North Carolina Licensed Care Manager

A company is looking for an Episodic Care Manager. Key Responsibilities Perform clinical reviews to assess and coordinate healthcare services based on medical necessity and contractual benefits Collaborate with providers and internal staff to ensure timely and accurate clinical evaluations and documentation Facilitate communication regarding case reviews and coordinate secondary reviews as needed Required Qualifications Registered Nurse (RN) with 3 years of clinical experience or Licensed Practical Nurse (LPN) with 5 years of clinical experience Must hold a valid clinical license (NC or compact multi-state licensure) Strong knowledge of medical policies, benefits, and care guidelines Experience in clinical documentation and analysis Ability to work collaboratively with clinical and non-clinical staff

May 22, 2025 - 19:00

A company is looking for an Episodic Care Manager. Key Responsibilities Perform clinical reviews to assess and coordinate healthcare services based on medical necessity and contractual benefits Collaborate with providers and internal staff to ensure timely and accurate clinical evaluations and documentation Facilitate communication regarding case reviews and coordinate secondary reviews as needed Required Qualifications Registered Nurse (RN) with 3 years of clinical experience or Licensed Practical Nurse (LPN) with 5 years of clinical experience Must hold a valid clinical license (NC or compact multi-state licensure) Strong knowledge of medical policies, benefits, and care guidelines Experience in clinical documentation and analysis Ability to work collaboratively with clinical and non-clinical staff