- City of Durham (Durham, NC)
- …community, reinforcing their commitment to their individual reentry journey. 2. Case Support & Reentry Planning + Assist in developing individualized reentry ... + Monitor progress and adjust plans as needed in collaboration with the Program Manager . 3. Resource Navigation + Connect participants to vital resources such as: +… more
- Elevance Health (Greenville, NC)
- …the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term ... with the most suitable foster families. The coordinator works closely with case managers, foster families, and other stakeholders to facilitate placements and… more
- BrightSpring Health Services (Fayetteville, NC)
- …the member/family/guardian to complete the Preliminary Questionnaire + Communicates with the Case Manager any information pertaining to the care and well-being ... Company ResCare Community Living Overview Work in conjunction with the Care Manager to deliver to deliver integrated, whole-person care management addressing a… more
- Elevance Health (Durham, NC)
- …director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting ... medical director is directly involved in Utilization Management and Case Management. + Daily case reviews for...background. + For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience… more
- Elevance Health (NC)
- …the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term ... related to Social Determinants of Health (SDOH), physical and behavioral health needs, and gaps in care.. + Supports...the individualized plan is aligned with existing or needed case management efforts. + Act as a liaison between… more
- Elevance Health (Durham, NC)
- …with members. + Determines need for additional services, in conjunction with case management and provider. Linkage to other available resources/services as needed, ... such as behavioral health services and employer sponsored benefits. + Coordinates...impact quality goals and recommends process improvements. + Documents case and compliance updates in electronic medical records. +… more
- Elevance Health (Charlotte, NC)
- …Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...coordination and management of member's needs, including physical health, behavioral health, social services and long term services and… more
- Elevance Health (NC)
- …**Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- Sharecare (Raleigh, NC)
- …intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate in the ... during the training period will be evaluated on a case by case basis and must be...design and call cadence for education, assessment, intervention, and behavioral goal setting. + Identifies educational needs of participant… more
- Elevance Health (Durham, NC)
- …be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for developing and ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more