Top 73 Utilization management Jobs in Asheville, Nc

CFSP Managed Care Coordinator - Buncombe County
Elevance Health —Asheville, NC
- Hybrid work
- Experience working with individuals with developmental disabilities
- Nursing
- Bachelor of Science
- Employee stock purchase plan
- Paid holidays
Behavioral Health Intake/Referral Coordinator (PT))
UNC Health —Hendersonville, NC
- Part-time
- Nursing
- RN License
- Hospital
Ambulatory Surgery Center Administrator
EMERGEORTHO, P.A. —Asheville, NC
- Full-time
- Surgery
- 5 years
- Bachelor of Science
Quick Apply
10d
Consumer Access Specialist - FT ED 3rd Shift
AdventHealth Hendersonville —Hendersonville, NC
- $15.96 - $25.53 an hour
- Full-time
- Spanish
- High school
- HIPAA
- Paid parental leave
- Disability insurance
Qualified Professional / QP / MCM / Mobile Crisis Management / Dispatcher / Fulltime
RHA Health Services, LLC —Asheville, NC
- Full-time
- CPR Certification
- BLS Certification
- Mid-level
- Paid training
- Health insurance
Quick Apply
Clinical Director
Red Oak Recovery Center —Asheville, NC
- $90,000 - $110,000 a year
- Full-time
- LMFT
- CPR Certification
- Addiction Medicine
- Loan repayment program
- Health insurance
Licensed Mental Health Counselor
Lavni Inc —North Carolina
- From $50 an hour
- Part-time
- Remote
- Master of Social Work
- Microsoft Excel
- Psychiatry
Quick Apply
Diversion Specialist - QP (McDowell/Buncombe/Henderson Co. NC )
Vaya Health —Hendersonville, NC
- $46,302.35 - $60,193.06 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
11d
Director Emergency Services
Mission Hospital —Asheville, NC
- Full-time
- 3 years
- Children
- Senior level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Manager, Physician Practice Operations
UNC Health —Asheville, NC
- Full-time
- High school diploma or GED
- Driver's License
- Bachelor's degree
Consumer Access Specialist - PRN - Main Days
AdventHealth Hendersonville —Hendersonville, NC
- $15.96 - $25.53 an hour
- PRN
- Hospital
- HIPAA
- Mid-level
Justice Reentry Coordinator - LP (Western North Carolina)
Vaya Health —Asheville, NC
- $62,993.84 - $81,891.99 a year
- Full-time
- LMFT
- Microsoft Excel
- Microsoft Outlook
Manager, Physician Practice Operations, Arden
UNC Health —Arden, NC
- Full-time
- High school diploma or GED
- Clinic
- Driver's License
5d
ABA Behavior Technician - Arden, NC
Lighthouse CH —Arden, NC
- $25 - $28 an hour
- Part-time
- High school diploma or GED
- Clinic
- Experience working with children
Quick Apply
3d
Histology Manager
NCD Central Market Lab —Asheville, NC
- Full-time
- Mid-level
- 3 years
- Employee stock purchase plan
- Disability insurance
Quick Apply
Clinical Manager
EMERGEORTHO, P.A. —Asheville, NC
- Urgently hiring
- Current TB test
- RN License
- HIPAA
- Health savings account
- Paid holidays
Quick Apply
Crisis Responder / Qualified Professional / Mobile Crisis
RHA Health Services, LLC —Fletcher, NC
- $24 an hour
- Full-time
- Remote
- Mid-level
- Master's degree
- Bachelor's degree
- Paid training
- Health insurance
Quick Apply
Regional Dietary Manager – State Veterans Homes
STG International, Inc. —Asheville, NC
- ServSafe
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Clinical Documentation Specialist
Haywood Regional Medical Center —Clyde, NC
- Full-time
- Acute care
- RN License
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Director of Physician Services I
Mission Health —Asheville, NC
- Full-time
- 3 years
- Experience equivalent to degree accepted
- Senior level
- Employee stock purchase plan
- Disability insurance
Quick Apply

