Click to search for jobs

POSITION SUMMARY
The Clinical Specialist reports to the Assistant Manager, Medical Management and provides clinical decision-making support and community resource coordination in support of Community Health Options Medical Management approach. This balances advocacy for the individual based on benefit design with stewardship for the entire individual and group membership through effective utili...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
***This is a fully remote position. Applicants can reside anywhere in the US and must possess either LCSW, L...

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...

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com , then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for “Find Jobs for Students”.
All Job Post...

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com , then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for “Find Jobs for Students”.
All Job Post...

The Clinical Investigator monitors service delivery for program integrity through fraud and abuse investigations and audits, including review of claims data, clinical records and reference materials, investigative interviewing, provider education and technical assistance, and monitoring implementation of provider corrective actions. The Investigator reports overpayments and other irregularities...

LOCATION: Remote – must live in or near Rowan County, North Carolina. The person in this position is required to maintain residency in North Carolina or within 40 miles of the NC border. This position requires travel .
GENERAL STATEMENT OF JOB
Innovations Care Manager (Innovations CM) is responsible for providing proactive intervention and coordination of care...

LOCATION: Remote – must live in or near the following counties in Southeastern North Carolina: Columbus, Robeson, Hoke, Cumberland, or Brunswick. Incumbent in this role must live in North Carolina or within 40 miles of the NC border. This position requires travel.
GENERAL STATEMENT OF JOB
Innovations Care Manager (Innovations CM) is responsible for providing proactive intervention an...

LOCATION: Remote – must live in or near Cherokee or Clay County, North Carolina. This position will serve these counties. The person in this position is required to maintain residency in North Carolina or within 40 miles of the NC border. This position requires travel .
GENERAL STATEMENT OF JOB
Innovations Care Manager (Innovations CM) is responsible for providing...

LOCATION: Remote – must live in or near Buncombe County, North Carolina. This position will serve these counties. The person in this position is required to maintain residency in North Carolina or within 40 miles of the NC border. This position requires travel .
GENERAL STATEMENT OF JOB
Innovations Care Manager (Innovations CM) is responsible for providing proactive i...

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 Chatham County, North Carolina. The person in this position must maintain residency in North Carolina or within 40 miles of the North Carolina border. This position requires travel .
GENERAL STATEMENT OF JOB
The Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients...

LOCATION: Remote – must live in or near Buncombe County, North Carolina. The person in this position must maintain residency in in North Carolina or within 40 miles of the North Carolina border. This position requires travel .
GENERAL STATEMENT OF JOB
The Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipient...

LOCATION: Remote – must live in or near Caswell County, North Carolina. The person in this position must maintain residency in North Carolina or within 40 miles of the North Carolina border. This position requires travel .
GENERAL STATEMENT OF JOB
The Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (...

LOCATION: Remote – must live in or near Vance County, North Carolina. The person in this position must maintain residency in North Carolina or within 40 miles of the North Carolina border. This position requires travel .
GENERAL STATEMENT OF JOB
The Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“me...

LOCATION: Remote – must live in or near Alamance County, North Carolina. The person in this position must maintain residency in North Carolina or within 40 miles of the North Carolina border. This position requires travel .
GENERAL STATEMENT OF JOB
The Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipient...

OCATION: Remote – must live in or near Haywood County, North Carolina. The person in this position must maintain residency in North Carolina or within 40 miles of the North Carolina border. This position requires travel .
GENERAL STATEMENT OF JOB
The Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“mem...

LOCATION: Remote – must live in or near Rowan County, North Carolina. The person in this position must maintain residency in North Carolina or within 40 miles of the North Carolina border. This position requires travel .
GENERAL STATEMENT OF JOB
The Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“me...

LOCATION: Remote – must live in or near McDowell County, North Carolina. The person in this position must maintain residency in North Carolina or within 40 miles of the North Carolina border. This position requires travel .
GENERAL STATEMENT OF JOB
The Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipient...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
This Command Center Staff Registered Nurse (RN) role is for an RN who wants to be part of an innovative team working as a virtual RN in a command center. The Command Center Registered Nurse will be the nucleus of the care provided to inpatients who are cared for in their home by med...