- 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 ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Raleigh, NC)
- …September 8th, 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… more
- CVS Health (Raleigh, NC)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CenterWell (Raleigh, NC)
- …or requested. **Use your skills to make an impact** **Required Experience/Skills:** + Registered Nurse or Physical Therapist. + Current state license as a ... Registered Nurse or Physical Therapist. + 5 years of professional experience in Home Care , 2 years of which are in an administrative, supervisory, quality… more
- UNC Health Care (Morrisville, NC)
- …is to 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
- Centene Corporation (Raleigh, NC)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... Management experience **2+ years of clinical nursing experience. Knowledge of managed care preferred.** Current RN License (NC)** **and/or Compact State… more
- Highmark Health (Raleigh, NC)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- UNC Health Care (Chapel Hill, NC)
- …about our UNC Hospitals RN Incentive Program here: jobs.unchealthcare.org/pages/unc-hospitals- nurse -incentive-program 6 Memorial is a 28-bed, acute care , ... assist in hiring, promoting, transferring and terminating staff. Assists Nurse Manager by providing assigned staff with...nursing. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- UNC Health Care (Chapel Hill, NC)
- … care consistent with professional standards. Reporting and accountable to the Nurse Manager /Director, the Clinical Nurse is responsible for coordinating ... years of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. * Basic Life… more
- CenterWell (Raleigh, NC)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... **Branch Location** : Raleigh, NC **This is not a remote or work-from-home position. This position requires you to...sit on-site at our Raleigh, NC branch location.** The ** RN QA Clinical Manager ** will play a… more
- Sharecare (Raleigh, NC)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Centene Corporation (Raleigh, NC)
- …of experience in the delivery of services to the population groups or current state's Registered Nurse ( RN ) license and at least four years of experience ... **Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.… more
- UNC Health Care (Chapel Hill, NC)
- …any significant changes in the patient's condition and make an immediate report to a registered nurse or physician. 3. Provide a variety of clerical tasks to ... based on unit needs and the discretion of the manager / charge nurse . Tracks supply inventory,...7. Reinforce routine teaching given to patients by the registered nurse or physician and document patient… more
- CenterWell (Raleigh, NC)
- …it will allow for off-days during the week.** The **Clinical Care Coordinator/ Care Manager , Telephonic Nurse ** helps to ensure optimal continuity of ... The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a… more
- UNC Health Care (Chapel Hill, NC)
- …Association) certification - AAPC (American Academy of Professional Coders) certification - RN ( Registered Nurse ) license - LPN (Licensed Practical ... 5. Participates in the hiring and selection of new CDS with the hiring manager as requested. 6. Analyzes and audits medical records concurrently to ensure that the… more
- Cardinal Health (Raleigh, NC)
- …Rheumatology (Rheum) Customer Success contributes to Cardinal Health_** The Clinical Manager for our Rheumatology (Rheum) Customer Success team is responsible for ... the EVP of Provider Solutions. In this role, the Manager will be held primarily accountable for the overall...that will lead our Rheum program. **Location** - Fully remote with the expectation of 15-20% travel. Travel does… more
- Sedgwick (Raleigh, NC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US and are ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more