• Care Manager II

    AmeriHealth Caritas (Rocky Mount, NC)
    …Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Care Manager ( RN ) assists members appropriate for care management and care ... services in achieving their optimal level of health through self- management . The Care Manager ( RN ) is responsible...ensure the AMH Tier III/CIN delivers high quality care management services in accordance with Plan, NCQA, Federal more
    AmeriHealth Caritas (08/28/25)
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  • CFSP Clinical Care Advisor, SUD/Recovery

    Elevance Health (Fayetteville, NC)
    …healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health. Primary duties may ... term services and supports, Unmet health-related resource needs, and Integrated care management . We envision a North Carolina where all children and families thrive… more
    Elevance Health (08/30/25)
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  • Utilization Review Nurse

    Public Consulting Group (Raleigh, NC)
    …and refers cases that do not meet established clinical or other criteria to the Case Management Supervisor + Identifies and communicates quality issues to the ... Case Management Supervisor + Communicates information to...in a managed care environment, Medicaid or hospital utilization management + RN required **Supervisory Responsibility** +… more
    Public Consulting Group (09/09/25)
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  • Behavioral Health Care Manager I

    Elevance Health (Durham, NC)
    …staff supervision. **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management /utilization management with a broad range of ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
    Elevance Health (08/29/25)
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