19 remote care manager jobs at 10 companies in Durham, NC
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Care Manager I-Waiver (Full-time Remote, North Carolina Based)
North Carolina or Morrisville
$29-$38/hrRemoteFull Time
Alliance Health: Publicly managing integrated Medicaid health plans in North Carolina.
1+ YOEBachelor's or master's degree, qualifying behavioral health experience, and 2 years of LTSS/HCBS coordination and care management experience; qualifying NC clinical licenses may substitute.
JIVA, Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Outlook
Atlanta or Durham or Columbus or Raleigh or Winston-Salem
RemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOERequires MA/MS in social work/counseling or degree in nursing, active professional licensure (e.g., RN, LCSW, LBA, etc.), 3+ years behavioral health/managed care experience, strong communication and analytical skills, prior utilization/case management experience.
Community Care of North Carolina: Provides community-based care management and population health services.
2+ YOEBachelor’s degree in health/social field or RN licensure; CCM cert preferred; 2 years child welfare experience preferred; valid driver’s license; must reside in NC or within 40 miles of NC border.
Microsoft Office, EMR systems, Hospital Data or Electronic Medical Record systems
Community Care of North Carolina: Provides community-based care management and population health services.
2+ YOESupervisory care navigation role requiring 2+ years case/care management or healthcare experience; RN with active NC license and CCM required (or MSW/LCSW for social worker track); ability to access EMR/HIE systems and valid driver's license.
Electronic Medical Record (EMR), Health Information Exchange (HIE), Hospital/External Data System, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook
Community Care of North Carolina: Provides community-based care management and population health services.
2+ YOEBachelor's in health/science or RN; 2 years child welfare experience preferred; must reside in NC or within 40 miles of NC border; CCM certification preferred; valid driver's license.
Glen Raven: Manufactures and distributes performance fabrics and textile solutions.
Bilingual English-Spanish proficiency, associate degree or equivalent training, preferred customer service experience, strong communication, attention to detail, time management, teamwork, and problem-solving skills.
Community Care of North Carolina: Provides community-based care management and population health services.
2+ YOEHigh school diploma/GED or LPN; 2+ years healthcare experience; skills with patient/clinical data systems, MS Office, strong communication, motivational interviewing, and time management; ability to access multiple EHRs and follow HIPAA policies.
Complex Case Manager (Full Time, Remote, North Carolina Based)
North Carolina or Harnett County or Johnston County or Wake County or Durham County or Morrisville or Smithfield
$70k-$90k/yrHybridFull Time
Alliance Health: Publicly managing integrated Medicaid health plans in North Carolina.
2+ YOERequires RN licensure with 2 years of care management experience, or a relevant master's degree with full clinical licensure and 2 years' experience; bachelor's nursing pathway also accepted. Microsoft Office proficiency required.
Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Outlook
Senior Manager, Medical and Clinical Claim Policy and Integration
Chapel Hill, North Carolina, United States
RemoteFull Time
Brighton Health Plan Solutions: Provides third-party administration and healthcare enablement services.
5+ YOE5+ years in healthcare administration or managed care, expert knowledge of medical and claims policy, 2+ years policy-writing preferred, experience with CPT/HCPCS/ICD/DRG references, strong analytic and writing skills, bachelor’s preferred.
Claims Editing Solution (CES), JIVA, Microsoft Word, Microsoft Excel
Medical Director-Physical Health (Full-time Remote, North Carolina Based)
Charlotte or Smithfield or Morrisville or Fayetteville or North Carolina
$211k-$269k/yrRemoteFull Time
Alliance Health: Publicly managing integrated Medicaid health plans in North Carolina.
4+ YOEM.D./D.O. with board certification, active or obtainable NC medical license, ≥4 years postgraduate clinical experience and ≥2 years managed care/utilization management; UM experience and Microsoft Office skills.
Field Remote Provider Engagement Specialist Merced/Stanislaus County
Merced County or Stanislaus County or Raleigh
$59k-$88k/yrFieldFull Time
Alignment HealthNASDAQ: ALHC: Provides Medicare Advantage plans and coordinated clinical services for seniors.
2+ YOEBachelor's degree preferred and 2+ years of related experience in provider relations, contracting, network development, healthcare operations, or managed care. Requires driver's license, insurance, reliable transportation, and Microsoft Office proficiency.
Microsoft Office Suite, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Raleigh or North Carolina or Florida or South Carolina or Pennsylvania or Ohio or Virginia or Tennessee or Arizona or Maryland or West Virginia or Kentucky or Texas or Arkansas or Louisiana or Alabama or Michigan or Georgia or Colorado
RemoteFull Time
American Cancer Society: Provides cancer research funding, patient support, and health education.
5+ YOE3+ MgmtBachelor's degree (Master's preferred); 5+ years managing public health or patient care programs; 3+ years supervisory experience; experience in program design, evaluation, and stakeholder engagement; occasional travel required.
Senior Research Economist - Health Care Systems Research
Durham or United States
$205k-$254k/yrRemoteFull Time
RTI International: Independent nonprofit research institute providing technical and scientific solutions.
10+ YOEPhD+10 years (or Master's+14, Bachelor's+18) in relevant field; strong track record with CMS/FDA proposals; expertise with Medicare/claims data, study design, quantitative methods, and project leadership.
Physician, Family Medicine – Telemedicine Opportunity – DrHouse
Charlotte or Raleigh or Greensboro or Durham or Winston-Salem or North Carolina
$100-$200/hrRemotePart Time
DrHouse: Online platform providing on-demand virtual doctor visits and prescriptions.
Board-certified MD/DO, licensed in North Carolina, comfortable delivering telemedicine care, proficient with EHR, managing primary/urgent care and chronic conditions in a virtual setting.
Brighton Health Plan Solutions: Provides third-party administration and healthcare enablement services.
2+ YOEActive RN licensure required, 2+ years UM team experience in managed care, BLS not explicitly stated; proficiency with Microsoft Office, MCG and CMS criteria, utilization review and benefit interpretation skills.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, MCG, CMS
Physician, Emergency Medicine – Telemedicine Opportunity – DrHouse
North Carolina or Charlotte or Raleigh or Greensboro or Durham or Winston-Salem
$100-$200/hrRemotePart Time
DrHouse: Online platform providing on-demand virtual doctor visits and prescriptions.
Board-certified physician licensed in North Carolina, comfortable with telemedicine, able to manage a broad spectrum of primary and urgent care cases and document encounters in an EHR.