- 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,** **Masters level, social worker** who… more
- Elevance Health (Durham, NC)
- **Be Part of an Extraordinary Team** **Title** : Behavioral Health Case Manager II **Location:** Candidates must reside within 50 miles or 1-hour commute ... EST** **Build the Possibilities. Make an Extraordinary Impact.** The ** Behavioral Health Case Manager II**...Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified… more
- CVS Health (Raleigh, NC)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... manage dispute resolution and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market. You will manage… 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 (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 (Raleigh, NC)
- …well-being of the unique communities we serve. The Rex Cancer Center is seeking a Care Manager to support Palliative Care and Psychiatry at our outpatient ... Palliative Care experience strongly preferred. Summary: The Care Manager RN plays a crucial role...various factors such as medical conditions, social determinants of health , and behavioral health needs.… more
- Centene Corporation (Raleigh, NC)
- …workplace flexibility. **Position Purpose:** Manages the care management team and the care coordination of behavioral health members to develop and ... healthcare outcomes related to mental and behavioral health needs. Manages escalations and care management issues related to members or providers. + Must… more
- Intermountain Health (Raleigh, NC)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
- UNC Health Care (Smithfield, NC)
- … health and well-being of the unique communities we serve. Summary: The Behavioral Health Technician II role blends bedside duties with administrative and ... Distributes patient education materials at the request of patients and/or health care providers **Other Information** Other information: **Education… more
- AmeriHealth Caritas (Raleigh, NC)
- …management and care coordination services in achieving their optimal level of health through self-management. The Care Manager (RN/LCSW) is responsible ... care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more… 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
- Motion Recruitment Partners (Durham, NC)
- Episodic Care Manager Durham, NC **100% Remote** Contract $35/hr - $37/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...Skills & Experience** * LCSW license only. * For Behavioral Health specific roles, other applicable licensure… 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
- Highmark Health (Raleigh, NC)
- …nationally recognized commitment to promote living health , inclusive of individuals' social health . The Program Manager will be an integral part of Highmark ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW** Highmark ...develop and implement SDOH programs that remove barriers to care and help people thrive, support evaluation frameworks to… more
- Highmark Health (Raleigh, NC)
- …management and performance **Preferred** + 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)
- …with diagnoses that include COPD, diabetes, pneumonia, renal failure, minor neurological disorders, behavioral health , as well as many others. We are that team ... for carrying out components of the plan. Works with manager to ensure care on unit is...Health ), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.… more
- Highmark Health (Raleigh, NC)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… 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 ... for carrying out components of the plan. Works with manager to ensure care on unit is...Health ), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.… 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 ... lines of business. If your passion is managing and developing staff to ensure quality care to help our clients live their best life, we encourage you to apply today!… more