- CVS Health (Raleigh, NC)
- …regulations. The ideal candidate should possess the following skills: + Knowledge of Behavioral Health products, benefits and offerings + Understanding of Group ... a fast-paced environment + A passion for mental and behavioral health **What You Will Do** +...MHWB's Single Point of Contact for Market conduct exams, regulatory inquiries, and objections + Support the development and… more
- CVS Health (Raleigh, NC)
- …settlement negotiations of contracts, with large and complex, national, and market-based, behavioral health groups and facility providers. You will manage ... strategic, traditional contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables… more
- UNC Health Care (Butner, NC)
- …communities we serve. Are you passionate about challenges facing our young population behavioral health needs? If yes, opportunities are available to join our ... at least one year of work experience -Experience in behavioral health nursing (pediatric or adult) strongly...feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment.… more
- UNC Health Care (Chapel Hill, NC)
- …Seeking CN IV team leader to join the BHED team! Ideal candidate will have behavioral health experience with both young and older population as well as charge ... nurse / supervisory experience. UNC Hospitals Behavioral Health Emergency Department (BHED) provides care...of strategic fiscal changes on quality outcomes. Assists Nurse Manager to ensure that internal and external regulatory… more
- UNC Health Care (Butner, NC)
- …the health and well-being of the unique communities we serve. UNC Youth Behavioral Health Facility is hiring New Grad Nurses to join our team! _Seeking ... psychiatric, behavioral , medical and psychosocial needs. Youth Behavioral Health Hospital (YBH) is a 54-bed,...feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment.… more
- UNC Health Care (Raleigh, NC)
- …a non-designated holding area that consist of 8 beds with private rooms, catering to behavioral health patient needs in the ED. We have 2 major resuscitation ... all life-threatening situations, less-critical injuries requiring minor treatment, acute and behavioral health diagnoses. Patients with heart conditions receive… more
- UNC Health Care (Chapel Hill, NC)
- …of the unique communities we serve. **Opportunity for CN II to join the Behavioral Health Emergency Department (BHED)!** UNC Hospitals Behavioral Health ... cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe,… more
- CVS Health (Raleigh, NC)
- …for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of ... regulatory requirements within specified timelines. + The Care Manager RN supports other members of the Care Team...with individuals with SDoH needs, chronic medical conditions, and/or behavioral health + Experience conducting health… more
- Elevance Health (Raleigh, NC)
- …access to the same basic benefits and services, including Physical health , Behavioral health , Pharmacy,_ _Intellectual/Developmental_ _Disabilities (I/DD) ... program in which members' needs are identified, including physical health , behavioral health , social services... outcomes through prevention focused programing. + Knowledge of regulatory requirements related to child welfare and health… 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 ... Would like to learn how to be a Care Manager or would like to continue their Care ...over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.… more
- Highmark Health (Raleigh, NC)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job has primary ownership and oversight over a specified panel of members that range in ... health status/severity and clinical needs. The incumbent assesses ...and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards. + Maintain current knowledge… more
- Highmark Health (Raleigh, NC)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of ... appropriateness of health care services, application of criteria to ensure appropriate...industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable… more
- Ally (Raleigh, NC)
- …dreams, and causes that are all important to them. Our focus is on the health and safety of our teammates as well as work-life balance and diversity and inclusion. ... The ideal candidate will possess deep technical knowledge of privileged access, regulatory and audit requirements, cloud and on-premises security models, and secrets… more
- UNC Health Care (Raleigh, NC)
- …a non-designated holding area that consist of 8 beds with private rooms, catering to behavioral health patient needs in the ED. We have 2 major resuscitation ... life-threatening situations, less-critical injuries requiring minor treatment, acute and behavioral health diagnoses. Nurse/Patient Ratio: 1:4 (acuity adaptable… more
- Highmark Health (Raleigh, NC)
- …panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of ... various resources to assist members in achieving their personal health goals. Will work with providers to insure quality...and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create… more
- Highmark Health (Raleigh, NC)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and… more
- UNC Health Care (Raleigh, NC)
- …with diagnoses that include COPD, diabetes, pneumonia, renal failure, minor neurological disorders, behavioral health , as well as many others. We are that team ... 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve....of strategic fiscal changes on quality outcomes. Assists Nurse Manager to ensure that internal and external regulatory… more
- UNC Health Care (Raleigh, NC)
- …with diagnoses that include COPD, diabetes, pneumonia, renal failure, minor neurological disorders, behavioral health , as well as many others. We are that team ... cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe,… more
- NASCO (Raleigh, NC)
- …The Lead Network Engineer plays a critical role in ensuring regulatory compliance (SOC, HITRUST). Collaborates with vendors and stakeholders, evaluates emerging ... CISSP (Certified Information Systems Security Professional), CISM (Certified Information Security Manager ), Palo Alto PCNSE + ITIL or PMP certification for expertise… more