- Humana (Raleigh, NC)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and ... caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a...remain independent in their homes. Our nurses are titled Care Managers, because our case management services… more
- UNC Health Care (Raleigh, NC)
- …with external care teams + Provide warm handoffs to managed care partners or community navigators **4. Complex Case Rounds (Weekly)** + Facilitate ... support to a network of 6 owned and 10 managed hospitals.** **This position is a 40 hour per...case management, utilization review and discharge planning. The Care Manager must be highly organized professional… more
- Elevance Health (Durham, NC)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for ... **Telephonic Nurse Case Manager II** **Location:** This role...years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed… more
- LifePoint Health (Hickory, NC)
- …from admission through discharge. * Coordinates care and services within the case managed population. * Educates Physicians and staff in Case ... * Coordinates care and services within the case managed population. *_Benefits -_* Wide range...**Please select a valid job field* **Organization:** ** **Title:** *Clinical Case Manager * **Location:** *NC-Hickory* **Requisition ID:**… more
- Elevance Health (Goldsboro, NC)
- \#HealthyBlueCareTogetherCFSP **IDD Specialty Care Manager Lead** **$3,500 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize a ... is granted as required by law. The **IDD Specialty Care Manager Lead** is responsible for coordinating...coordination, discharge planning or behavioral health experience in a managed care setting preferred. + Travels to… more
- Elevance Health (Sylva, NC)
- …considered for employment, unless an accommodation is granted as required by law._ The Manager Care Management ( Manager I GBD Special Programs) is ... nursing. + Requires three (3) years of experience providing care management, case management, or care...coordination, discharge planning or behavioral health experience in a managed care setting preferred. **We are unable… more
- AmeriHealth Caritas (Greensboro, 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...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- Novant Health (Charlotte, NC)
- …consultants, and executive level staff to answer internal operations management questions about managed care contracts. The manager fosters and maintains ... Manager , Payor Strategy and Relationship Management is a professional advisor supporting managed care contracts with health plans, payors, employer groups and… more
- CenterWell (Salisbury, NC)
- …to work on-site at our Salisbury, NC branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... Case Managers and clinical staff documentation to include starts-of- care , resumption-of-cares, and re-certifications, for appropriateness of care , delivery,… more
- UNC Health Care (Kinston, NC)
- …**Summary:** The Manager provides efficient and effective delivery of patient care through case management process. Works toward desirable patient outcomes ... required. EXPERIENCE + o Recent clinical experience in healthcare management, managed care , and an understanding of the current healthcare climate is desirable.… more