- Elevance Health (NC)
- …care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. + Uses motivational ... or clinical assessments to identify individual member knowledge, skills and behavioral needs. + Identifies and/or coordinates specific health coaching plan… more
- Elevance Health (NC)
- …have access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy, Intellectual/Developmental Disabilities (I/DD) ... plans that address barriers related to Social Determinants of Health (SDOH), physical and behavioral health...the individualized plan is aligned with existing or needed case management efforts. + Act as a liaison between… more
- Elevance Health (Durham, NC)
- …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. +...learn. + BA/BS degree in human services or public health preferred. + Experience in a Community-based or Social… more
- Elevance Health (Charlotte, NC)
- …the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and...the member's needs, with the goal of optimizing member health care across the care continuum. **How you will… more
- Elevance Health (NC)
- …law._ The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers..._For Health Solutions and Carelon organizations (including behavioral health ) only, a minimum of 5… more
- Elevance Health (Durham, NC)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for developing and… more
- City of Durham (Durham, NC)
- …+ One year of direct lived experience related to justice impacted, substance use, behavioral health , or the criminal justice system. + Must have a valid, ... reinforcing their commitment to their individual reentry journey. 2. Case Support & Reentry Planning + Assist in developing...months of the start date) + Strong understanding of behavioral health symptoms and crisis intervention strategies,… more
- Highmark Health (Raleigh, NC)
- **Company :** Allegheny Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials._** **GENERAL ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- Sharecare (Raleigh, NC)
- **Job Description:** Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all ... their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans,… more
- HCA Healthcare (Asheville, NC)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...needs. + You will obtain input from the RN case manager to ensure the discharge plan… more