- Highmark Health (Raleigh, NC)
- …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/ case management, and… more
- UNC Health Care (Rocky Mount, NC)
- …Summary: Facilitates effective and cost-efficient care of patients through such case management functions as utilization review and discharge planning. ... reviews for private insurance companies, Medicare and Medicaid, in accordance with utilization review guidelines. Tactfully and effectively informs Manager of… more
- LifePoint Health (Hickory, NC)
- Job Summary Manager of Case Management in the departments activities and resources to achieve departmental and organizational objectives and will take the lead ... Minimum Work Experience Five years hospital- based clinical experience. Experience in Case Management, Utilization Review and/or Discharge planning, knowledge of… more
- Elevance Health (Durham, NC)
- **Telephonic Nurse Case Manager II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... members in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management… more
- AdventHealth (Fletcher, NC)
- …1 year of relevant clinical physical therapy experience + Physical Therapist (PT) + Registered Nurse - State Licensure and/or Compact State Licensure + Valid in ... to support productivity, efficiency and maintain best practice visit utilization . + Performs an evaluation, assessing function using a...experience in a Medicare-certified home health agency as a case - manager + Home Health Case -… more
- Elevance Health (Wilkesboro, NC)
- …BONUS** **LOCATION** **: This is a field role and w** **e are seeking a manager for Wilkes County. You should reside in Wilkes County, or within a reasonable ... an accommodation is granted as required by law. The Manager Care Management, Foster Care ( Manager I...include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members,… more
- Elevance Health (Durham, NC)
- **Medical Management Nurse ** **Work schedule: M-F** **8:00am to 5:00pm EST. Will work 2-3 Saturdays per year** **Location:** This is a virtual position This role ... is granted as required by law._** The **Medical Management Nurse ** is responsible for review of the most complex...skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has… more
- UNC Health Care (Kinston, NC)
- …the health and well-being of the unique communities we serve. **Summary:** The Manager provides efficient and effective delivery of patient care through case ... family and patient involvement to enhance awareness of length of stay, resource utilization and principles of patient care. Functions on a highly interactive level,… more