- Parexel (Raleigh, NC)
- …leverage your medical expertise to ensure the safety of patients in clinical trials and post-marketing settings. In this pivotal role, you'll perform comprehensive ... Actively mentoring Patient Safety Physicians to develop their skills and expertise ** Case report medical review (as applicable)** + Performing medical review of… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- … Case Management / Medical Management services to its clients. Clinical Coordinator facilitates case management by performing intake and ... intake screening assessment, and effectively communicating with Nurse Case Managers. The Clinical Coordinator ...Clinical Coordinator reports to the Manager, Case management . Primary Responsibilities + Answer and… more
- UNC Health Care (Chapel Hill, NC)
- …public facing materials for families and other providers and General case management for infant audiology appointments (Medicaid transportation, Ronald ... We are seeking thoughtful, hardworking candidates for our new Audiology Infant Coordinator role, which serves as the primary liaison for managing and triaging… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role MagnaCare provides Utilization Review/ Case Management / Medical Management /Claims Review services to its clients. Care Coordinators facilitate ... with departmental workflows, policies and procedures. + Assist Nurse Case Reviewers with non- clinical issues tasks such...Bilingual preferred, but not required + Previous experience in case management handling insurance claims a plus.… more
- UNC Health Care (Chapel Hill, NC)
- …cost effectiveness through the integrating and functions of point of entry case management , utilization review, and effective patient flow activities. ... implement a hospital wide capacity management strategy. 3. Logistics Management - Collaborate with house supervisors and clinical admitting decision makers… more
- UNC Health Care (Chapel Hill, NC)
- …and staff. 2. Coordinates with the patient, patient's family, referring physician, clinical care management representative, and hospital staff to determine the ... or Home Hospice and communicate this to the referral source ( Case Managers, Residents, or Physicians) and patient/family/care giver. **Other Information** Other… more
- CVS Health (Raleigh, NC)
- …is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH ... other programs to overcome barriers to meeting goals and objectives. + Utilizes case management processes in compliance with regulatory and company policies and… more
- PruittHealth (Raleigh, NC)
- …territory plans, strategies and actions to achieve negotiated goals. 21. Identifies case management , HMO, PPO, insurance companies and other payer referral ... are appropriate for admission to the home health or hospice agency. Provides clinical expertise to our home health and hospice agencies by evaluating their ability… more
- UNC Health Care (Chapel Hill, NC)
- …5. Identifies staff educational needs to ensure safe and effective patient clinical management . Recommends, plans and or participates in staff development ... unique communities we serve. Summary: The RN Quality Assurance Specialist will oversee the clinical documentation of the direct care clinical staff to ensure it… more
- BrightSpring Health Services (Raleigh, NC)
- …of experience as specified below. + Two years of experience as a Care Manager, Case Manager, or Care Coordinator preferred. + Ability to perform work with a ... Our Company ResCare Community Living Overview Work in conjunction with diverse clinical teams and utilize community resources to meet the needs of individuals… more
