- Elevance Health (Winston Salem, NC)
- …supervision **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of ... ** Behavioral Health Care Manager I (3rd...preferred. + Bilingual in Spanish is highly preferred + Utilization Management experince is preferred + Previous… more
- Elevance Health (Durham, NC)
- ** Utilization Management Medical Director- NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... Alternate locations may be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be… more
- Elevance Health (Durham, NC)
- …and Experiences:** + Child and Adolescent experience strongly preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role...Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical… more
- Elevance Health (Hendersonville, NC)
- …considered for employment, unless an accommodation is granted as required by law._ The Manager Care Management ( Manager I GBD Special Programs) is ... ON BONUS** **LOCATION** **: W** **e are seeking a Manager to cover** **Haywood/J** **ackson/Swain counties.** **Residency in one...care managers and ensuring fidelity to the CFSP Care Management model which includes physical health, behavioral … more
- UNC Health Care (Eden, NC)
- …7. Payer Communication: a. Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely ... the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and coordinated care to… more
- City of Durham (Durham, NC)
- …service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review, and data management . Strong ... Stabilization Services Manager Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/5013877) Apply Stabilization Services Manager Salary… more
- HCA Healthcare (Asheville, NC)
- …each individual is recognized. Submit your application for the opportunity below: Manager EHRMission Hospital **Benefits** Mission Hospital, offers a total rewards ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...benefits may vary by location._** We are seeking a Manager EHR for our team to ensure that we… more
- UNC Health Care (Chapel Hill, NC)
- …7. Payer Communication: a. Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely ... need to thrive. **What You'll Do** As a Care Manager RN, you'll: + Conduct comprehensive assessment, planning, implementation...care + Serve as a key resource in case management , utilization review, and discharge planning +… more
- Novant Health (Charlotte, NC)
- …acts as a liaison between the department, revenue cycle services teams, finance, utilization management , and clinical leaders related to managed care contracting ... and currently represent key components of Novant Health's strategic goals. The Manager , Payor Strategy and Relationship Management is a professional advisor… more
- LifePoint Health (Hickory, NC)
- *_Job Description:_* The Practice Manager III is responsible for the management of 3-4 physician practice locations and/or with (combined) 10-15 providers. This ... and planning of the services provided by the practice. The Practice Manager III coordinates the smooth operation of the day-to-day activities, provides leadership,… more
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