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 - (Hybrid) Ignite Human CapitalCase Manager - (Hybrid)Raleigh, NCFull timeThe role combines sophisticated litigation support with team leadership, client interaction, budget management, and case operations, making it ideal for an experienced paralegal who has led complex, high-volume matters. Serve as the central point of coordination for attorneys, clients, outside counsel, opposing counsel, paralegals, case assistants, and external vendors.
MEBPREP Case Manager Lucayan Technology SolutionsMEBPREP Case ManagerRaleigh, North CarolinaThis position manages all Duty and Non-Duty MEB cases from initiation through closure, serves as the primary liaison among the service member, unit leadership, medical headquarters, and the Office of Soldier Counsel, and ensures every case is documented, tracked, and escalated in strict compliance with suspense requirements. The ideal candidate will bring a minimum of four years of direct experience with National Guard Bureau Medical Boards and Appeals processes, exceptional follow-through on case suspenses, and the interpersonal skills to guide service members through one of the most consequential administrative processes in their military career.
NewRN 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 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.
Clinical Case Manager Millennium Physician GroupClinical Case ManagerDurham, North CarolinaThe Case Manager plays a vital role in delivering client-centered services that support patients across the continuum of care. Millennium Physician Group is one of Florida’s largest comprehensive primary care networks, committed to improving the health of the communities we serve.
Case Manager Pyramid, IncCase ManagerDurham, NC$35–$38 / hourFull timePerform ongoing monitoring and management of member which may include scheduled follow-up with member, discussion of plan with member, appropriate services/education to address needs, appropriate referrals with supporting documentation, assessment of progress towards goals, modification of plan/goals as needed, with contact frequency appropriate to member acuity. Utilize applicable clinical skillset and perform comprehensive assessments to determine how to best collaborate with members, family, internal partners and external services/providers on plans for treatment, appropriate intervention and/or discharge planning.
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.
Complex Case Manager (Full Time, Remote, North Carolina Based) AllianceComplex Case Manager (Full Time, Remote, North Carolina Based)North CarolinaRemoteThe Complex Case Manager will engage, and support members with the highest complexity, including multiple chronic conditions, severe mental illness (SMI), substance use disorder (SUD), intellectual/developmental disability (I/DD), mobility impairments, frequent emergency department (ED) and inpatient utilization, and social complexity. Bachelor’s Degree from accredited Program in Nursing and two (2) years of full-time, post bachelor’s degree experience providing care management, case management, or care coordination to members with Behavioral Health and Physical Health conditions and/or Complex Care Case Management.
Family Law Case Manager/Raleigh NC KING LAW OFFICES PCFamily Law Case Manager/Raleigh NCRaleigh, NCFull timeOur vision, client service systems, and legal strategies are integrated to provide team members with greater flexibility and freedom, resulting in a superior client experience. Knowing when to handle case aspects in a hands-on, direct, and autonomous fashion is key, as is the know-how to escalate to an attorney or a leadership staff member.
Case Manager/ Paralegal - Personal Injury Speaks Law FirmCase Manager/ Paralegal - Personal InjuryRaleigh, NCFull timeResponsibilities include, but are not limited to: Maintain effective communication with attorneys, clients, insurance adjusters, and other professionals to discuss assigned cases or projects. S peaks Law Firm is seeking an experienced high volume Personal Injury Case Manager (Paralegal) to join our team.
NewCase Management Supervisor -RN - Population Health - Hybrid WakeMed Health & HospitalsCase Management Supervisor -RN - Population Health - HybridRaleigh, North CarolinaFull timeLicensure: Registered Nurse Required - And Certified Case Manager Required - Or Accredited Case Manager Required Education: Bachelor's Degree Nursing Required - Or Master's Degree Social Work Required Experience: 3 Years Clinical - Case Management Required - Or 1 Year Clinical - Discharge Planning Required This role partners closely with providers, practice leadership, inpatient care teams, and interdisciplinary stakeholders to improve patient outcomes, enhance care coordination, and support value-based care initiatives.
