- Elevance Health (Newton, NC)
- **CFSP Managed Care Coordinator ** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with ... so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan...thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator ** is responsible… more
- CVS Health (Raleigh, NC)
- …**Position Summary/Mission** As a vital member of our Special Needs Plan (SNP) care team, the Care Coordinator (CC) is responsible for coordinating ... Survey to support needs identification for the member's Individual Plan of Care . + **Risk Escalation:** Inform...about care management within Medicare and Medicaid managed care . + Familiarity with community resources… more
- Humana (Raleigh, NC)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... and help us put health first** The UM Administration Coordinator provides clerical support for the department. We are...policies and procedures ensuring best and most appropriate treatment, care or services for members. The Home Solutions UM… more
- Elevance Health (NC)
- …Specialty Plan (CFSP) is designed to be a single, statewide NC Medicaid Managed Care plan that will support Medicaid-enrolled children, youth, and ... so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan...and coordinated health. The **Young Adult in Transition (YAT) Coordinator ** will support the System of Care … more
- Cardinal Health (Raleigh, NC)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings… more
- Highmark Health (Raleigh, NC)
- …degree + Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of ... reviewer in monitoring and ensuring adherence to the health plan 's state and federal multiple drug benefit design offerings....to ensure that the needs of the provider and plan member are addressed in a courteous, helpful and… more
- Veterans Affairs, Veterans Health Administration (Salisbury, NC)
- Summary The VA Salisbury Healthcare System is one of the leading health care systems serving Veterans in the Mid-Atlantic Region. We provide you with health care ... Hefner VA Medical Center in Salisbury and 3 health care center or community-based outpatient clinics in Kernersville, North...trainees as well as clinical oversight of Urology nurse managed clinics at all of the Salisbury HCS facilities.… more