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utilization management jobs near asheville, nc

CFSP Managed Care Coordinator - Buncombe County

Elevance Health -
Asheville, NC

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Job Details

Benefits

Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Experience working with individuals with developmental disabilities
Nursing
Patient resource coordination
Experience working with individuals with neurodevelopmental disorders
Bachelor's degree in social work
Managed care
Chronic disease management
Interdisciplinary collaboration in health services social work
Experience working with trauma survivors
Managed care organization experience
Bachelor of Science
Child welfare services experience
Health and wellness goal setting
Bachelor's degree in psychology
Experience working with individuals with chronic illnesses
Direct client contact
Bachelor's degree in sociology
Mid-level
Sociology
Community resource coordination in health services social work
Care planning in social services
Mental health resources facilitation
Overseeing care coordination
Bachelor's degree
Psychology
Multidisciplinary team collaboration for treatment planning
Telephone interviewing
Health services social work
Working with families
Working with individuals with mental health conditions

Full Job Description

CFSP Managed Care Coordinator

We are currently seeking people in the following counties and look forward to speaking with you! (Buncombe, McDowell, Henderson, Haywood and Yancey)

Location: Field: This field-based role in Buncombe County (Asheville), enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. These roles are county field-based and require you to interact with patients, members, or providers in person four to five days per week.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision North Carolina where all children and families thrive in safe, stable, and nurturing homes.

The CFSP Managed Care Coordinator is responsible for the overall management of the members' individual service plan within the scope of position in the NC CFSP Program, as required by applicable state law and contract.

How you will make an impact:

Provide integrated whole-person Care Management under the CFSP Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
Offer Trauma-Informed Care by recognizing the role of ACEs in the CFSP population and coordinating cross-agency care to support children's diverse needs, including physical, behavioral, social, educational, and legal aspects.
Collaborate closely with each Member's County Child Welfare Worker to align health care needs with permanency planning goals.
Work with a multidisciplinary care team, including primary health care and behavioral health professionals, specialty providers, and stakeholders in the child welfare system, to coordinate care (e.g., coordination involving juvenile justice awareness).
Conduct telephonic or face-to-face assessments using predefined questions to identify, evaluate, coordinate, and manage member program needs.
Identify members with potential clinical health care needs using predefined tools, coordinating their cases with clinical healthcare management and an interdisciplinary team for care coordination support.
Oversee non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for cost-effective and efficient service utilization.
Set short- and long-term goals in collaboration with members, caregivers, families, natural supports, and physicians.
Identify members who would benefit from expanded services.

Minimum Requirements

Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community-based organizations; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

Must reside in North Carolina.
BA/BS degree preferred in a field related to health, psychology, sociology, social work, nursing or another relevant human services area.
Two (2) years of experience working directly with individuals served by the child welfare system is preferred.
Colocation is a possibility that could require reporting to office location 1 -3 days per week as needed.
Travels to worksite and other locations as necessary.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

utilization management jobs in asheville, nc

CFSP Managed Care Coordinator - Buncombe County

Behavioral Health Intake/Referral Coordinator (PT))

Ambulatory Surgery Center Administrator

Consumer Access Specialist - FT ED 3rd Shift

Qualified Professional / QP / MCM / Mobile Crisis Management / Dispatcher / Fulltime

Clinical Director

Licensed Mental Health Counselor

Diversion Specialist - QP (McDowell/Buncombe/Henderson Co. NC )

Director Emergency Services

Manager, Physician Practice Operations

Consumer Access Specialist - PRN - Main Days

Justice Reentry Coordinator - LP (Western North Carolina)

Manager, Physician Practice Operations, Arden

ABA Behavior Technician - Arden, NC

Histology Manager

Clinical Manager

Crisis Responder / Qualified Professional / Mobile Crisis

Regional Dietary Manager – State Veterans Homes

Clinical Documentation Specialist

Director of Physician Services I

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