NewAnalyst, Case Management - Transition of Care (Care Coordinator) CVS Health CorpAnalyst, Case Management - Transition of Care (Care Coordinator)NC$21.10–$36.78 / hourThrough the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Using holistic approach, consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
Manager, Inpatient and Post Acute Services PacificSource Health PlansManager, Inpatient and Post Acute ServicesNC$91,587.15–$160,277.52 / yearThe Manager of Utilization Management (UM) for Inpatient, Post-Acute and Dual Eligible Special Needs (DSN oversees and directs the utilization management process for inpatient admissions, post-acute care services, and DSNP members). Develop and track metrics to evaluate utilization trends, authorization outcomes, readmission rates, and other key performance indicators, presenting monthly/quarterly dashboards and reports to senior leadership with actionable insights for continuous improvement.
NewRegistered Nurse Care Manager, VBC Somatus, Inc.Registered Nurse Care Manager, VBCRaleigh / Durham, North Carolina$80,000–$90,000 / yearFull timeResponsibilities: The RN Care Manager, VBC focuses on high needs Chronic Kidney Disease (CKD) and End-Stage Kidney Disease (ESKD) populations that face multiple challenges, from accessing resources to adhering to a physician’s treatment plan. They are responsible for outreach, scheduling face-to-face visits with members in their homes, dialysis clinics, and/or physician offices to support higher-risk members who need barrier assessments, and face-to-face care plan education.
RN-Care Manager Integrated Resources, IncRN-Care ManagerChapel Hill, NCThis role focuses on improving patient outcomes, ensuring continuity of care, and promoting cost-effective treatment for acutely ill patients in an acute care hospital setting. The RN Care Manager is responsible for coordinating patient care through comprehensive assessment, care planning, utilization review, discharge planning, and care transitions.
NewSupervisor II Facility-Based Care Managers (Full-time Remote, North Carolina Based) AllianceSupervisor II Facility-Based Care Managers (Full-time Remote, North Carolina Based)Morrisville, North CarolinaRemoteThe Facility Based Care Managers Supervisor provides oversight to the Facility Based Care Managers, a team of licensed and non-licensed staff who provide or assist with the provision of Transitional Care Management for members with physical and/or behavioral health needs in Acute Care facilities, State Operated Developmental Centers, and Justice System settings. Master’s degree in human services from an accredited college or university and three (3) years post graduate degree experience with at least two years of applicable experience with the population served, including experience with case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office or Managed Care.
NewCare Manager II-Facility Based (Full-time Remote, North Carolina Based) AllianceCare Manager II-Facility Based (Full-time Remote, North Carolina Based)Morrisville, North CarolinaRemoteMaster’s degree from an accredited college or university in Human Services or related field and at least two (2) years of full-time, post graduate degree experience providing care management, case management, care coordination, discharge planning, or utilization management to members with Behavioral Health and Physical Health conditions in a behavioral health, medical, or managed care setting. Develop a ninety (90) day post-discharge transition plan prior to discharge from residential or inpatient settings, in consultation with the member, facility staff and the member’s care team, that outlines how the member will maintain or access needed services and supports, transition to the new care setting, and integrate into their community.
MILITARY PROGRAM MANAGER University Health Services IncMILITARY PROGRAM MANAGERRALEIGH, NCExperience in one or more of the following: Military Behavioral Health PTSD treatment Trauma-informed care Inpatient Psychiatry Partial Hospitalization Intensive Outpatient Programs Preferred experience working with: Active-Duty Service Members Veterans Military Families Special Operations First Responders Knowledge Demonstrated (basic) knowledge of: Military culture Trauma-informed care PTSD Suicide prevention CBT ACT CPT Prolonged Exposure Motivational Interviewing Recovery-Oriented Systems of Care Additional Requirements: CPR certification and Management of Aggressive Behavior training within 90 days of employment. This individual in collaboration with the DCS, is responsible for the day-to-day management, coordination, quality oversight, and continuous improvement of the 28-day inpatient stay., ensuring the delivery of evidence-based, trauma-informed care for Active-Duty Service Members, Veterans, National Guard, Reservists, and eligible military beneficiaries.
Strategic Account Manager, Data Center & Industrial Carrier CorporationStrategic Account Manager, Data Center & IndustrialNorth Carolina, NC$117,500–$234,500 / yearAs the Market Leader for Data Centers and Industrial, this candidate will act as the primary contact on all associated strategic customers and develop a professional relationship within their senior leadership with the purpose of understanding the customer needs and meets those within the bounds of contracted scope. This role requires the candidate to be able to identify service solution selling opportunities, work with key players within National & Regional Account customers and develop key strategic C-Level relationships with Service & Aftermarket customers who have a National / Regional presence.