- Highmark Health (Raleigh, NC)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- UNC Health Care (Smithfield, NC)
- …**Knowledge/Skills/and Abilities Requirements:** **Job Details** Legal Employer: NCHEALTH Entity: Johnston Health Organization Unit: Behavioral Health Admin ... post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care ...Health ), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.… more
- UNC Health Care (Raleigh, NC)
- …a non-designated holding area that consist of 8 beds with private rooms, catering to behavioral health patient needs in the ED.** We have 2 major resuscitation ... life threatening situations, less-critical injuries requiring minor treatment, acute and behavioral health diagnoses. Patients with heart conditions receive… more
- UNC Health Care (Smithfield, NC)
- …to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment ... **Knowledge/Skills/and Abilities Requirements:** **Job Details** Legal Employer: NCHEALTH Entity: Johnston Health Organization Unit: Behavioral Health IP… more
- Highmark Health (Raleigh, NC)
- …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… more
- LifePoint Health (Louisburg, NC)
- …Supervisor, charge nurse or RN on the unit to which assigned. *Reports to:*Nurse Manager Adult Behavioral Health *Responsibilities of the Position* Observes, ... Maria Parham Health is equipped for every health care need one can encounter. We...protected by applicable federal, state, or local law. **Job:** ** Behavioral Health * **Organization:** **Maria Parham Franklin* **Title:**… more
- Elevance Health (Cary, NC)
- …in either our Cary, NC or Winston-Salem, NC office 1-2x a week.** The ** Behavioral Health Medical Director - Psychiatrist - North Carolina** is responsible for ... the administration of physical and/or behavioral health medical services, to ensure the...directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies… more
- UNC Health Care (Morrisville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and coordinated ... care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers,...various factors such as medical conditions, social determinants of health , and behavioral health needs.… more
- Elevance Health (Cary, NC)
- A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... at 5 pm or 10 pm EST.** The BH Care Manager I responsible for managing psychiatric...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- CVS Health (Raleigh, NC)
- …channels * Ability to speak to medical and behavioral health professionals to influence appropriate member care . * Utilizes influencing/motivational ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… more
- UNC Health Care (Raleigh, NC)
- …with diagnoses that include COPD, diabetes, pneumonia, renal failure, minor neurological disorders, behavioral health , as well as many others. We are that team ... to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment… more
- Elevance Health (Raleigh, NC)
- …member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** ... evaluation, coordination and management of member's needs, including physical health , behavioral health , social services...care in conjunction with the member and the health care team. + Manages members with… more
- CAI (Raleigh, NC)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs. + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
- Highmark Health (Raleigh, NC)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Raleigh, NC)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- UNC Health Care (Raleigh, NC)
- …a non-designated holding area that consist of 8 beds with private rooms, catering to behavioral health patient needs in the ED. We have 2 major resuscitation ... life threatening situations, less-critical injuries requiring minor treatment, acute and behavioral health diagnoses. Patients with heart conditions receive… more
- Elevance Health (Cary, NC)
- …Justice and Delinquency Prevention, DMH/DD/SUS) -Expertise with evidence-based treatment for outpatient behavioral health care -Expertise with public ... and adolescent health outcomes, behavioral health response systems, and our care management...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Highmark Health (Raleigh, NC)
- …Preferred + None **EXPERIENCE** Required + 5 years of clinical or managed care experience Preferred + Health insurance experience **LICENSES OR CERTIFICATIONS** ... position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- BAYADA Home Health Care (Raleigh, NC)
- …Responsibilities of a Home Care Direct Support Professional: + Passion for providing mental/ behavioral health care to individuals with ID/DD + Ability to ... our caring team today! **As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.** BAYADA… more
- Prime Therapeutics (Raleigh, NC)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... drives every decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary**...ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved,… more