- Sharecare (Raleigh, NC)
- …and affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the ... efficient and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members to become empowered… more
- CVS Health (Raleigh, NC)
- …division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Highmark Health (Raleigh, NC)
- …**EXPERIENCE** **Required** + 7 years in any combination of clinical, case/utilization management and/or disease /condition management experience, or provider ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over a… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- …VA Healthcare System is seeking (1) highly skilled/experienced Registered Nurse to serve within Medicine (Specialty Clinics). Demonstrates leadership, ... experience/ingenious approaches to management of complex patient care. Accountable for the ...congestive heart failure and other chronic diseases. The Registered Nurse within these clinics which includes Cardiology, Dermatology, Gastroenterology,… more
- CVS Health (Raleigh, NC)
- …basis applies clinical knowledge to review medications and resolve different disease management scenarios beyond dispensing role; identifies medication related ... Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social… more
- Merck (Raleigh, NC)
- …including cardiologists and other approved specialty physicians, physician assistants, nurse practitioners, nurses, pharmacists, and office managers. You will ... customer needs with company products according to product labeling. + Provide management with regular updates on customer needs, marketplace dynamics, and progress… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …all Clinical Services (CS) functions (prior authorization, concurrent review, appeals, case management , disease management , population health) per defined ... and Clinical Services departments which in turn includes Utilization Management , Case Management and Population Health divisions.... and Population Health divisions. The position can be remote , or on-site our New York or New Jersey.… more
- Centene Corporation (Raleigh, NC)
- …access to competitive benefits including a fresh perspective on workplace flexibility. ** REMOTE : Must be an RN located in North Carolina** **Experience: NICU ... required. Maternity and Care Management experience is highly preferred in addition to NICU...and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care… more