NewTravel Nurse RN - Case Management - $1,692 per week Triage StaffingTravel Nurse RN - Case Management - $1,692 per weekChapel Hill, NCWe staff all five major divisions of acute care—nursing, lab, radiology, cardiopulmonary and rehab therapy, offering: - Competitive, custom pay packages. Triage Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Chapel Hill, North Carolina.
NewRN Home Health/Hospice Coordinator Duke HealthRN Home Health/Hospice CoordinatorDurham, NCThis position assesses patients’ home care needs, provides education to patients and caregivers, and helps ensure they are prepared to safely manage care at home, including hospice, home health, and infusion therapies. \n The Care Coordinator is a dynamic, fast-paced role focused on coordinating home health, hospice, and infusion services for patients at Duke University Hospital (with opportunity to occasionally work at Duke Regional Hospital).
RN Care Manager Complex Care Management The Moses H Cone Memorial HospitalRN Care Manager Complex Care ManagementGreensboro, NCRequired: Minimum of two years' experience as an outpatient RN Care Manager managing adult patients with complex medical needs and multiple chronic conditions -or- a minimum of 5 years' experience as a Registered Nurse in an acute care and/or home care setting managing adults. Clinical expertise: Develop clinical expertise in specialty areas and/or chronic conditions and be recognized as a care management resource for population management (ie COPD, Diabetes, HF, Sepsis, ESRD, Sickle Cell Anemia, HTN, etc).
NewRN Care Manager Value Based Care Institute Transitions of Care The Moses H Cone Memorial HospitalRN Care Manager Value Based Care Institute Transitions of CareGreensboro, NCRequired: Minimum of two years? experience as an outpatient RN Care Manager managing adult patients with complex medical needs and multiple chronic conditions -or- a minimum of 5 years? experience as a Registered Nurse in an acute care and/or home care setting managing adults. Clinical expertise: Develop clinical expertise in specialty areas and/or chronic conditions and be recognized as a care management resource for population management (ie COPD, Diabetes, HF, Sepsis, ESRD, Sickle Cell Anemia, HTN, etc).
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy Elevance Health IncPayor Contract Manager (Infusion) - BioPlus Specialty PharmacyDurham, NCMinimum Requirements: Requires a Bachelor's degree in Business, Healthcare Administration, Finance, or related field and minimum of 5 years of experience in payor contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would provide an equivalent background. Translates contract terms into operational requirements for pharmacy systems, billing platforms, and claim adjudication logic and coordinates with IT and pharmacy operations to ensure accurate setup of pricing and payor-specific rules (including NDC requirements, J-codes, modifiers, and site-of-care billing logic).
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.
Behavioral Health Care Manager I - Overnights (After-Hours Crisis Line) Elevance HealthBehavioral Health Care Manager I - Overnights (After-Hours Crisis Line)Durham, North CarolinaPerforms psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources. Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract.
Behavioral Health Care Manager I Elevance HealthBehavioral Health Care Manager IDurham, North CarolinaPrimary duties may include, but are not limited to: Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources.
Behavioral Health Care Manager I - Overnights/Weekends (After-Hours Crisis Line) Elevance HealthBehavioral Health Care Manager I - Overnights/Weekends (After-Hours Crisis Line)Durham, North CarolinaPerforms psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of h Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract.
Care Manager Home Place of BurlingtonCare ManagerBurlington, NC$2,022–$2,026TerraBella Senior Living proudly serves thousands of residents and families offering a full range of lifestyle and care options including Active Independent Living, Assisted Living, Memory Care, and short-term Respite. At Discovery Senior Living, we are constantly challenging how we are doing things to ensure the lifestyle we are offering our residents is absolutely the greatest value proposition in the marketplace.
