• Special Operations Nurse Case…

    KBR (Fort Bragg, NC)
    Title: Special Operations Nurse Case Manager / Case Manager ( JSOC Fort Bragg, NC) THIS POSITION OFFERS RELOCATION. THIS POSITION IS BASED ONSITE AT FORT ... care goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual...; full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker… more
    KBR (09/06/25)
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  • Case Manager - Case Management

    UNC Health Care (Rocky Mount, NC)
    …and wellbeing. Summary: Facilitates effective and cost-efficient care of patients through such case management functions as utilization review and discharge ... reviews for private insurance companies, Medicare and Medicaid, in accordance with utilization review guidelines. Tactfully and effectively informs Manager of… more
    UNC Health Care (08/26/25)
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  • 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 ... healthcare experience, preferred. + Licensure/Certification/Registration: If RN , current RN licensure in appropriate state, required. Accredited Case Manager… more
    Novant Health (07/25/25)
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  • 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 ... appropriately from admission through discharge. * Coordinates care and services within the case managed population. * Educates Physicians and staff in Case … more
    LifePoint Health (08/21/25)
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  • 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)
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  • 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)
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  • Behavioral Health Care Manager I (2nd Shift)

    Elevance Health (Winston Salem, NC)
    …supervision. **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management/ utilization management with a broad range of experience ... and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** Primary duties may include… more
    Elevance Health (09/30/25)
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  • Manager I Care Management (DSS Region 6) Healthy…

    Elevance Health (Morehead City, NC)
    …Primary duties may include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all ... tasks and job responsibilities. + Review all Care Plans and ISPs for quality control...current license as an LCSW, LCMHC, LPA, LMFT, or RN issued by the state of North Carolina. +… more
    Elevance Health (09/24/25)
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