- UNC Health Care (Smithfield, 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 knowledge of patient needs and… more
- UNC Health Care (Raleigh, 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 (Raleigh, NC)
- …of.** **COMMUNITY NAME** Sunrise at North Hills **Job ID** 2025-223712 **JOB OVERVIEW** The Care Manager /"Designated Care Manager " is responsible for ... in our assisted living/long term care and reminiscence neighborhoods. The Care Manager provides hands on care and physical and emotional support as… more
- Sunrise Senior Living (Raleigh, NC)
- …part of.** **COMMUNITY NAME** Sunrise at North Hills **Job ID** 2025-229491 **JOB OVERVIEW** The Lead Care Manager functions as the lead to a group of Care ... Managers/"Designated Care Managers" during the shift. The Lead Care Manager ensures quality care and services are being provided to residents in our … more
- AmeriHealth Caritas (Clayton, NC)
- **Role Overview:** The Care Manager (RN/LCSW) assists members appropriate for care management and care coordination services in achieving their optimal ... level of health through self-management. The Care Manager (RN/LCSW) is responsible for engaging the member, member care giver and providers to assess plan… more
- Sharecare (Raleigh, NC)
- …**Monday July 21st, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Sunrise Senior Living (Raleigh, NC)
- …NAME** Brighton Gardens of Raleigh **Job ID** 2025-229188 **JOB OVERVIEW** The Medication Care Manager is responsible for providing the highest degree of quality ... appropriately document and report to supervisor. + Count all narcotics with another Medication Care Manager (MCM) or Lead Care Manager (LCM) each shift… 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 insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance… 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
- Centene Corporation (Raleigh, NC)
- …perspective on workplace flexibility. **Centene is hiring! We are seeking a LTSS Service Care Manager to join our Carolina Complete Health team. The ideal ... with experience in physical health, case management, and/or field-based care . This role requires 80% field work, visiting members...80% field work, visiting members in their homes or care facilities to provide hands-on support and coordination in… more
- Elevance Health (Raleigh, NC)
- …children and families thrive in safe, stable, and nurturing homes._ The **CFSP Foster Care /Adoption Care Manager ** is responsible for the overall management ... **Managed Care Coordinator** **Sign-on Bonus: $1000** **We are currently...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Raleigh, NC)
- …approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement._ **The Manager Care Management, Foster Care ** ( Manager I ... so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP),...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Centene Corporation (Raleigh, NC)
- …**Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. ... May develop or assist with developing personalized service care plans/service plans for long-term care members...personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on… more
- Centene Corporation (Raleigh, NC)
- …workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide ... high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. **(Must reside in North Carolina).**… more
- Centene Corporation (Raleigh, NC)
- …risk pregnancy population.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality, ... cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/… more
- Lumen (Raleigh, NC)
- …stressful working environment. + Ability to learn and adhere to customer care policies, processes, and principles + Ability to maintain a proficient understanding ... of Lumen products and services. + Have a working knowledge of the implementation workflow **Preferred:** + Understanding of technical products and services + Formal project management experience + Knowledge of order process and technical side of the… more
- Public Consulting Group (Raleigh, NC)
- …Proven working experience in case management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...is to provide a funding source for future health care costs associated with birth‐related neurological injuries. The Case… more
- Gentiva (Selma, NC)
- …, you will:** + Reportdirectly to the Administrator, Executive Director or Patient Care Manager Senior and will maintain primary control and professional ... leader in hospice, palliative, home health, and personal home care . Our place is by the side of those...programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and empathetic… more
- Public Consulting Group (Raleigh, NC)
- …Proven working experience in case management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... of program policies and procedures + Responsible for the full patient care cycle. + Assesses, plans, implements, monitors and evaluates actions required to… more
- Intermountain Health (Raleigh, NC)
- …ensure a successful execution of strategy and collaboration within operations and clinical care . The manager builds and supports provider and employee engagement ... **Job Description:** The Medical Group Nurse Manager reports to a Market or Service Line...culture of patient and employee safety, quality of patient care and customer experience. Partners with Service Line or… more