- UNC Health Care (Raleigh, NC)
- …travel to support assigned facilities and teams, and will report to the Regional Director of Case Management .** Become part of an inclusive organization ... **Description** **Our Case Management team is seeking a System-wide Complex Case Manager to provide support to a network of 6 owned and 10 managed… more
- LifePoint Health (Hickory, NC)
- …to a designated Geometric Length of Stay (GLOS) for each patient. Reports to: Director of Case Management * * *ESSENTIAL FUNCTIONS* *1. Departmental ... revenue from admission through discharge. * Educates physicians and staff on Case Management standards and regulatory requirements (Joint Commission, OSHA, CMS,… more
- CVS Health (Raleigh, NC)
- …provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a business and ... Internal Medicine / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy implementation. You will… more
- LifePoint Health (Hickory, NC)
- …to a designated Geometric Length of Stay (GLOS) for each patient. Reports to: Director of Case Management ESSENTIAL FUNCTIONS . Assists with developing ... the case managed population. . Educates Physicians and staff in Case Management standards and assists them in meeting the regulations and standards as… more
- Elevance Health (NC)
- …law._ The **Special Programs Case Manager II** is responsible for performing case management telephonically and/or by home visits within the scope of ... for the designated population via integrated (physical health/behavioral health) case management and whole person health. Manages...an impact:** + Provide support to the Whole Health Director of Population Health/Care Management . + Assist… more
- Elevance Health (Durham, NC)
- …considered. The **Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for ... **Utilization Management Medical Director - NC Medicaid** Location:...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- UNC Health Care (Morrisville, NC)
- …The Executive Director works closely with leaders from various departments- case management , physician advisors, revenue cycle, medical staff, nursing, and ... well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational… more
- Sumitomo Pharma (Raleigh, NC)
- …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... The incumbent will provide medical safety support for safety signal management throughout product lifecycle including signal detection, signal validation, signal… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …with Clinical Program stakeholders to ensure optimal partnerships and integration with our Case Management and Clinical Program teams. + Extensive knowledge of ... About The Role The Director , Utilization Management (UM) will manage...and internal staff. + Cross Collaboration with leadership in Case Management /Disease Management to ensure… more
- Cisco (Research Triangle Park, NC)
- Director , Product Management - Foundational Security Technologies Apply (https://jobs.cisco.com/jobs/Login?projectId=1443952) + Location:RTP, North Carolina, US ... both internal stakeholders and Cisco customers. **Your Impact** As Director of Product Management , you will lead...protected basis. Cisco will consider for employment, on a case by case basis, qualified applicants with… more