- Insmed Incorporated (Raleigh, NC)
- …Workplaces in Biopharma™, Best Workplaces in New York™, PEOPLE® Companies That Care , Best Workplaces for Women™, Best Workplaces for Millennials™, and Best Medium ... share best practices, and ensure a holistic and patient-centric approach to care . Prior Authorization & Insurance Coordination: Verify insurance coverage and prior… more
- UNC Health Care (Chapel Hill, NC)
- …to learn how to be a Care Manager or would like to continue their Care Manager career at UNC Medical Center If this sounds like you apply now! Become ... **Description** Have you ever considered a role in Care Management? UNC Medical Center is...well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role… more
- UNC Health Care (Raleigh, NC)
- …health and well-being of the unique communities we serve. **Seeking full-time on-site RN Care Manager to work a variable schedule of 4- 10-hour days ... and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention… more
- UNC Health Care (Cary, 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** 2024-221872 **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
- Elevance Health (Durham, NC)
- **Nurse Care Manager Senior - LGBTIA+/ Transgender Community** **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations ... **12:30 PM** **to 9 PM EST** **.** The **Nurse Care Manager Senior** is responsible for collaborating...an impact:** + Ensures medically appropriate, high quality, cost-effective care through assessing the medical necessity of… more
- Sharecare (Raleigh, NC)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... or Care Management with CareFirst 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)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, assesses ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work...of utilization, conduct outreaches based on acuity to assess medical /social/BH needs and address gaps in case; participate in… 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
- Intermountain Health (Raleigh, NC)
- **Job Description:** Full Time, Monday-Friday 08:00-17:00 PST. The nurse care manager works collaboratively with physicians and other members of the health ... care team to improve the health of patients with...**Job Essentials** Identifies patient populations using specific screening criteria, medical record review or through referrals for service per… 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, 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...and evaluate cases for medical necessity against medical policy, benefits and/or care guidelines and… more
- IQVIA (Durham, NC)
- **Position Summary:** The Care Navigator Manager is primarily responsible for providing leadership through guidance, motivation, coaching, skill development, ... Care Managers and Program Support Representatives. The Regional Manager will create, implement, and communicate operational vision for...organized and financed, and how they interact to deliver medical and health care . + The Patient's… more
- Humana (Raleigh, NC)
- …of objectives and determines approach, resources, schedules, and goals. + Oversees the care manager staff and monitors compliance of assessment and evaluation of ... first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (LTSS-ABD) who will lead...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Raleigh, NC)
- …and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (Physical Health) who will lead teams of nurses and ... behavior health professionals responsible for care management. The Manager , Care ...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Raleigh, NC)
- …and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management Support who will contribute to the administration of ... care management in support of our Virginia Cardinal ...a variety of electronic information applications/software programs including electronic medical records. + Comprehensive knowledge of all Microsoft Office… more
- Cardinal Health (Raleigh, NC)
- …loyalty, sales growth and improved profitability. **_Job Summary_** The **Traditional Wound Care Product Manager ** , will have full portfolio ownership of ... the Cardinal Health Brand Traditional Wound Care portfolio. This role with be responsible for partnering...portfolio. **_Responsibilities_** + In conjunction with the Senior Marketing Manager and product stakeholders from a variety of functions,… 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 ... **_What Clinical Operations and Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support… more
- Sharecare (Raleigh, NC)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing the objectives and goals of the Value… more
- Walmart (Raleigh, NC)
- …#2058** 1725 NEW HOPE CHURCH RD, RALEIGH, NC, 27609, US Job Overview These Auto Care Center roles focus on the needs of our customers who entrust us with the ... care of their vehicles as they shop for merchandise...a happier mind, body, and wallet. Health benefits include medical , vision and dental coverage. Financial benefits include 401(k),… more
