- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- CVS Health (Raleigh, NC)
- …network management and clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with ... This person will oversee and be responsible for all behavioral health activities in the health..., physical health , and social determinants of health . The medical director will… more
- Elevance Health (Raleigh, NC)
- …will be responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director ** is responsible for the ... administration of behavioral health medical services, to ensure the appropriate...opportunities. May serve as a resource to staff including Medical Director Associates. How you will make… more
- CVS Health (Raleigh, NC)
- …care resources. **This is a remote based (work from home) role.** In this role has Medical Director ( Behavioral Health ) you will: * Provide comprehensive ... behavioral health care management to facilitate delivery of appropriate quality...management team, including the management of high-risk cases and medical necessity decisions * Participate in the development, implementation,… more
- UNC Health Care (Butner, NC)
- …well-being of the unique communities we serve. **Clinical Nurse II needed for UNC Health Youth Behavioral Health (YBH), in Butner, North Carolina.** ... **Seeking Clinical Nurses to join UNC Youth Behavioral Health -New Day Inpatient Unit Team!** We...with professional standards. Reporting and accountable to the Nurse Manager/ Director , the Clinical Nurse is responsible for coordinating and… more
- UNC Health Care (Chapel Hill, NC)
- …**CN II needed for BHED** UNC Hospitals Behavioral Health Emergency Department (BHED) provides ... organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. *This position qualifies… more
- Elevance Health (Cary, NC)
- … Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Highmark Health (Raleigh, NC)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Highmark Health (Raleigh, NC)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- CenterWell (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of ... codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Raleigh, NC)
- …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding… more
- Highmark Health (Raleigh, NC)
- …conceptualize and design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Raleigh, NC)
- …Appropriate certification to write prescriptions under the authority of a Collaborating Physician/ Medical Director + Experience working within EMR + Senior care ... part of our caring community and help us put health first** The Associate Director , Advanced Practice...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Raleigh, NC)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- BrightSpring Health Services (Raleigh, NC)
- …Community Living, Adult Host Homes for adults regardless of disability, Behavioral /Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote ... the needs of our clients in a variety of settings such as Home Health , Hospice, Residential and Private Duty. If your passion is outstanding patient care coupled… more
- Marriott (Raleigh, NC)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... **Position Type** Management **JOB SUMMARY** Marriott International has an opening for Director , Contract Management, Global Technology. As a director , you will… more
- Marriott (Raleigh, NC)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... **JOB SUMMARY** Marriott has an exciting opportunity for a Director on the Corporate Systems team within the Finance...a course of action. + Professional Demeanor - Exhibits behavioral styles that convey confidence and command respect from… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on ... of manual processes using AI and RPA (Robotics Process Automation) ** Behavioral Competencies:** * Exceptional leadership skills, marked by poise, positive influence,… more
- Marriott (Raleigh, NC)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... internal and external user expectations and operations. The Senior Director collaborates with cross-functional teams both within Marriott's Global Technology… more
- IQVIA (Durham, NC)
- …the opportunity to build your career, while helping our customers drive human health outcomes forward. We dedicate our experience, resources and reputation so that ... Solutions - AI/ML & Rules based Analytics + HCP Behavioral Data + Claims Data + Patient Lab Data...on consultative selling to pharmaceutical companies, biotechnology companies, and medical device manufacturers + Proven track record of success;… more