- Highmark Health (Raleigh, NC)
- …Wholecare's pharmacy programs with a focus on medication adherence and optimizing member health outcomes. This role involves a high volume of daily contacts with ... address medication-related issues, promote adherence, and ensure appropriate medication utilization . **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physicians and… more
- Highmark Health (Raleigh, NC)
- …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year of ... **Substitutions** + 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree **Preferred**...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Raleigh, NC)
- **Company :** Highmark Health **Job Description :** Entirely Remote Work From Anywhere Role! We are seeking an experienced Software Engineering Manager to lead our ... have budgetary responsibility and authority. + Understand budget and resource utilization across the product teams. Escalate any issues regarding product delivery… more
- Highmark Health (Raleigh, NC)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role is responsible for designing, developing, implementing, supporting, and optimizing ... solutions, networks, and infrastructure. Ensure optimal technology selection, resource utilization , and seamless integration. + Utilize modeling tools to develop… more
- LifePoint Health (Hickory, NC)
- …the beautiful foothills of North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than 70 primary and specialty care ... adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and adherence… more
- City of Durham (Durham, NC)
- …meet the needs of people in crisis with compassionate care and behavioral health expertise. Interested applicants can visit our website ... Familiarity with Durham health systems and community resources/services for physical health behavioral and mental health , substance use, Intellectual… more
- CenterWell (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … 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 ... **Benefits** HCA Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… 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 ... back! **Benefits** Mission Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… 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 ... **Benefits** Mission Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
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