- CVS Health (Raleigh, NC)
- …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- Highmark Health (Raleigh, NC)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified panel… more
- ManpowerGroup (Durham, NC)
- …Experis IT ManpowerGroup has partnered with a leading **healthcare insurance company** for a ** case manager ** role to assist their team. This is a Remote role. ... **Industry: Healthcare Insurance Co** **Title: Case Manager ** **Location: Remote (EST or CST)**...An RN, RD, or LCSW with 3 years of clinical and/or case management experience is required.… more
- Highmark Health (Raleigh, NC)
- …Degree in Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical and case management + 3 years of management/supervisory or leading/working ... job will lead a team of Registered Nurse Complex Case Managers that deliver case management services...the Organization's members that range in health status/severity and clinical needs. Accountable for daily operation of unit including… more
- Elevance Health (Durham, NC)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... and will preferably hold a Child & Adolescent Board Certification.** The ** Behavioral Health Medical Director - Psychiatrist - North Carolina** is responsible for… more
- Elevance Health (Raleigh, NC)
- …patients, members or providers in the state of North Carolina. The **RN Case Manager ** **(LTSS Service Coordinator- RN)** is responsible for overall management ... of member's case within the scope of licensure; provides supervision and...an impact:** + Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management… more
- Elevance Health (Durham, NC)
- A proud member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical mental health and substance use disorder ... analytics to improve the delivery of care. **BH Care Manager I, UM/Crisis Line - North Carolina** Candidate must...health benefits through telephonic or written review and providing clinical crisis support of the 24/7/365 Behavioral … more
- UNC Health Care (Chapel Hill, NC)
- …of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Inpatient Care Manager ... of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive...self-management. 3. Risk Segmentation: a. Utilize standardized tools and clinical judgment to identify and assess the risk level… more
- Intermountain Health (Raleigh, NC)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case ... psychosocial functioning for the purpose of diagnosing mental, emotional, behavioral , addictive and developmental disorders and disabilities, implementing appropriate… more
- City of Durham (Durham, NC)
- …will receive general administrative direction and supervision from the Shift Supervisors and/or Clinical Manager . They will not carry out supervisory tasks. The ... staff, clients, community partners, and partner agencies. + Participate in clinical and administrative supervision, case conferences, staff meetings, in-service… more
- Elevance Health (Durham, NC)
- …function as our Population Health and Care Management Director and ideally bring their clinical , public health, child welfare, and IDD expertise to this role and our ... family well-being, racial disparities, maternal and adolescent health outcomes, behavioral health response systems, and our care management effectiveness, reporting… more
- UNC Health Care (Chapel Hill, NC)
- …days and the player patient leaves us with a plan of care and a nurse case manager to connect them to services within their home geography. **Program Hours:** ... Brain and Body Program at UNC provides a comprehensive physical and behavioral health assessment to athletes recently retired from their professional football… more
- UNC Health Care (Chapel Hill, NC)
- …days and the player patient leaves us with a plan of care and a nurse case manager to connect them to services within their home geography. **Program Hours:** ... Brain and Body Program at UNC provides a comprehensive physical and behavioral health assessment to athletes recently retired from their professional football… more