- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Master level, Social Worker** who… more
- Highmark Health (Raleigh, NC)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- UNC Health Care (Smithfield, NC)
- …**Knowledge/Skills/and Abilities Requirements:** **Job Details** Legal Employer: NCHEALTH Entity: Johnston Health Organization Unit: Behavioral Health Admin ... post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care ...Health ), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.… more
- UNC Health Care (Butner, NC)
- …offered! See link below!** https://jobs.unchealthcare.org/pages/unc-hospitals-youth- behavioral - health -hospital Summary: Provides competent clinical nursing ... communities we serve. **Clinical Nurse II needed for UNC Health Youth Behavioral Health (YBH),...aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean… more
- UNC Health Care (Raleigh, NC)
- …a non-designated holding area that consist of 8 beds with private rooms, catering to behavioral health patient needs in the ED.** We have 2 major resuscitation ... life threatening situations, less-critical injuries requiring minor treatment, acute and behavioral health diagnoses. Patients with heart conditions receive… more
- UNC Health Care (Chapel Hill, NC)
- …**CN II needed for BHED** UNC Hospitals Behavioral Health Emergency Department (BHED) provides care to approximately 5,000 ... accommodate up to 42 beds for patients seeking mental health care in a patient centered environment....with professional standards. Reporting and accountable to the Nurse Manager /Director, the Clinical Nurse is responsible for coordinating and… more
- UNC Health Care (Smithfield, NC)
- …to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment ... **Knowledge/Skills/and Abilities Requirements:** **Job Details** Legal Employer: NCHEALTH Entity: Johnston Health Organization Unit: Behavioral Health IP… more
- Highmark Health (Raleigh, NC)
- …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… more
- UNC Health Care (Chapel Hill, NC)
- …care progression + Thrive in a team environment + Would like to learn how to be a Care Manager or would like to continue their Care Manager career at ... **If this sounds like you apply now!** Summary: The Care Manager RN plays a crucial role...various factors such as medical conditions, social determinants of health , and behavioral health needs.… more
- UNC Health Care (Chapel Hill, NC)
- …how to access medical home services, establish self-management goals, and navigate the health care system. 4. Identifies, coordinates and helps to align patient ... with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. **Job Summary:** Responsible… more
- Elevance Health (Cary, NC)
- A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... at 5 pm or 10 pm EST.** The BH Care Manager I responsible for managing psychiatric...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Evolent Health (Raleigh, NC)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... this population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be...and social needs of the patient, identify gaps in care and barriers to attaining improved health .… more
- CVS Health (Raleigh, NC)
- …channels * Ability to speak to medical and behavioral health professionals to influence appropriate member care . * Utilizes influencing/motivational ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… more
- UNC Health Care (Raleigh, NC)
- …with diagnoses that include COPD, diabetes, pneumonia, renal failure, minor neurological disorders, behavioral health , as well as many others. We are that team ... to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment… more
- Elevance Health (Cary, NC)
- …member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** ... evaluation, coordination and management of member's needs, including physical health , behavioral health , social services...care in conjunction with the member and the health care team. + Manages members with… more
- Highmark Health (Raleigh, NC)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Raleigh, NC)
- …in marketing research with insurance is a plus. **Preferred** + Prior experience in Health Insurance or a Health Care Environment + Proven expertise in ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If you...is defined as having worked as either a project manager or lead research analyst for a minimum of… more
- Highmark Health (Raleigh, NC)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- UNC Health Care (Raleigh, NC)
- …a non-designated holding area that consist of 8 beds with private rooms, catering to behavioral health patient needs in the ED. We have 2 major resuscitation ... life threatening situations, less-critical injuries requiring minor treatment, acute and behavioral health diagnoses. Patients with heart conditions receive… more
- UNC Health Care (Chapel Hill, NC)
- …unique communities we serve. **Per Diem RN needed for Emergency Department** The UNC Health Care Emergency Department is a designated Level I Trauma Center ... and injury SANE exam room (for sexual assault exams) Behavioral Health Team E Pediatric Emergency Department...aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean… more