Clinical Case Manager Mosaic HealthClinical Case ManagerDurham, North CarolinaThe Case Manager plays a vital role in delivering client-centered services that support patients across the continuum of care. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.
Manager, Clinical Case Review Edwards LifesciencesManager, Clinical Case ReviewRaleigh, NCThe Case Review Manager leads the patient screening analysis and evaluation of baseline medical history and clinical imaging reports (e.g EDC screening records including clinic notes, lab results, cardiology assessments, CT and/or echocardiogram reports) to confirm protocol compliance and provide patient screening and case review support to clinical trial sites for Clinical Research Trials within THV Clinical Affairs. + Previous related experience working a clinical setting or equivalent work experience based on Edwards criteria Preferred and Experience working in the setting of a clinical trial or equivalent work experience based on Edwards criteria Preferred.
Reimbursement Case Manager ValerisReimbursement Case ManagerMorrisville, North CarolinaBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. These services include handling the day-to-day activities within reimbursement services, such as daily interactions with healthcare insurance companies to verify the financial aspects of healthcare services to ensure patients have access to life saving treatments they need.
Case Manager (RN) Hospice Home Care Duke UniversityCase Manager (RN) Hospice Home CareDurham, NCDevelop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient's care needs. Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program.
RN Field Case Manager Sedgwick Claims Management Services, Inc.RN Field Case ManagerRaleigh, NCPRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
NewCare Management Clinician PacificSource Health PlansCare Management ClinicianNC$70,950–$106,424.99 / yearBased on the needs and values of the client, and in collaboration with all service providers, the clinician links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. Education, Certificates, Licenses: Active, unrestricted Registered Nurse (RN) license, Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), or Licensed Clinical Social Worker (LCSW) credential required.
RN Hospice Case Manager - Cary, Apex, Fuquay Amedisys, Inc.RN Hospice Case Manager - Cary, Apex, FuquayGarner, North Carolina$84,000–$86,000 / yearFull timeOverview: RN Hospice Case Manager Make a difference every day as an Amedisys RN case manager Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies.
RN Hospice Case Manager Amedisys IncRN Hospice Case ManagerGarner, NC$83,200–$86,000 / yearJoin Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies.
Registered Nurse Case Manager Hospice LHC Group IncRegistered Nurse Case Manager HospiceSmithfield, NCHowever, at this time, this position does not require an on-call rotation At Hospice of Wilson Medical Center, in Wilson, NC a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve-it truly is all about helping people. Responsibilities As the RN Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient, while continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered.
Clinical Case Manager Millennium Physician GroupClinical Case ManagerDurham, NCHow will you make an impact & Requirements. Job Description Summary.
Registered Nurse Case Manager Home Health 10k Sign On Bonus BrightSpring Health ServicesRegistered Nurse Case Manager Home Health 10k Sign On BonusMebane, NCAdoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more!
RN Care Manager - (Per Diem) Care Management UNC HealthRN Care Manager - (Per Diem) Care ManagementNC$35.87–$51.57 / hourThe overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. Active Consults - Discuss with appropriate members of the multidisciplinary team when there are barriers to discharge and psychosocial concerns impacting progression of care or readmission risk.
RN Care Manager - Care Management UNC HealthRN Care Manager - Care ManagementSmithfield, NC$35.87–$51.57 / hourThe overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. Active Consults - Discuss with appropriate members of the multidisciplinary team when there are barriers to discharge and psychosocial concerns impacting progression of care or readmission risk.
Managing Consultant, Emergency Management Individual Assistance AC Disaster ConsultingManaging Consultant, Emergency Management Individual AssistanceRaleigh, NCRemote$90,000–$115,000 / yearDepending on the assignment, this position may serve as a subject matter expert, project manager, program coordinator, team lead, or other operational leader responsible for directing on-site teams, coordinating service delivery, and advising clients on the design and implementation of survivor-centered programs. The Managing Consultant, Individual Assistance leads and supports operational response and recovery projects focused on human services, humanitarian needs, mass care, emergency assistance, housing, and disaster survivor recovery, including but not limited to FEMA Individual Assistance programs.
Care Management Professional True Team MedicalCare Management ProfessionalRaleigh, NC$25–$32.10 / hourMonitor members (in person and by telephone) for changes in clinical symptoms and treatment side effects or complications; Evaluate findings and assist members/families in developing an Individualized Service Plan (ISP) with appropriate goals; Support and closely coordinate whole-person health care with the member’s primary care provider and other treating health providers. Provide or facilitate resources internally or in the community for members/families, and make referrals and provide follow-up as appropriate (e.g., social services such as housing assistance, vocational rehabilitation, substance use treatment); Ensure all treating providers involved in the member’s care are up to date on the latest test results and information.
Director of Quality, Risk Management and Patient Safety UpLevel SourcingDirector of Quality, Risk Management and Patient SafetyRaleigh, North CarolinaAs the Director of Quality, Risk Management and Patient Safety, you will play a crucial role in our mission to provide outstanding healthcare services to our community. Minimum of 5 years of experience in integrated case management, quality management, change management, or outcomes management.
Quality Management Nurse Consultant CVS Health CorpQuality Management Nurse ConsultantNC$60,522–$129,615 / yearContributes to the development, revision, and implementation of policies, procedures, and guidelines that focus on system performance, network provider and community partner performance, and addressing barriers including health disparity and health related social needs, to improve clinical quality, promote best member and provider experience, and ensure patient safety. Collaborates with all POSC stakeholders and participants to ensure cross-functional collaboration, education and participation in establishing, measuring and evaluating best practice interventions aimed to achieve Quality performance goals.
Utilization Management Nurse Brighton Health Plan Solutions, LLCUtilization Management NurseChapel Hill, NCProficient in MCG and CMS criteria setsExperience with both inpatient and outpatient reviews including Behavioral Health, DME, Genetic Testing, Clinical Trials, Oncology, and/or elective surgical cases preferred. Primary Responsibilities Performs clinical utilization reviews using evidenced based guidelines, policies and nationally recognized clinical criteria and internal policies/procedures.
Systems Analyst - Payer Encounter Management Platform VeradigmSystems Analyst - Payer Encounter Management PlatformRaleigh, North Carolina$69,852–$97,094 / yearResponsibilities include taking a proactive leadership role working with the Engineering team and Customers to triage and resolve highly complex, technical, and application-related issues which impact product performance in customer-specific environments, or issues that directly hamper a broader customer adoption of Veradigm’s Encounter Management Platform. In addition to working with customers, the Systems Analyst will routinely partner with our Development, Sustaining Engineering and Sales Engineering organizations to resolve support issues, document bugs, provide UAT on product builds, and ensure that new and newly upgraded server installations are successful.
Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN/LSATP for Substance Abuse - Remote in VA and NC Sentara Healthcare IncBehavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN/LSATP for Substance Abuse - Remote in VA and NCNCRemoteManaged Care, MCO, Health Plan, Healthcare, Masters, Social Work, Counseling Field, BSN, Nursing, Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Registered Nurse License (RN), Clinical, behavioral health, care coordination, discharge planning, continuity of care, transitions of care, Remote, Virginia, Weekends, Days, North Carolina, Licensed Substance Abuse Treatment Practitioner, LSATP, Certified Substance Abuse Counselor, CSAC, Licensed Chemical Dependency Counselors, LCDC, American Society of Addiction Medicine (ASAM). Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered Nurse (RN) Single State - Nursing License - North Carolina Board of Nursing (NCBON) OR Registered Nurse (RN) Multi State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered Nurse (RN) Multi State - Nursing License - North Carolina Board of Nursing (NCBON) OR.