• Care Manager Behavioral

    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
    Highmark Health (12/12/24)
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  • Telephonic Behavior Health Care

    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 ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… more
    Humana (01/17/25)
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  • RN Manager - Behavioral

    LifePoint Health (Wilson, NC)
    *RN Manager , Adult Behavioral Health *...quality care and support to individuals experiencing behavioral health crises. This position reports to ... unit as an RN Manager . Join our team in a 19-bed Adult Behavioral Health Unit. Staffed with Registered Nurses (RNs), Certified Nursing Assistants (CNAs),… more
    LifePoint Health (11/01/24)
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  • Director of Care Management, Medicaid…

    Elevance Health (Durham, NC)
    …responsible for the Children and Families Specialty Plan integrated physical health and behavioral health care manager teams and the development, ... highly complex members with varying degrees of medical and behavioral health complexity and acuity. This position...develop, and implement clinical and non-clinical activities that impact health care quality cost and outcomes. +… more
    Elevance Health (01/17/25)
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  • RN Clinical Nurse II Youth Behavioral

    UNC Health Care (Butner, NC)
    …and well-being of the unique communities we serve. **Clinical Nurse II needed for UNC Health Youth Behavioral Health (YBH), in Butner, North Carolina.** We ... psychiatric, behavioral , medical, and psychosocial needs. Youth Behavioral Health Hospital (YBH) is a 54-bed,...aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean… more
    UNC Health Care (01/03/25)
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  • RN Clinical Nurse II (Per Diem) Youth…

    UNC Health Care (Butner, NC)
    …of the unique communities we serve. Clinical Nurse II per diem needed for UNC Health Youth Behavioral Health (YBH), in Butner, North Carolina. We are ... current crises and setting a foundation for long-term mental health . Youth Behavioral Health Hospital...aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean… more
    UNC Health Care (01/18/25)
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  • Behavioral Health Specialist

    UNC Health Care (Rocky Mount, NC)
    …RN. + Utilizes appropriate community referral and support sources for behavioral health patients requiring social work / case manager / discharge planning ... the MD. + Assists with assuring patient safety of behavioral health patients as directed by the...**Job Details** Legal Employer: Nash Hospitals Entity: Nash UNC Health Care Organization Unit: NGH Emergency Room… more
    UNC Health Care (01/04/25)
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  • RN Clinical Nurse II - Behavioral

    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
    UNC Health Care (01/04/25)
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  • Behavioral Health Strategy Principal

    CenterWell (Raleigh, NC)
    …across a complex health care organization. + Knowledge of health care regulations and policies related to behavioral health + Computer skills in ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (01/14/25)
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  • Adult Behavioral Health RN Clinical…

    LifePoint Health (Louisburg, NC)
    …directing, coaching, and mentoring their assigned core group of staff. *Reports to:*Adult Behavioral Health Nurse Manager *Responsibilities of the Position* ... Maria Parham Health is equipped for every health care need one can encounter. We...is a role developed to work in coordination with Behavioral Health leadership to ensure work is… more
    LifePoint Health (01/15/25)
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  • RN Care Manager - Rex Hematology…

    UNC Health Care (Raleigh, NC)
    …the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and coordinated ... care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers,...various factors such as medical conditions, social determinants of health , and behavioral health needs.… more
    UNC Health Care (11/07/24)
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  • Care Manager II, Complex, RN/LCSW

    AmeriHealth Caritas (Wilson, NC)
    …as a RN or LICSW working with adults with complex medical and behavioral health diagnoses within an acute care , homecare or community health setting.; + ... The Care Manager II is responsible for managing and coordinating care , services, and social determinants of health for Members with acute, chronic,… more
    AmeriHealth Caritas (01/10/25)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Raleigh, NC)
    …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... 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. + Function in… more
    Highmark Health (01/07/25)
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  • Clinical Manager - CPSU

    UNC Health Care (Rocky Mount, NC)
    …and infection control procedures. + Supports and promotes the interests of Nash Health Care Systems and its subsidiaries. + Models professional behavior. + ... or sub-specialty preferred. **Job Details** Legal Employer: Nash Hospitals Entity: Nash UNC Health Care Organization Unit: NGH 5Nsew Cpsu Work Type: Full Time… more
    UNC Health Care (12/02/24)
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  • Care Manager

    Centene Corporation (Raleigh, NC)
    …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
    Centene Corporation (01/10/25)
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  • Product Manager - Care Management

    Highmark Health (Raleigh, NC)
    …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
    Highmark Health (11/02/24)
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  • RN Clinical Nurse II- 3 West - General…

    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
    UNC Health Care (01/04/25)
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  • Episodic Care Manager

    Motion Recruitment Partners (Durham, NC)
    Episodic Care Manager Durham, NC **100% Remote** Contract $35/hr - $40/hr Our client, a nationally recognized and award-winning company in the health ... insurance vertical, has a contract opening for a Episodic Care Manager . They have over 4 million...multi-state licensure) to perform described job duties. + For Behavioral Health specific roles, other applicable licensure… more
    Motion Recruitment Partners (01/14/25)
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  • Senior Manager , Commercial Product…

    CVS Health (Cary, NC)
    …and services to members related to affordability, primary care , behavioral health and more. The Sr Manager contributes to the product portfolio, builds, ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....designs, and new vendor-driven programs, related to affordability and behavioral health . + Develops product requirements and… more
    CVS Health (01/15/25)
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  • RN Manager - ICU/Telemetry

    LifePoint Health (Wilson, NC)
    …a diversified healthcare delivery network committed to/making communities healthier/(R)with acute care , rehabilitation, and behavioral health facilities from ... Comprehensive medical, dental, and vision plans, plus flexible-spending and health - savings accounts . Competitive paid time off and...Summary* A new opportunity is available for our Critical Care as an RN Manager for Telemetry/ICU.… more
    LifePoint Health (01/04/25)
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