independently assesses the medical necessity of inpatient admissions, outpatient services, surgical and diagnostic procedures, and out of network services, monitors consumer treatment through ongoing and continuous review to ensure that services are delivered based on consumer need and established clinical guidelines, and identifies and follows-up on clinical cases of concern and high-risk/special needs consumers to ensure enrollees are linked to appropriate treatment resources. The UM Clinical Specialist RN - PH may represent the unit in cross agency collaborative needs.
This position is full-time remote. Selected candidate must reside in North Carolina and be willing to travel to one of the offices for business or onsite team meetings as needed.
Assesses the medical necessity of services
Compliance
Coordinate and Implement UM Processes
Collaborate with other departments
Graduation from a State accredited school of nursing or an Associate’s Degree in Nursing from an accredited and five years of experience with five (5) years nursing experience
Bachelor’s degree in Nursing from an accredited college/university and three (3) years of nursing experience
Current, active, and unrestricted North Carolina clinical license as a Registered Nurse, or a compact license
Experience in Utilization Management
$69,592-$88,729/Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
Alliance Health is a public managed care organization serving Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange, and Wake counties in North Carolina. Working with a network of more than 4,000 private providers, Alliance has responsibility for 470,000 Medicaid-eligible and uninsured individuals among a population of over 3.5M. The Alliance Medicaid Behavioral Health and Intellectual/Developmental Disability Tailored Plan manages all the health care needs – physical, behavioral, and pharmacy – for people with complex mental illnesses, substance use disorders, and long-term care needs including intellectual/developmental disability and traumatic brain injury. With a mission to improve the health and well-being of the people in our communities with complex needs, our work is shaped by our core organizational values of accountability and integrity, collaboration, compassion, dignity and respect, innovation, and customer service.
Offices: 5200 West Paramount Parkway, Morrisville, NC 27513, Durham, NC 27703, US · 414 East Main Street, Durham, NC 27701, US · 5000 Falls of Neuse Rd, Raleigh, NC 27608, US · 711 Executive Place, Fayetteville, NC 28305, US · 3205 Freedom Drive, Charlotte, North Carolina 28208, US
Based on 2276 listings with disclosed salaries, most healthcare jobs in North Carolina pay between $60k–$162k per year. Individual offers vary with seniority, company size, and specialization.
There are currently 17,675 open healthcare positions in North Carolina listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include American Addiction Centers, Duke Health Technology Solutions, CVS Health, Duke University Hospital, PruittHealth, among others. Browse the listings above to see every active employer.
Yes — 1805 of the 17675 open healthcare positions offer remote or hybrid work (660 remote, 1145 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
