- 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
- 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
- Evolent (Raleigh, NC)
- …Coordinator role or other relevant experience gained through roles with a health plan , managed care organization or third-party administrator is required. ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...Stay for the culture. **What You'll Be Doing:** The ** Coordinator ** **,** **Appeals and Grievances** at Evolent will serve… 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 (Greensboro, 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