- 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
- 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 (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
- 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 (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 (Chapel Hill, NC)
- …CN IV needed for BHED UNC Hospitals Behavioral Health Emergency Department (BHED) provides care to approximately 5,000 ... Transitional Unit, the BHED can accommodate up to 42 beds for patients seeking mental health care in a patient centered environment. BHED staff partner and work… more
- UNC Health Care (Chapel Hill, NC)
- … and well-being of the unique communities we serve. The UNC Hospitals Behavioral Health Emergency Department (BHED)provides care to approximately 5,000 ... accommodate up to 42 beds for patients seeking mental health care in a patient centered environment....SNE I reports to the assigned department's Patient Services Manager or designated Education Leader and works under the… more
- 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
- UNC Health Care (Chapel Hill, NC)
- …care progression + Thrive in a team environment + Would like to learn how to be a Care Manager or would like to continue their Care Manager career at ... well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role...various factors such as medical conditions, social determinants of health , and behavioral health needs.… 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
- UNC Health Care (Chapel Hill, NC)
- …the team! The 127 bed Emergency Department is comprised of 44 behavioral health beds (with a separate dedicated manager ), 12 pediatric beds, and the ... while working in concert with the Emergency Department Nurse Manager and the Behavioral Health ...Yes This is a State position employed by UNC Health Care System with UNC Health… 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
- 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
- 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
- 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