- UNC Health Care (Chapel Hill, NC)
- …is to improve the health and well-being of the unique communities we serve. RN Utilization Manager responsible for clinical reviews for medical necessity ... for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care ...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- Fresenius Medical Center (Rolesville, NC)
- **About this role:** As a Clinical Manager with Fresenius Medical Care , you will ensure that quality patient care is delivered while maintaining clinical ... of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing...leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area… more
- UNC Health Care (Hillsborough, NC)
- …mission is to improve the health and well-being of the unique communities we serve. This RN Care Manager will be supporting the UNC Ortho Clinic, Women's, ... management, utilization review and discharge planning. The Care Manager must be highly organized professional...**Professional Experience Requirements:** * Two (2) years of health care experience as a Registered Nurse… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Outpatient, DME, and Complex Care Needs. Essential Qualifications + Current licensed Registered Nurse ( RN ) with state licensure. Must retain active and ... Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal...care setting. + 3+ years' experience in clinical nurse setting preferred. + Grievance experience preferred. + TPA… more
- CenterWell (Raleigh, NC)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... is not a remote or work-from-home position.** The **Clinical Manager ** coordinates and oversees all direct care ...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Sharecare, Inc. (Raleigh, NC)
- …telephonic support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider ... total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is...according to the disease management program intervention guidelines. An RN is supervised by an Operations Manager … more
- UNC Health Care (Morrisville, NC)
- …and functions of case management, utilization review and discharge planning. The Care Manager must be highly organized professional with great attention to ... Care Management Assistant. Consult Social Worker and/or Utilization Manager per established departmental protocol. Maintain...**Professional Experience Requirements:** * Two (2) years of health care experience as a Registered Nurse… more
- UNC Health Care (Chapel Hill, NC)
- …with a background in pediatrics. Preference will be given to candidates who are Registered Nurses ( RN ) or Licensed Clinical Social Worker (LCSW) with acute ... Join our dynamic seasoned pediatric team as an on-site manager at our UNC Chapel Hill campus, where you'll...Experience Requirements:** * Five (5) years of experience in care management, utilization management, discharge planning, … more
- BAYADA Home Health Care (Raleigh, NC)
- …Living in **north Raleigh and Durham, NC.** Are you a solutions-oriented, team-focused ** Registered Nurse , Licensed Practical Nurse or Therapist (Physical ... Solutions** , a specialty offering of BAYADA Home Health Care , was created to address the unique needs of...professional growth. **Qualifications:** + Current NC licensure as a Registered Nurse , Licensed Practical Nurse ,… more
- Elevance Health (Cary, NC)
- …weekends and holidays, and starting at 5 pm or 10 pm EST.** The BH Care Manager I responsible for managing psychiatric and substance abuse or substance abuse ... depression, and insightful analytics to improve the delivery of care . **This is an individual contributor role and the...equivalent background. + Current active unrestricted license, such as RN LCSW LMHC LPC (as allowed by applicable state… more
- UNC Health Care (Apex, NC)
- **Description** **_UNC Rex Rehabilitation and Nursing Care Center of Apex is a skilled nursing facility with 107 beds. We care for long-term care residents ... Acts as liaison between staff, physicians, and management. Also performs direct patient care . Responsibilities: 1. Ensures care delivered to each patient is… more
- Marriott (Raleigh, NC)
- **Additional Information** Nurse CARE Manager **Job Number** 24111133 **Job Category** Finance & Accounting **Location** Marriott International HQ, 7750 ... Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely,...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- HealthEdge Software Inc (Raleigh, NC)
- …improve both clinical outcomes and the member experience. **What you bring:** + ** RN /NP/MSN** with **10+ years of health care experience** **required** ; ideally ... implementations by developing and managing the clinical components of our care programs. This includes overseeing content development, clinical product design, and… more
- Motion Recruitment Partners (Durham, NC)
- Case Manager Durham, NC **100% Remote** Contract $30/hr - $39/hr Our client, a nationally recognized and award-winning company in the health insurance vertical, has ... a contract opening for a Case Manager . They have over 4 million customers and 5,000+...Months **Required Skills & Experience** + Healthcare Experience + RN with 3 years of clinical and/or case management… more
- Sharecare, Inc. (Raleigh, NC)
- …goals and objectives of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and ... individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com… more
- Granville Health System (Oxford, NC)
- …Summary: Performs all clerical and secretarial duties related to unit under supervision of Nurse Manager or Charge Nurse . Coordinates activities at nursing ... responsibility and accountability for a group of patients, providing care through the continues utilization of the...clean environment under the direction and supervision of the Registered Nurse in charge of the unit.… more
- J&J Family of Companies (Raleigh, NC)
- …domains is preferred): + Cell Therapy Manufacturer Home Office or Field Experience + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... Our account management teams support the certified sites who care for cancer patients. We are deeply committed to...of this account management team, reporting to the Senior Manager , CAR-T Cell Therapy Experience Lead. The role will… more