- 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...ensure compliance with coding and documentation requirements. 9. Longitudinal Care as part of the Medical Home… more
- UNC Health Care (Raleigh, NC)
- …and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention ... coordinate referrals to community resources and post-acute providers as necessary. 5. Care Progression and Transition Planning - Communicate medical milestones… more
- UNC Health Care (Raleigh, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and ... interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers, patients, and… more
- Sunrise Senior Living (Cary, NC)
- …**COMMUNITY NAME** Sunrise of Cary **Job ID** 2025-225370 **JOB OVERVIEW** The Medication Care Manager is responsible for providing the highest degree of quality ... to supervisor. + Counts all narcotics with another Medication Care Manager (MCM) or Lead Care...also offer benefits and other compensation that include: + Medical , Dental, Vision, Life, and Disability Plans + Retirement… more
- Sharecare (Raleigh, NC)
- …and affordable for everyone. To learn more, visit www.sharecare.com. **Job Summary:** The Care Manager supports the implementation of the Value Based Care ... Case or Care Management with members. The Care Manager partners with members, caregivers, providers,...to extrapolate information from a variety of sources including medical records to create concise records that accurately depict… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, assesses and ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 is...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Sunrise Senior Living (Raleigh, NC)
- …the rest of my life!"_** **_- Sunrise Team Member_** At Sunrise, our Lead Medication Care Manager is responsible for providing the highest degree of quality ... care and services by administering medication and treatments in...also offer benefits and other compensation that include: + Medical , Dental, Vision, Life, and Disability Plans + Retirement… more
- IQVIA (Raleigh, NC)
- …real world. **Position Summary:** AllCare Plus Pharmacy, an IQVIA company, is seeking a Care Manager ! Responsibilities will vary by program and its lifecycle. ... Care Manager 's may be responsible for contacting...Care Manager 's may be responsible for contacting insurance companies to...organized and financed, and how they interact to deliver medical and health care . + **The Patient's… more
- Highmark Health (Raleigh, NC)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- Motion Recruitment Partners (Durham, NC)
- Episodic Care Manager Durham, North Carolina **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...and evaluate cases for medical necessity against medical policy, benefits and/or care guidelines and… more
- IQVIA (Raleigh, NC)
- **Position Summary:** ** Care Navigator Manager ** **Position Summary:** The Care Navigator Manager is primarily responsible for providing leadership ... while ensuring compliance with all standard operating procedures. The Care Navigator Manager must maintain a diverse...Act as primary resource of program knowledge to the Care Navigator team + Provide claims and medical… more
- Humana (Raleigh, NC)
- …and help us put health first** Humana Healthy Horizons in Virginia is looking for a Manager , Transition Care Management ( Manager , Care Coaching) who will ... as being at risk of nursing facility placement. The Manager , Transition Care Management ( Manager ,...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Cardinal Health (Raleigh, NC)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services… more
- Cardinal Health (Raleigh, NC)
- …thinking, preferred + Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of Medical /Pharmacy billing and coding is ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- Cardinal Health (Raleigh, NC)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services… more
- Cardinal Health (Raleigh, NC)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off plan + Health savings account… more
- Gentiva (Raleigh, NC)
- …in people's lives every day. **Overview** We're looking for a **RN -** **Patient Care Manager ** to supervise our hospice clinical team.You will report directly ... to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for...a timely, professional, and compassionate manner, including triage of medical concerns within scope of practice. + Preparing for,… more
- Sunrise Senior Living (Raleigh, NC)
- …limited to participating in the evaluation of and service planning for residents, leading the care manager team in the provision of high quality, safe care ... nature, and creating staffing and scheduling plans for the care manager team. The RCC assists in...also offer benefits and other compensation that include: + Medical , Dental, Vision, Life, and Disability Plans + Retirement… more
- Sunrise Senior Living (Raleigh, NC)
- …with me for the rest of my life!"_** **_- Sunrise Team Member_** At Sunrise, our Med Care Manager is responsible for providing the highest degree of quality ... organized manner. **RESPONSIBILITIES & QUALIFICATIONS** **HIRING FOR A FULL-TIME, 2ND SHIFT MED CARE MANAGER ** **Responsibilities:** - Administration of… more
- CVS Health (Raleigh, NC)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Implements Value Based Care (VBC)… more