- Sharecare (Raleigh, NC)
- …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the ... efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary Care Provider and… more
- Sharecare (Raleigh, NC)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
- CVS Health (Raleigh, NC)
- …- Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...setting - A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Raleigh, NC)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...setting. + A Registered Nurse that holds an active, unrestricted… more
- Sedgwick (Raleigh, NC)
- …college or university preferred. Current Certified Rehabilitation Counselor (CRC) or Registered Nurse (RN) license required. Current license, registration and/or ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist- Bilingual Hindi, Japanese, Mandarin or more… more
- Highmark Health (Raleigh, NC)
- …degree in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) ... Description :** **JOB SUMMARY** This job serves as the sales team's clinical expert, providing high-level support and insights for strategic clients, aligning… more
- Fujifilm (Raleigh, NC)
- …+ Bachelor's degree in biomedical engineering, healthcare, computer science or registered nurse , sonographer, technologist - desired, but not required. ... **Position Overview** The Senior Technical Clinical Consultant, Cardiology shall be responsible for all...activities, as directed by the applicable Project and CV Clinical Support Managers. + Consult with customers and project… more
- CenterWell (Raleigh, NC)
- …Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse (RN) license or Compact State RN license with ... **Branch Location** : Raleigh, NC **This is not a remote or work-from-home position. This position requires you to...at our Raleigh, NC branch location.** The **RN QA Clinical Manager** will play a critical role in ensuring… more
- Public Consulting Group (Raleigh, NC)
- …sector. To learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager. The Case Manager ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting… more
- Centene Corporation (Raleigh, NC)
- …insurance experience required; 2+ years of quality experience preferred. **License/Certification:** Registered Nurse (RN), Licensed Practical Nurse , Licensed ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
- CenterWell (Raleigh, NC)
- …your skills to make an impact** **Required Experience/Skills:** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred._ + ... indicators, and people management/development. The Branch Director supervises the branch/ clinical staff. Direct responsibility of ensuring the branch meets… more
- Humana (Raleigh, NC)
- …National Committee for Quality Assurance (NCQA) standards **PREFERRED QUALIFICATIONS:** + Registered nurse (RN) with unrestricted licensed **OR** independent ... degree or equivalent experience + 5+ years of previous clinical experience in utilization management + 2+ years of...compliance **Additional Information** This position is open to work remote **Work at Home Criteria** ** ** To ensure… more
- Public Consulting Group (Raleigh, NC)
- …of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The ... patients make informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working relations and… more
- AmeriHealth Caritas (Clayton, NC)
- …Committee meetings as needed. **Education/Experience** + Master's Degree in SW. ; + Registered Nurse . + 3 years professional practice experience. + 3 to ... the appropriate level of intervention based upon the member's needs and clinical progress. + Schedules follow up calls as necessary, makes appropriate referrals.… more
- Centene Corporation (Raleigh, NC)
- …Nursing and 4 - 6 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay ... for members in a cost-effective manner + May precept clinical new hires by fostering and building core skills,...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Centene Corporation (Raleigh, NC)
- …Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required or ... Licensed Clinical Social Worker. (LCSW) Pay Range: $55,100.00 - $99,000.00...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Centene Corporation (Raleigh, NC)
- …Care Manager to join our Carolina Complete Health team. The ideal candidate will be a Registered Nurse (RN) or hold a license as a Licensed Clinical Social ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more