- 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
- Evolent (Raleigh, NC)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- UNC Health Care (Raleigh, NC)
- …a non-designated holding area that consist of8 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 (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 (Cary, 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
- 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
- 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
- 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
- CAI (Raleigh, NC)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs. + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… 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
- Elevance Health (Durham, NC)
- …of our Elevance Health PulsePoint locations. The **VoC Analysis & Insights Manager ** will be responsible for managing the use of efficient and effective market ... **VoC Analysis & Insights Manager ** **Location:** This position will work a hybrid...**Preferred Skills, Capabilities, and Experiences:** + MA/MS/MBA preferred + Health insurance or managed care experience preferred… 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 ... threatening situations, less-critical injuries requiring minor treatment, acute and behavioral health diagnoses. Patients with heart conditions...for carrying out components of the plan. Works with manager to ensure care on unit is… 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 (Morrisville, NC)
- …in clinical documentation, Ordering, Clinical Case Management, Women's Health , Wound care , Behavioral Health , Emergency Department, or Infection control ... Procedure Orders is required. ASAP, Stork, Clinical Case Management, Behavioral Health , Inpatient Rehab, Wound, or Bugsy... Health ), a private, fully-owned subsidiary of UNC Health Care System, in a department that… 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 ... SNE I reports to the assigned department's Patient Services Manager or designated Education Leader and works under the... care in a hospital, clinic, or home health care setting. All work performed is… more
- UNC Health Care (Holly Springs, NC)
- …all life-threatening situations, less-critical injuries requiring minor treatment, acute and behavioral health diagnoses. Nurse/Patient Ratio: 4:1 Mission: To ... 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
- CenterWell (Raleigh, NC)
- …around maintenance of chronic health conditions, as well as available options for behavioral care and social support + Serve as liaison between the patient ... 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
- BAYADA Home Health Care (Raleigh, NC)
- …Responsibilities of a Home Care Direct Support Professional: + Passion for providing mental/ behavioral health care to individuals with ID/DD + Ability to ... our caring team today! **As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.** BAYADA… more
- J&J Family of Companies (Raleigh, NC)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
- Sharecare (Raleigh, NC)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more