- Elevance Health (Durham, NC)
- ** Behavioral Health Case Manager I - North Carolina** A proud member of the Elevance Health family of companies, **Carelon Behavioral Health ... Friday, 8:00 am (EST) to 5:00 pm (EST)** The ** Behavioral Case Manager I** is...visits within the scope of licensure for members with behavioral health and substance abuse or substance… more
- Elevance Health (Durham, NC)
- ** Behavioral Health Care Manager I (3rd Shift -After Hours) - Bilingual Preferred** **Location - Virtual:** This role enables associates to work virtually ... on holidays as part of a rotating schedule._ The ** Behavioral Health Care Manager I...substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member… more
- CVS Health (Raleigh, 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 ... previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience.… more
- Maxim Healthcare (Raleigh, NC)
- Maxim Healthcare in Raleigh is hiring for a Case Manager to oversee the clinical care of homecare clients Why This Role? + Balanced Responsibilities + Work-Life ... team where your expertise and dedication are truly valued. Maxim Benefits: Health and Wellness Medical/Prescription, Dental, Vision, Health Advocacy (company… more
- Elevance Health (Cary, NC)
- …licensure. Manages overall healthcare costs for the designated population via integrated (physical health / behavioral health ) case management and whole ... access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy,_ _Intellectual/Developmental_ _Disabilities (I/DD)… more
- Elevance Health (Durham, NC)
- …Manages overall healthcare costs for the foster care population via integrated (physical health / behavioral health /SDOH) case management and whole person ... access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy,_ _Intellectual/Developmental_ _Disabilities (I/DD)… more
- Elevance Health (Durham, NC)
- …access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy,_ _Intellectual/Developmental_ _Disabilities (I/DD) ... an accommodation is granted as required by law._ The Manager Care Management, Foster Care ( Manager I...to the CFSP Care Management model which includes physical health , behavioral health , and social… more
- City of Durham (Durham, NC)
- …meet the needs of people in crisis with compassionate care and behavioral health expertise. Interested applicants can visit our website ... Familiarity with Durham health systems and community resources/services for physical health behavioral and mental health , substance use, Intellectual… more
- UNC Health Care (Chapel Hill, NC)
- …of patients based on various factors such as medical conditions, social determinants of health , and behavioral health needs. b. Develop strategies to ... need to thrive. **What You'll Do** As a Care Manager RN, you'll: + Conduct comprehensive assessment, planning, implementation...of care + Serve as a key resource in case management, utilization review, and discharge planning + Stay… more
- Highmark Health (Raleigh, NC)
- …the underlying systems that support the respective business platforms for all health insurance products, programs, ancillary services and markets served by Highmark. ... or its strategic business partners. When this is the case , there may be less direct reporting relationships and...managing programs and leading the teams) or people-leader experience ( Manager , Supervisor or Team Lead) + 5 years of… more
- Elevance Health (Durham, NC)
- …(CFSP). Manages overall healthcare costs for the foster care program via integrated (physical health / behavioral health ) case management and whole person ... to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy, Intellectual/Developmental...clinical support to the Manager II Population Health and Care Management by performing case … more
- Elevance Health (Cary, NC)
- …access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy,_ _Intellectual/Developmental_ _Disabilities (I/DD) ... for the Children and Families Specialty Plan integrated physical health and behavioral health care...and Adoptive Assistance programs is strongly preferred. + Certified Case Manager Certification strongly preferred. + Experience… more
- City of Durham (Durham, NC)
- …meet the needs of people in crisis with compassionate care and behavioral health expertise. Interested applicants can visit our website ... Clinical Manager Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/5106349) Apply Clinical Manager Salary $91,308.00 - $146,109.00 Annually… more
- Elevance Health (Raleigh, NC)
- …program. Manages overall healthcare costs for the designated population via integrated (physical health / behavioral health ) case management and whole ... to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy,_ _Intellectual/Developmental_...required by law._ The Clinical Care Advisor (Special Programs Case Manager I) is responsible for providing… more
- Highmark Health (Raleigh, NC)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- BrightSpring Health Services (Raleigh, NC)
- …to deliver integrated, whole-person care management addressing a member's physical health , behavioral health , intellectual/developmental disability (I/DD), ... the member/family/guardian to complete the Preliminary Questionnaire + Communicates with the Case Manager any information pertaining to the care and well-being… more
- Elevance Health (Durham, NC)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... vision and implementation to deliver an improvement in the health of the people we serve. The medical director...clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to… more
- Elevance Health (Durham, NC)
- …have access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy, Intellectual/Developmental Disabilities (I/DD) ... plans that address barriers related to Social Determinants of Health (SDOH), physical and behavioral health...the individualized plan is aligned with existing or needed case management efforts. + Act as a liaison between… more
- Highmark Health (Raleigh, NC)
- …+ Healthcare experience + Project Management experience **Preferred** + 2 years Health Plan, Pharmacy Benefit Manager (PBM) or Pharmaceutical manufacturer ... to understand business needs, processes project specifications and business case development. Translate business needs into clearly defined and...environment + Experience in a Health Plan or PBM pharmacy department supporting strategic care… more
- CenterWell (Durham, 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 ... compliance with infection control standards. + Offer guidance on health maintenance, disease prevention, and case management...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more