- 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
- Sedgwick Government Solutions (Raleigh, NC)
- …knowledge and eliminates barriers where possible. + Interface with social worker and case management staff in coordinating client care **.** + Meet Agency ... Job Details Care Coordinator 2025-1451 Remote (Strong Internal) Raleigh, NC, USA...you like to be part of a highly skilled clinical team, including home-based Care Coordinators focused on supporting… more
- Highmark Health (Raleigh, NC)
- …and other departments based on documentation procedures, including review type, clinical information, and decision timeframes. Follows policies and procedures to ... assure case completion and compliance with state and federal regulatory...notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers and… more
- TEKsystems (Morrisville, NC)
- …Medicaid knowledge + Insurance verification and reimbursement procedures + Care coordination and case management + Insurance billing and claims basics + Medical ... Job Title Care Coordinator Summary Experienced Care Coordinator aligned...escalation procedures for complex cases. + Coordinate between Program Management , internal teams, and healthcare providers to communicate patient… more
- TEKsystems (Morrisville, NC)
- Description + Serve as primary inbound phone support for the Care Coordinator and Reimbursement Case Manager + Provides unparalleled customer service while ... and/or a patient + Partner with the prescriber and patient to remove all non- clinical barriers to patient access to prescribed therapy + Ability to understand and… 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 UNC Rex. Responsibilities: 1. Attends hospital rounds with referring physician, clinical care management representative, and hospital staff 2. Communicates ... sources and staff. Coordinates with the patient, patient's family, referring physician, clinical care management representative, and hospital staff to determine… more
- UNC Health Care (Raleigh, NC)
- …and staff. 2. Coordinates with the patient, patient's family, referring physician, clinical care management representative, and hospital staff to determine the ... medications, and what to expect for services in the home. Works with Case Managers, Providers, and other Referral Partners to assist with discharge plans and… 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
- UNC Health Care (Chapel Hill, NC)
- …and population research.** **Position Summary** **This position will serve as a Clinical Research Nurse Coordinator within the** **UNC** **Department of ... Pediatrics, Children's Research Institute (** **CRI** **). The Clinical Research Nurse Coordinator is responsible for independently providing specialized nursing… more
- PruittHealth (Durham, NC)
- ** CLINICAL COMPETENCY COORDINATOR / NURSE EDUCATOR.** **Join...of unit staff. 9. Reviews with DHS outcomes of case mix and clinical meetings, in order to ... Evaluation of care provided to patients is determined by assessing competency of clinical staff on an ongoing basis, evaluating care provided to patients by bedside… more
- University of North Carolina- Chapel Hill (Chapel Hill, NC)
- …reports. This position will also be responsible for training and supervising project case management staff and overseeing the justice-involved phone line to ... and Experience Position Summary/Description: UNC Horizons at Wake seeks a Project Coordinator to provide overall clinical and administrative support for a… more
- UNC Health Care (Raleigh, NC)
- …expertise with provisions of the NC Workers' Compensation Act and serves as a case coordinator for all claims at operating unit. Processes all client logs ... environment of safety for patients, self and others. Oversees daily clinical , clerical & administrative Occupational Health Services (OHS) functions while ensuring… more