- Public Consulting Group (Raleigh, NC)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- CenterWell (Raleigh, NC)
- …and help patients get back to the life they love. As a **Home Health RN Case Manager ** , you will: + Provide admission, case management, and follow-up ... for home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...patient, provide necessary follow-up as directed by the Clinical Manager . + Confer with physician in developing the initial… 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 ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Raleigh, NC)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Sedgwick (Raleigh, NC)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… 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 ... Balance + Autonomy & Flexibility + Long-Term Impact + Company Culture + Educational Opportunities What We Offer: + Competitive Salary: $70,000 - $80,000 with an additional annual bonus potential of $5,000, paid out quarterly + Weekly Paychecks + Comprehensive… more
- UNC Health Care (Raleigh, NC)
- …and accurate documentation of patient data and treatments. Communicates daily with the Case Manager to manage level of care transitions & appropriate utilization ... **Description** **RN Utilization Manager needed to provide per diem coverage on...discharge planning issues, continuing care needs by initiating appropriate case management referrals. Initiates appropriate social work referrals. 3.… more
- Public Consulting Group (Raleigh, NC)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- CVS Health (Raleigh, NC)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- CVS Health (Raleigh, NC)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... intervention skills preferred Managed care/utilization review experience preferred. + Case management and discharge planning experience preferred. + Managed… more
- Cardinal Health (Raleigh, NC)
- …Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously ... integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the… more
- Cardinal Health (Raleigh, NC)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Travelers Insurance Company (Raleigh, NC)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction… more
- UNC Health Care (Chapel Hill, NC)
- …and accurate documentation of patient data and treatments. Communicates daily with the Case Manager to manage level of care transitions & appropriate utilization ... through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ensure… more
- ARCO (Raleigh, NC)
- …hub, answer incoming phone calls and coordinate communication with vendors and customers in case of a Project Manager 's absence. + Be willing to assist with ... like expense reporting, travel arrangements, calendar management, etc. + Support Event Manager and team in planning events for the office when needed(team building… more
- Gentiva (Cary, NC)
- …care they need with dignity, grace, and love. **As a PRN Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director or ... Patient Care Manager Senior and will maintain primary control and professional...supportive care to the patient's family with a reasonable case load while providing a trusting and compassionate relationship… more