- Cardinal Health (Raleigh, NC)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Elevance Health (Durham, NC)
- **Behavioral Health Care Manager I (3rd Shift -After Hours) - Bilingual Preferred** **Sign On Bonus:** $3,500 **Location - Virtual:** This role enables ... to work on holidays as part of a rotating schedule._ The **Behavioral Health Care Manager I (3rd Shift -After Hours) - Bilingual Preferred** is responsible for… more
- Humana (Raleigh, NC)
- …or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Humana (Raleigh, NC)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid, and/or… more
- CAI (Raleigh, NC)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full time **Worksite flexibility:** Remote **Who we are** CAI is a global technology services firm ... enterprise. **Job Summary** We are looking for a motivated Case Manager , RN ready to take us...member needs, and develop tailored care plans Preferred: + Case Management Certification (CCM or equivalent) + Bilingual… more
- CVS Health (NC)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Deloitte (Charlotte, NC)
- …Employer Services. Qualifications Required + Fluent in both English and Japanese (ie bilingual ) + 5+ years of experience in global mobility compliance or personal ... role and compensation decisions are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is $98,350 to $223,990. You may… more
- UNC Health Care (Goldsboro, NC)
- **Description** Bilingual Preferred Educational Loan Repayment Available!! Summary: The Family Nurse Practitioner (FNP) manages the WATCH Healthcare Program for ... the mobile unit safely. 3. Conducts telehealth as indicated. 4. Patient Case Management: a. Participates in and, when appropriate, continues health care plans… more
- City of Durham (Durham, NC)
- …community, reinforcing their commitment to their individual reentry journey. 2. Case Support & Reentry Planning + Assist in developing individualized reentry ... + Monitor progress and adjust plans as needed in collaboration with the Program Manager . 3. Resource Navigation + Connect participants to vital resources such as: +… more
- AmeriHealth Caritas (Wilson, NC)
- …Member population. The Care Connector functions with direction from the program's Case Managers or Supervisor/ Manager and is responsible for screening identified ... at www.amerihealthcaritas.com **Summary:** Under the direction of the designated Supervisor/ Manager , the Care Connector provides select program interventions according… more
- CenterWell (Raleigh, NC)
- …control standards. + Offer guidance on health maintenance, disease prevention, and case management when needed. **Use your skills to make an impact** **Required ... Passion for improving patient experiences and outcomes. **Preferred Qualifications** + Bilingual skills. + Knowledge of HEDIS measures. + Familiarity with… more
- UNC Health Care (Chapel Hill, NC)
- …equity and advocating for vulnerable children and families. Ideal candidate is bilingual strong computer skills and possible case management experience. This ... consistent with professional standards. Reporting and accountable to the Nurse Manager /Director, the Clinical Nurse is responsible for coordinating and delivering… more