- 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
- Elevance Health (Raleigh, 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
- 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 (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
- AmeriHealth Caritas (Sanford, 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
- 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 (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
- 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 - $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
- 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
- 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. Nurse/Patient Ratio: 1:4 (acuity...for carrying out components of the plan. Works with manager to ensure care on unit is… more
- Highmark Health (Raleigh, NC)
- …in a project manager role **Preferred** + Leadership experience + Health Care Insurance industry business and operational knowledge + Experience managing ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code 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 (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)
- …less-critical injuries requiring minor treatment, acute and behavioral health diagnoses. Summary: Provides competent clinical nursing care consistent ... consist of 8 beds with private rooms, catering to behavioral health patient needs in the ED....aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean… 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. The expected schedule for this position ... 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
- Humana (Raleigh, NC)
- …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more