- Elevance Health (Southport, NC)
- **CFSP Managed Care Coordinator ** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with ... children and families thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator ** is responsible for the overall management of the… more
- Surgery Care Affiliates (Raleigh, NC)
- Overview At SCA Health, we believe health care is about people - the patients we serve, the physicians we support and the teammates who push us forward. Behind every ... our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of… more
- Humana (Raleigh, NC)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Humana (Raleigh, NC)
- …with Utilization Review and/or Prior Authorization, preferably within a managed care organization. **Additional Information** **Language Proficiency Testing** ... help us put health first** The Bilingual Telephonic UM Coordinator / UM Administration Coordinator 2 provides...care or services for members. Bilingual Telephonic UM Coordinator + Primarily receive calls from Providers, Hospitals, Skilled… more
- Cardinal Health (Raleigh, NC)
- …long- and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial plans while planning for various ... Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain...serves as the first line of communication for Health Care Providers who require special handling. The position is… more
- Humana (Raleigh, NC)
- …AND/OR Clinical Psychologist (Ph.D.)** . + 3 or more years of clinical or managed care experience. + Experience in managing mental health crisis intervention. + ... community and help us put health first** The Telephonic Care Manager will be part of the Humana Military...will serve as the primary point of contact and coordinator for the beneficiary for all activities within the… more
- AmeriHealth Caritas (Rocky Mount, NC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... and resolving problems. + Coordinates care and services with the Care Coordinator , Community Health Navigator, and member, member care giver as… more
- AmeriHealth Caritas (Cullowhee, NC)
- …meeting goals and resolving problems + Coordinates care and services with the Care Coordinator , Community Health Navigator, and member, member care giver ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- AmeriHealth Caritas (Greenville, NC)
- …goals and resolving problems. + Coordinates care and services with the Care Coordinator , Community Health Navigator, and member, member care giver ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- Prime Therapeutics (Raleigh, NC)
- …Examiner credential preferred. + Bachelor's degree preferred. + Prefer knowledge of managed health care business model and processes, preferably in behavioral ... recommendations. + MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties as… more