- Insight Global (Raleigh, NC)
- Job Description Insight Global is hiring for a Remote Care Manager to support our micro clinic operations in Raleigh, NC. You will work in a virtual setting ... with providers, paramedics, and patients to partner in the care continuum process. You will lead the clinical onboarding of new contracts, handle referrals &… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Sharecare (Raleigh, NC)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Raleigh, NC)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- Summary The Durham VA Healthcare System is seeking (1) highly skilled/experienced Registered Nurse to serve within Durham Specialties Clinic. Demonstrates ... cancer, congestive heart failure and other chronic diseases. The Registered Nurse within these clinics which includes...health and health education needs. Previous experience in the care manager role and coordinating care… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 within the Clinical Access Grievance Team ... an impact** **Required Qualifications** + Associate's degree + Licensed Registered Nurse ( RN ) in the...education for adult acute care + Managed care experience + Certified Case Manager (CCM)… more
- BrightSpring Health Services (Cary, NC)
- …Qualifications: + Years of experience as specified below. + Two years of experience as a Care Manager , Case Manager , or Care Coordinator preferred. + ... community resources to meet the needs of individuals receiving care management services. Provide services in accordance with ...governing board regulating a human service profession, except a registered nurse who is licensed to practice… more
- Sharecare (Raleigh, NC)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- CVS Health (Raleigh, NC)
- …to 9 pm your time zone. This is a full time, hourly position. **REQUIRED SKILLS:** + Registered Nurse ( RN ) licensure with a minimum of 3 years of clinical ... in US-must be compact state** **POSITION SUMMARY:** As a Nurse Case Manager , you will play a...CCM Certification within 4 years of employment. + A Registered Nurse must hold an unrestricted license… more
- Humana (Raleigh, NC)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… 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
- Humana (Raleigh, NC)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review...Condition Categories (HCC) and refers cases for annual follow-up care by disease management, case management, and primary … more
- Centene Corporation (Raleigh, NC)
- …Plan: Two (2) years of prior coordination, care delivery monitoring and care management experience. + RN required. + Travel: 75%. required Pay Range: ... competitive benefits including a fresh perspective on workplace flexibility. **This is a Remote position - Must live in the Charlotte NC or surrounding areas**… more
- Centene Corporation (Raleigh, NC)
- …**Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. ... May develop or assist with developing personalized service care plans/service plans for long-term care members...social work, geriatrics, gerontology, pediatrics, or human services. + ** RN required.** Pay Range: $26.50 - $47.59 per hour… more
- CenterWell (Raleigh, NC)
- …our caring community and help us put health first** The **Weekend Clinical Manager ** is responsible for the receipt, input, review, and completion of all referrals ... policies and procedures as well as the coordination of care and supervision of the patient care ....approved school of professional nursing and hold an active RN license. + Must have an RN … more
- Sedgwick (Raleigh, NC)
- …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 ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Humana (Raleigh, NC)
- …zone. **Required Qualifications** **- What it takes to Succeed** + Associate degree + Active Registered Nurse ( RN ) license in the state of current residence. ... caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure...as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health, SNF, care manager /discharge manager , LTC, rehab,… more
- Intermountain Health (Raleigh, NC)
- …and organizational policies, procedures, and protocols. At times, functions in the role of Care Manager as a working supervisor to support the team. Responsible ... **Job Description:** The Trinsic Care Management Supervisor will be responsible for providing...field from accredited institution. Degree will be verified. + RN or Social Work license + 1 year of… more
- CenterWell (Raleigh, NC)
- …**Use your skills to make an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license ( RN ) with no disciplinary action and ... caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking… more
- CenterWell (Raleigh, NC)
- …Will conduct in-person, classroom, one on one and virtual learning sessions for care team members. **Use your skills to make an impact** **Required Qualifications** ... experiences. **Preferred Qualifications** + Bachelor's Degree + Clinical Degree ( RN , LPN, MA etc.) + Athena EMR experience +...+ Athena EMR experience + Understanding of Value Based Care model **Additional Information** Travel: While this is a… more