- 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 ... **Description** Have you ever considered a role in Care Management ? UNC Medical Center is the place for you!...Would like to learn how to be a Care Manager or would like to continue their Care … more
- Perdue Farms, Inc. (Lewiston Woodville, NC)
- …Perdue Foods facility in Lewiston, NC is hiring a Complex Technical Site Manager . The Complex Technical Site Manager is responsible for developing, implementing, ... working methodologies to improve factory efficiency and reliability, increasing asset utilization , reducing cost. Provides technical and operational support for the… more
- BioLife Plasma Services (Raleigh, NC)
- …+ Proven capacity to innovate workforce systems and streamline labor management processes. Behavioral Competencies + Team-oriented collaborator with a ... Drive continuous system improvements and innovative solutions to streamline labor management workflows and replace manual processes. **ACCOUNTABILITIES** + Serve as… more
- CVS Health (Fayetteville, NC)
- …development and execution for an innovative Aetna plan sponsor (client). The Manager , Wellness will partner with multiple Aetna business units, the plan sponsor ... we value employees who are proactive, collaborative, results-oriented, and adaptable. The Manager , Wellness, will use their years of expertise to strengthen our… more
- HCA Healthcare (Asheville, NC)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Case Manager Registered Nurse PRN you want with your current employer? We have an ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...colleagues. Do you want to work as a(an) Case Manager Registered Nurse PRN where your passion for creating… more
- LifePoint Health (Hickory, NC)
- *_Job Summary_* Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to ... North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than 70 primary and...* Must understand payer issues with regard to patient management and resulting implications of clinical decisions and anticipate… more
- Highmark Health (Raleigh, NC)
- …Remote Work From Anywhere Role! We are seeking an experienced Software Engineering Manager to lead our AI Platforms and Services Engineering team, a group at ... Join us and build the future of AI! **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved in hiring and… more
- UNC Health Care (Rocky Mount, NC)
- …Frequent ED Utilization . Develop and maintain care plans for active management of patients who frequently seek ED care-Track high frequency users-Assess reasons ... in nature, refer to Physician Advisor and escalate to the ED Case Manager for all other barriers. Consistently demonstrates correct use of functions for… more
- Elevance Health (Durham, NC)
- …to day clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for ... clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management . Provides input on the clinical… more
- Sharecare (Raleigh, NC)
- …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... according to the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare… more
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