• Special Operations Nurse Case…

    KBR (Fort Bragg, NC)
    …compliance in meeting care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and ... Title: Special Operations Nurse Case Manager / Case ...; full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker… more
    KBR (09/06/25)
    - Related Jobs

  • Program Manager - Children's Heart Center

    UNC Health Care (Chapel Hill, NC)
    …of professional nursing. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional ... **Be the heartbeat behind the Children's Heart Center.** Join us as the **Program Manager ** for the Children's Heart Center and take on a leadership role that truly… more
    UNC Health Care (09/17/25)
    - Related Jobs

  • Case Manager - Case Management

    UNC Health Care (Rocky Mount, NC)
    …insurance companies, Medicare and Medicaid, in accordance with utilization review guidelines. Tactfully and effectively informs Manager of physicians' impact ... care of patients through such case management functions as utilization review and discharge planning. May facilitate...patient reassessments according to identified needs and input from RN and MD. Serves as a resource person for… more
    UNC Health Care (08/26/25)
    - Related Jobs

  • Infusion Referral Nurse Sr- REMOTE

    Prime Therapeutics (Raleigh, NC)
    …, Patient Programs. **Minimum Qualifications** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship **Additional Qualifications** + Registered Nurse ( RN ). + 5...Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. +… more
    Prime Therapeutics (09/04/25)
    - Related Jobs

  • Administrator Home Health

    AdventHealth (Fletcher, NC)
    …hours in which the agency is open and providing care to patients and that an RN ( Registered Nurse ) is available after hours (24/7) to address patient ... or other healthcare related field or four years of equivalent experience. + Clear/active Registered Nurse or Physical Therapy license issued by the state in… more
    AdventHealth (09/10/25)
    - Related Jobs

  • Manager I Care Management (DSS Region I)…

    Elevance Health (Hendersonville, NC)
    …**$5,000 SIGN ON BONUS** **LOCATION** **: W** **e are seeking a Manager to cover** **Haywood/J** **ackson/Swain counties.** **Residency in one of these counties ... an accommodation is granted as required by law._ The Manager Care Management ( Manager I GBD Special...include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members,… more
    Elevance Health (09/17/25)
    - Related Jobs

  • Behavioral Health Care Manager I (2nd…

    Elevance Health (Winston Salem, NC)
    **Behavioral Health Care Manager I (2nd Shift)** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... (Work every other weekend - Saturday and Sunday) The **Behavioral Health Care Manager I (2nd Shift)** is responsible for managing psychiatric and substance abuse or… more
    Elevance Health (09/30/25)
    - Related Jobs

  • Disease Management Nurse - Remote

    Sharecare (Raleigh, NC)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
    Sharecare (09/13/25)
    - Related Jobs

  • Clinical Case Manager

    LifePoint Health (Hickory, NC)
    …execution, adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and ... Nursing Required * Bachelor's Degree in Nursing Preferred *_Licenses/Certifications_* * Current RN license to practice in NC (NC licensure or multi-state (compact)… more
    LifePoint Health (08/21/25)
    - Related Jobs

  • Supervisor Case Management

    Novant Health (Wilmington, NC)
    …current knowledge of available community resources/post acute care options and utilization review processes while ensuring pertinent information is communicated ... current RN licensure in appropriate state, required. Accredited Case Manager (ACM) or Case Management Certification (CCM), preferred. + Additional Skills… more
    Novant Health (07/25/25)
    - Related Jobs