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Hours: Monday-Friday. Day shift with one evening shift per week.
Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through the healthcare journey.
Additionally, the candidate will be responsible for the adoption and demonstration of the Care Solutions cultur...

Care Management Nurse (Future Opportunities)
Remote within WA, OR, ID, UT. Candidates outside of these states will not be considered.
Primary Job Purpose
The Care Management Nurse provides clinical care management (such as case management, disease management, and/or care coordination) to best meet the member’s specific healthcare needs and to promote quality and cost-effective outcome...

LOCATION: Remote - Swain County, NC
GENERAL STATEMENT OF JOB:
Performs RN functions for Care Management members that are medically fragile or have significant chronic health conditions, have a mental health, substance use, intellectual/developmental disability and/or co-occurring disorders who are identified as meeting the risk stratification levels of the complex care platform and...

Job Description Summary
Delivers specific delegated tasks assigned by a supervisor in the Case Management job family. Handles moderately-complex cases. Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services. Ensures that case management program objectives are met by evaluating the effectiveness of alternati...

Job Description Summary
Delivers specific delegated tasks assigned by a supervisor in the Case Management job family. Handles moderately-complex cases. Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services. Ensures that case management program objectives are met by evaluating the effectiveness of alternat...

Responsibilities
As a Managed Care Specialist you will provide utilization review information to insurance companies throughout the patient’s stay at Hazelden Betty Ford Foundation (HBFF) and through final payer approval process. Develops relationships with third party payers and other relevant stakeholders to promote HBFF’s clinical services and provide optimal clinical care.
* Create ...

LOCATION: Remote – must live in or near Buncombe County, NC.
GENERAL STATEMENT OF JOB
The MHSU Embedded Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these individuals receive appropriate assessment and services. The MHSU Embedded Care Manager is a unique position within...

* Delivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members. Ensu...

LOCATION: Remote – must live in or near Henderson County, NC.
GENERAL STATEMENT OF JOB:
Intellectual and Developmental Disabilities (I/DD) Care Manager is responsible for knowing and implementing NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services standards and organizational policies. I/DD Care Manager is also responsible for providing comprehensiv...

LOCATION: Remote – must live in or near Yancey County, NC
GENERAL STATEMENT OF JOB:
Intellectual and Developmental Disabilities (I/DD) Care Manager is responsible for knowing and implementing NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services standards and organizational policies. I/DD Care Manager is also responsible for providing comprehensive ca...

LOCATION: Remote – must live in or near Buncombe County, North Carolina. This position requires travel.
GENERAL STATEMENT OF JOB
Intellectual and Developmental Disabilities (I/DD) Care Manager is responsible for knowing and implementing NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services standards and organizational policies. I/DD Care Manager is also re...

LOCATION: Remote – must live in or near Vance County, North Carolina. This position may also float between different border counties.
GENERAL STATEMENT OF JOB
Intellectual and Developmental Disabilities (I/DD) Care Manager is responsible for knowing and implementing NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services standards and organizational policies...

LOCATION: Remote - Buncombe County, NC
GENERAL STATEMENT OF JOB:
The Mental Health/Substance Use (MHSU) Care Manager, hereafter referred to as care manager, is responsible for providing proactive intervention and coordination of care to eligible members and recipients of Vaya’s Health plan to ensure that these individuals receive appropriate assessment and services. This Care Ma...

LOCATION: Remote – must live in or near Alexander County
GENERAL STATEMENT OF JOB
The Mental Health/Substance Use (“MHSU”) Care Manager (“MHSU Care Manager”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these individuals receive appropriate assessment and services. The MHSU Care ...

LOCATION: Remote – must live in or near Rockingham County
GENERAL STATEMENT OF JOB
The Mental Health/Substance Use (“MHSU”) Care Manager (“MHSU Care Manager”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these individuals receive appropriate assessment and services. The MHSU Care M...

LOCATION: Remote – must live in or near Alamance County, NC
GENERAL STATEMENT OF JOB
The Mental Health/Substance Use (“MHSU”) Care Manager (“MHSU Care Manager”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these individuals receive appropriate assessment and services. The MHSU Ca...

LOCATION: Remote – must live in or near Chatham County, NC.
GENERAL STATEMENT OF JOB
The Mental Health/Substance Use (“MHSU”) Care Manager (“MHSU Care Manager”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these individuals receive appropriate assessment and services. The MHSU Ca...

LOCATION: Remote – must live in or near Henderson County, North Carolina.
GENERAL STATEMENT OF JOB
The Mental Health/Substance Use (“MHSU”) Care Manager (“MHSU Care Manager”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these individuals receive appropriate assessment and services. The...

Title: Registered Nurse-Triage Pediatrics (Partially Remote) Brooklyn
Location: Brooklyn
Org Unit: Clinical Operations
Work Days: Monday-Friday
Exemption Status: Exempt
Salary Range: $108,000.00 - $118,000.00
*As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices
Position Summary
Under direction, assists physicians with ...

Title: Registered Nurse- Triage - Internal Medicine/Cardiology (Partially Remote)
Location: West Side; Queens
Org Unit: Clinical Operations
Work Days: Monday-Friday
Exemption Status: Exempt
Salary Range: $108,000.00 - $118,000.00
*As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices
Position Summary
Under direction, ass...