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Case Manager Jobs in Durham, North Carolina

226 jobs

Position Description: EXCITING Opportunity for a Bilingual Field Nurse Case Manager!!! Work from home opportunity with daily travel required. Candidate must reside in eastern North Carolina, and preferably in the Durham or Triangle area. Candidate must be proficient in conversational Spanish and English and must be efficient with use of a computer for extensive documentation requirements Our Fie...

Education: BSN required Utilization Review experience and Interqual experience required. Experience: Minimum of three years recent acute clinical practice or related health care experience. Must have current or compact RN licensure in the state of North Carolina; ACM, CCM or other certification applicable to utilization management within 3 years of hire or by 2016 for current employee. BLS cert...

Requirements: BS Healthcare, nursing or life science degree preferred Min 1 year of experience working in a hospital or clinical environment, pharma, biotech or animal health product development company, a CRO or equivalent combination of experience and education. -Knowledge of drug therapy, disease states and pharmacokinetics. -working knowledge of FDA and international reporting regulations ...

Position TitleCASE MANAGER - Full TimeRequisition Number400965400Auto req ID69432BRLocationDurhamDuke EntityDUKE HOSPITALDepartment NamePATIENT RESOURCE MANAGEMENTShiftRotatingFull Time / Part TimeFULL TIMEJob Code5013 CASE MANAGERJob Family LevelG1Job Description Occupational Summary Responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilizati...

DescriptionDestination Greatness, PLLC is a mental health and substance abuse psychotherapy agency dedicated to assisting individuals and families in maximizing their level of functioning on all life domains in pursuit of Greatness. Destination Greatness, PLLC provides individuals and families with the opportunity to live more fulfilling and meaningful lives. Destination Greatness, PLLC strives to...

Coventry Workers’ Compensation Services offers workers’ comp cost and care management solutions for employers, insurance carriers, and third-party administrators. With roots in both clinical and network services, Coventry leverages more than 30 years of industry knowledge and experience. In 2013, Coventry became a part of Aetna, joining together with common values and a common mission: empowering ...

Occupational Summary Responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery and compliance with external review agencies' requirements. Work Performed Coordinate and facilitate timely implementation of discharge plans for assigned patients; arrange follow-up care as appropriate. Maintain effective com...

Occupational Summary Responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery and compliance with external review agencies' requirements. Work Performed Coordinate and facilitate timely implementation of discharge plans for assigned patients; arrange follow-up care as appropriate. Maintain effective communic...

Altegra Health leads the U.S. healthcare industry with business & technology solutions that improve health plan performance by aligning member health status, benefits & accurate reimbursement in the following areas: Risk Adjustment, Reimbursement & Advisory Services , Eligibility & Enrollment Quality Performance In an age where attention to detail counts--providers, health plans & healthcare fac...

The Critical Case Manager (CCM) is responsible for owning case related customer escalations and driving them to expeditious resolution. This individual contributor position requires a strong leader able to execute on customer relationship management, technical resource identification, tactical escalation execution, reactive escalations management and cross-functional coordination. A major compone...

Job Summary: The Critical Case Manager (CCM) is responsible for owning case related customer escalations and driving them to expeditious resolution. This individual contributor position requires a strong leader able to execute on customer relationship management, technical resource identification, tactical escalation execution, reactive escalations management and cross-functional coordination. A...

Coventry Workers’ Compensation Services offers workers’ comp cost and care management solutions for employers, insurance carriers, and third-party administrators. With roots in both clinical and network services, Coventry leverages more than 30 years of industry knowledge and experience. In 2013, Coventry became a part of Aetna, joining together with common values and a common mission: empowering ...

Description Works under the supervision of the DOO/CM and provides comprehensive case management to patients and their families. Develops, implements, coordinates and evaluates patient care plans according to physician orders as allowed by their scope of practice. Qualifications 1. Current and unencumbered license to practice as a Registered Nurse specific to that state the employee is assigned...

Job Description Education: BSN required Utilization Review experience and Interqual experience required. Experience: Minimum of three years recent acute clinical practice or related health care experience. Must have current or compact RN licensure in the state of North Carolina; ACM, CCM or other certification applicable to utilization management within 3 years of hire or by 2016 for current empl...

Immigration Senior Case Worker Job ID CHQ-0748559 Job type Full-time Regular Work country USA Position type Professional Work city Research Triangle Park,NC Posted 05-May-2015 Travel No travel Job area Human Resources (non consulting) Business group IBM CHQ Job category Human Resources Business unit Human Resources Job role Human Resources Professional Job role skillset General Commissiona...

bioMérieux Introduction Scientific and technological innovation is at the heart of bioMérieux's strategy. A world leader in the field of in vitro diagnostics for 50 years, bioMérieux designs, develops, produces, and markets diagnostic systems for medical and industrial applications. bioMérieux's solutions (reagents, instruments, software, and services) are used to determine the source of disease ...

Role: Project Manager Location: Durham, NC 27709 Duration: 11+ Months Interview: Both Phone and In Person Role Description: Client is seeking a contractor resource to provide Project Management for the Division of Information Resource Management (DIRM) on the (Families Accessing Services through Technology) Case Management Project This position will serve as the Project Manager responsible f...

Principal Duties and Responsibilities Handle litigation-related matters, including: Manage all aspects of document collection and production, including electronic and hard copy document collection, numbering, redaction, de-duplication, and indexing of documents. Set up and maintain files that are organized chronologically, numerically and/or by subject matter. Serve as a liaison to e-discovery v...

Resource Coordinator – Mixed Income Housing Durham, North Carolina $Competitive Our client is a leading property manager with a portfolio of more than 17,000 units of high-quality housing. They are now seeking a Resource Coordinator to join their team. This is an excellent opportunity for a social services professional with a track record of assessing the needs of families or seniors and looki...

Utilization Review Nurse - General Description of the Job Class Assesses for accuracy in the assignment of patient class status to reflect congruence with clinical condition, physician intent, and utilization review outcomes with current rules and regulatory requirements. Supports the medical chart audit process by ensuring accurate, timely, and informative clinical review documentation that suppo...