Population Health Care Manager Complex Care Management Duke UniversityPopulation Health Care Manager Complex Care ManagementDurham, NCProvide on-site, community, and telephonic outreach to patients, providers, and community stakeholders assisting with identification of treatment history, diagnoses and patient care components both internally and externally to ensure that services provided are sensitive to the needs of individual patients and take into account ethnic and cultural backgrounds. Duke Connected Care, a community-based, physician-led network, includes a group of doctors, hospitals and other healthcare providers who work together to deliver high-quality care to Medicare Fee-for-Service patients in Durham and itssurrounding areas.
NewRN - Home Care Case Manager AuthoraCare CollectiveRN - Home Care Case ManagerBurlington, NCWork closely with other members of the interdisciplinary group and communicates effectively both verbally and in writing with team members, patients, caregivers, physicians, pharmacists, and other health care professionals. Our Mission: AuthoraCare Collective empowers people to be active participants in their care journey, enabling them to live on their own terms through personalized support for mind, body, and spirit.
NewRegistered Nurse - Home Care Case Manager AuthoraCare CollectiveRegistered Nurse - Home Care Case ManagerGreensboro, NCWork closely with other members of the interdisciplinary group and communicates effectively both verbally and in writing with team members, patients, caregivers, physicians, pharmacists, and other health care professionals. Our Mission: AuthoraCare Collective empowers people to be active participants in their care journey, enabling them to live on their own terms through personalized support for mind, body, and spirit.
NewRN Care Manager - Adult, Geriatric, Ortho, Surgery UNC HealthRN Care Manager - Adult, Geriatric, Ortho, SurgeryNC$35.87–$51.57 / hourThe Care Manager works collaboratively with healthcare providers, patients, and their families to ensure that patients receive the highest quality of care and support throughout their healthcare journey. This position involves utilizing a variety of skills, including risk segmentation, patient assessments, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication.
RN Care Manager - Women's & Children's Inpatient Services UNC HealthRN Care Manager - Women's & Children's Inpatient ServicesChapel Hill, NC$35.87–$51.57 / hourThis position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. The Care Manager works collaboratively with healthcare providers, patients, and their families to ensure that patients receive the highest quality of care and support throughout their healthcare journey.
Case Management Care Manager SevitaCase Management Care ManagerGreensboro, NCCase Management Care Manager job in Greensboro, NC, US | Clinical, Behavioral and Mental Health jobs at Sevita. Maybe you would like to consider the Categories below: Career Site Cookie Settings.
Care Manager TerraBella GreensboroCare ManagerGreensboro, NC$2,022–$2,026TerraBella Senior Living proudly serves thousands of residents and families offering a full range of lifestyle and care options including Active Independent Living, Assisted Living, Memory Care, and short-term Respite. At Discovery Senior Living, we are constantly challenging how we are doing things to ensure the lifestyle we are offering our residents is absolutely the greatest value proposition in the marketplace.
RN Care Manager - Nutritional Optimization & Intestinal Rehabilitation UNC HealthRN Care Manager - Nutritional Optimization & Intestinal RehabilitationChapel Hill, NC$35.87–$51.57 / hourThe Care Manager works collaboratively with healthcare providers, patients, and their families to ensure that patients receive the highest quality of care and support throughout their healthcare journey. This position involves utilizing a variety of skills, including risk segmentation, patient assessments, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication.
NewRN Care Manager - Surgery & Cardiac Services UNC HealthRN Care Manager - Surgery & Cardiac ServicesChapel Hill, NC$35.87–$51.57 / hourThe Care Manager works collaboratively with healthcare providers, patients, and their families to ensure that patients receive the highest quality of care and support throughout their healthcare journey. This position involves utilizing a variety of skills, including risk segmentation, patient assessments, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication.
RN Care Manager - Medicine/Oncology/Neurology Services UNC HealthRN Care Manager - Medicine/Oncology/Neurology ServicesChapel Hill, NC$35.87–$51.57 / hourThis position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. The Care Manager works collaboratively with healthcare providers, patients, and their families to ensure that patients receive the highest quality of care and support throughout their healthcare journey.