- UNC Health Care (Smithfield, NC)
- …medical discharge planning issues, continuing care needs by initiating appropriate case management referrals. Initiates appropriate social work referrals. 3. ... The Utilization Manager works collaboratively with other Clinical Care Management staff to ensure patient needs are met and...of patient data and treatments. Communicates daily with the Case Manager to manage level of care transitions &… more
- CVS Health (Raleigh, NC)
- …(eg, Length of Stay) to clinical staff Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty ... for health care service delivery under the direction of nurse or medical direction of medical direction in the...issues - Supports the administration of the hospital care, case management and quality management … more
- Elevance Health (NC)
- **Medical Management Clinician Sr** **Location** : **North Carolina.** This role enables associates to work virtually full-time, with the exception of required ... AM - 5:00 PM EST, with rotating weekend shifts.** The **Medical Management Clinician Sr** is responsible for ensuring appropriate, consistent administration of plan… more
- Gentiva (Elizabeth City, NC)
- …hospice patients and supportive care to the patient's family with a reasonable case load. + Evaluate patient/family needs and assist in the preparation and execution ... + Report findings or changes in the patient's condition to the Registered Nurse , interdisciplinary team and referring physician and document all reports. + Attend… more
- CenterWell (Lincolnton, NC)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...and reliable transportation. + Two years as a Registered Nurse with at least one-year of management … more
- CenterWell (Youngsville, NC)
- …and continuity of care. The role also assists with day-to-day office and staff management . + Manages schedules for all patients. Edits schedule for agents calling in ... including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains… more
- UNC Health Care (Kinston, NC)
- …Geriatric APP work experience required + Experience appropriate to complex case management with issues of aging. + Nurse Practitioner licensed in the State ... **Description** UNCPN is seeking a 100% In-Patient, Full-time Palliative Nurse Practitioner to join their inpatient provider team on the campus of **UNC Health… more
- UNC Health Care (Chapel Hill, NC)
- …patient and family education. Coordinates discharge plans with the provider and case management . Serves as clinical consultant for wound, ostomy, continence ... we serve. The UNCMC Certified Wound Ostomy and Continence Nurse team is a professional consult service. We are...color, religion, sex, sexual orientation, gender identity, national origin, disability , or status as a protected veteran. UNC Health… more
- Humana (Raleigh, NC)
- …the start time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. ... help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and...MCG or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in… more
- UNC Health Care (Chapel Hill, NC)
- …patient and family education. Coordinates discharge plans with the provider and case management . Serves as clinical consultant for wound, ostomy, continence ... we serve. The UNCMC Certified Wound Ostomy and Continence Nurse team is a professional consult service. We are...color, religion, sex, sexual orientation, gender identity, national origin, disability , or status as a protected veteran. UNC Health… more