- UNC Health Care (Chapel Hill, NC)
- …organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Utilization Manager ... episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to… more
- Granville Health System (Oxford, NC)
- …Care case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; ... one level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients… more
- Elevance Health (Raleigh, NC)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… 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 ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… more
- Humana (Raleigh, NC)
- …+ Administer new innovative VBP models for range of provider types, such as behavioral health , maternity, specialists, and social determinants of health , ... part of our caring community and help us put health first** The Sr. Value-Based Programs professional ...move providers from volume to value + Analyze financial, utilization , and performance data to identify opportunities to drive… more
- City of Durham (Durham, NC)
- …Response Teams)-to meet the needs of people in crisis with compassionate care and behavioral health expertise. In the first twelve months of operation, and ... call center to triage, assess, and respond remotely to behavioral health related calls that can be...of relevant experience + Provisionally licensed or fully licensed professional within any of the following areas: + Licensed… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- Summary The Durham VA Health Care System is recruiting for one (1) full time vacancy for a Registered Nurse Diabetes Educator position. Responsibilities The ... on assessed needs; educational interventions; evaluation of progress towards behavioral goals; communications with other healthcare team members. Outcome… more
- Elevance Health (Cary, NC)
- …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... state or territory of the United States when conducting utilization review or an appeals consideration and cannot be...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- City of Durham (Durham, NC)
- …Response Teams)-to meet the needs of people in crisis with compassionate care and behavioral health expertise. In the first twelve months of operation, and ... team lead), a Peer Support Specialist, and EMT-to 911 calls for service involving behavioral health and quality of life related concerns. Note that CRT responds… more
- CenterWell (Raleigh, NC)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** **National** **Director of Transitional Care and High-Risk...will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring… more
- Centene Corporation (Raleigh, NC)
- …issues, service gaps and member needs **Education/Experience:** RN license or Master's degree in Behavioral Health or related field. 3+ years of case and/or ... everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team....utilization management experience. Experience in a psychiatric … more
- UNC Health Care (Morrisville, NC)
- …organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Summary: **This position ... position will primarily be located with UNC Family Medicine Knightdale.** **UNC Health is also a qualifying organization for the Public Service Loan Forgiveness… more
- CenterWell (Raleigh, NC)
- … health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management, care management, clinical information ... directly address the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Raleigh, NC)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization ...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
- Marriott (Raleigh, NC)
- …alternatives and solutions, solves problems, and chooses a course of action. + ** Professional Demeanor** - Exhibits behavioral styles that convey confidence and ... expert for both senior leadership and project teams in effective utilization of existing technology in business technical applications, either enterprise-wise or… more