- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …Program operates within the Mental Health Service Line (MHSL) setting at the VA Medical Center in Fayetteville, NC. The incumbent will function as Case Manager ... the most part. Duties and responsibilities relate to the case management of veterans who are identified as "high...those veterans placed on the high-risk list; c. Review medical records in conjunction with treating mental health provider… more
- BAYADA Home Health Care (Greensboro, NC)
- …and/or post degree) + **Must be a Qualified Professional (QP) in North Carolina** + Prior medical office or home care experience preferred + Prior ... BAYADA Home Health Care has an immediate opening for a ** Case Manager (Qualified Professional required)** in our **Greensboro, NC Habilitation** Office **.** If you… more
- Sedgwick (Raleigh, NC)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager-Sign-On Bonus Eligible **We are growing all across the US and are ... looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...Required to have a minimum of** **1.5 years of prior Workers Compensation experience in order to be considered.**… more
- UNC Health Care (Rocky Mount, NC)
- …is clinical in nature, refer to Physician Advisor and escalate to the ED Case Manager for all other barriers. Consistently demonstrates correct use of functions for ... skilled nursing facility, long term acute care, home health, durable medical equipment, and transportation), etc. Locate community/alternative resources that meet… more
- Aveanna Healthcare (Cary, NC)
- School Case Aveanna Healthcare Private Duty Nurse LPN - Trach/Vent Child ApplyRefer a FriendBack Job Details Requisition #: 207325 Location: Cary, NC 27511 Category: ... test (current within last 12 months) + Six months prior hands-on nursing experience preferred but not required +...including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job… more
- Aveanna Healthcare (Durham, NC)
- School Case Aveanna Healthcare Private Duty Nurse RN - Trach/Vent Child ApplyRefer a FriendBack Job Details Requisition #: 207328 Location: Durham, NC 27705 ... test (current within last 12 months) + Six months prior hands-on nursing experience preferred but not required +...including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job… more
- Cardinal Health (Raleigh, NC)
- …and timely access to necessary services + Assist in obtaining insurance, prior authorization, and appeal requirements and outcomes + Help patients understand their ... in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may… more
- CVS Health (Raleigh, NC)
- …states for the Specialty and Non-Specialty Pharmacy programs administered within the Commercial Prior Authorization and Case Review Unit (CRU) line of business. ... with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior authorization… more
- Elevance Health (Jacksonville, NC)
- \#HealthyBlueCareTogetherCFSP **Clinical Care Advisor - Complex Medical ** **$2,500 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize a ... with the advisors supporting the care managers with consulting on complex medical or IDD cases" This **field-based role** enables associates to primarily operate… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... evaluation of variable factors. Candidate must have valid Florida Medical license and must be able to start with.... + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management,… more
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