- 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)
- …**Monday June 16th, 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
- Sharecare (Raleigh, NC)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … 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
- Public Consulting Group (Raleigh, NC)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Public Consulting Group (Raleigh, NC)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… 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
- Highmark Health (Raleigh, NC)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… 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 ... **Description** 6 Memorial is a 28-bed, acute care , inpatient nursing unit at UNC Medical Center...nursing. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- Centene Corporation (Raleigh, NC)
- … Manager to join our Carolina Complete Health team. The ideal candidate will be a Registered Nurse ( RN ) or hold a license as a Licensed Clinical Social ... (LCSW or LCSW-A), with experience in physical health, case management, and/or field-based care . This role requires 80% field work, visiting members in their homes or… 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
- 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
- CenterWell (Raleigh, NC)
- …with clinical-operational divisional dyads (Division CMO/Division Ops Leader) on care integration team foundational programs and future strategic opportunities for ... managing populations and coordinating care to reduce acute and post-acute care ...required,_ _advanced clinical professional license strongly preferred such as RN , MSW/LCSW, NP, PA, MD/DO_ + Excellent verbal and… more