- 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 ... 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
- Surgery Care Affiliates (Raleigh, NC)
- …the facility, while also leading the implementation and monitoring of the Environment of Care (EOC) and Safety Plan . This role ensures efficient business office ... Overview At SCA Health, we believe health care is about people - the patients we...Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and… 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** ... treatment, care or services for members. Bilingual Telephonic UM Coordinator + Primarily receive calls from Providers, Hospitals, Skilled Nursing Facilities and… 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...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings… more
- Humana (Raleigh, NC)
- …physicians, staff, or providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions; documenting interventions ... analytics, or diagnosis triggers, helping them to address immediate care needs, treatment plan adherence, and develop.... + 3 or more years of clinical or managed care experience. + Experience in managing… 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 ... Manager (RN) is responsible for engaging the member, member care giver and providers to assess plan ...+ Coordinates care and services with the Care Coordinator , Community Health Navigator, and member,… 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 ... Manager (RN/LCSW) is responsible for engaging the member, member care giver and providers to assess plan ...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… 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 ... Manager (RN/LCSW) is responsible for engaging the member, member care giver and providers to assess plan ...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
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