• Case Manager - UM II -100%

    Healthfirst (NC)
    The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, ... and case management as assigned. The Case Manager , Utilization Management is also responsible...assigned Minimum Qualifications: + RN, LPN, LMSW, LMHC, LMFT, LCSW , PT, OT, and/or ST license + For CASAC… more
    Healthfirst (08/08/25)
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  • Transplant Case Manager

    UNC Health Care (Chapel Hill, NC)
    …knowledgeable of and adheres to regulatory requirements for the role of transplant case manager /social worker as stated by all regulatory bodies including UNOS, ... of care and cost effectiveness through the integrating and functions of case management, utilization review and management and discharge planning. The person in… more
    UNC Health Care (07/25/25)
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  • Social Work Case Manager - North…

    Elevance Health (Durham, NC)
    …depression, and insightful analytics to improve the delivery of care._ **Social Work Case Manager - North Carolina** **Field:** This field-based role enables ... is granted as required by law._ The **Social Work Case Manager ** is responsible for ensuring effective...provide an equivalent background. + Current unrestricted LMSW or LCSW (or equivalent) license in applicable state(s) required. **Preferred… more
    Elevance Health (08/09/25)
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  • Behavioral Health Case Manager I…

    Elevance Health (Durham, NC)
    **Behavioral Health Case Manager I - North Carolina** **Field:** This field-based role enables associates to primarily operate in the field, traveling to client ... is granted as required by law._ The **Behavioral Health Case Manager I - North Carolina** is...background. + Current active unrestricted license such as RN, LCSW (as applicable by state law and scope of… more
    Elevance Health (08/09/25)
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  • Clinical Case Manager Behavioral…

    CVS Health (Surf City, NC)
    …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote and/or field based work experience **Education** . ... it all with heart, each and every day. **Position Summary** The care manager is responsible for assessing and evaluating members with potential care management needs… more
    CVS Health (08/15/25)
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  • Clinical Case Manager , Behavioral…

    CVS Health (Raleigh, NC)
    …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
    CVS Health (08/10/25)
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  • Delegated Care Management Monitors (Special…

    Elevance Health (Hickory, NC)
    **Special Program Case Manager II** _We are partnering...an active, current and valid license as an RN, LCSW (as applicable by state law and scope of ... field, you will work virtually from your home. The **Special Program Case Manager II** is responsible for performing case management telephonically and/or… more
    Elevance Health (07/17/25)
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  • LTSS Service Care Manager

    Centene Corporation (Greenville, NC)
    …or hold a license as a Licensed Clinical Social Worker ( LCSW or LCSW -A), with experience in physical health, case management, and/or field-based care. This ... is hiring!** **We are seeking two LTSS Service Care Manager to join our Carolina Complete Health team. The...geriatrics, gerontology, pediatrics, or human services. + RN or LCSW / LCSW -A preferred Pay Range: $26.50… more
    Centene Corporation (07/27/25)
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  • IDD Specialty Care Manager

    Elevance Health (NC)
    …in applicable states or territory of the United States required. + Certified Case Manager Certification is also required. **Preferred Skills, Capabilities, and ... \#HealthyBlueCareTogetherCFSP **IDD Specialty Care Manager ** **$2,000 SIGN ON BONUS** _We are partnering...for coordinating operations and workflows related to complex medical case management activities in support of CFSP Foster Care.… more
    Elevance Health (07/25/25)
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  • Care Manager

    AmeriHealth Caritas (Greenville, NC)
    **Role Overview** The Care Manager (RN/ LCSW ) assists members appropriate for care management and care coordination services in achieving their optimal level of ... health through self-management. The Care Manager (RN/ LCSW ) is responsible for engaging the...professional practice experience + 3 to 5 years of Case /Care Management preferred. **Licensure** + Valid driver's license with… more
    AmeriHealth Caritas (07/27/25)
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