Top 420 Director of case management Jobs in North Carolina

Corporate Ethics & Compliance Investigator
Centene —North Carolina
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Director of Case Management
Kindred Hospital Greensboro —Greensboro, NC
- Nursing
- Microsoft Excel
- RN License
Licensed Professional Counselor (LPC)
Timber Ridge Treatment Center —Greensboro, NC
- $55,000 - $60,000 a year
- 8 hour shift
- Addiction Medicine
- LPC
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Military Program Manager
Holly Hill Hospital —Raleigh, NC
- Full-time
- Background check
- OSHA
- 5 years
- Health savings account
- Health insurance
Quick Apply
Corporate Director of Women & Children's Services, Full Time Days
Cape Fear Valley Health System —Fayetteville, NC
- Full-time
- Nursing
- RN License
- Hospital
Licensed Professional Counselor (LPC)
Timber Ridge Treatment Center —Winston-Salem, NC
- $50,000 - $60,000 a year
- 8 hour shift
- Addiction Medicine
- LPC
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Medical Director Veterinarian (DVM) | AAHA-Accredited Practice | Southeast Community Animal Hospital
Southeast Community Animal Hospital (Greensboro, NC) —Greensboro, NC
- Clinic experience
- Senior level
- Leadership
- Continuing education credits
- Paid parental leave
3d
Substance Abuse Counselor
Confidential —Durham, NC
- From $50,000 a year
- Full-time
- Addiction Medicine
- Mid-level
- Outpatient experience
- Health insurance
- Dental insurance
Quick Apply
Clinical Liaison, Acute Rehabilitation (RN, PT, OT, SLP)
Signet Health Corporation —Catawba County, NC
- Full-time
- RN License
- Hospital
- Mid-level
Social Worker and Clinical Services Manager
Jewish for Good —Durham, NC
- $58,000 - $64,000 a year
- Online Application
- Background check
- Master of Social Work
- Licensed Clinical Social Worker
- 403(b) matching
- Health savings account
Quick Apply
Diabetes Educator-Full Time- Cape Fear Valley Pediatric Endocrinology
Cape Fear Valley Health System —Fayetteville, NC
- Full-time
- Hospital
- Ability to walk for extended periods
- Mid-level
Homecare Registered Nurse (RN)
VITALGUARD HOMECARE —Rockingham, NC
- $50 - $80 an hour
- Part-time
- Background check
- Nursing
- Management
- Referral program
Quick Apply
4d
Physician Medical Director Onsite
Concentra —Raleigh, NC
- Full-time
- Medicine
- Clinic
- Budgeting
Physician Clinic Medical Director
Concentra —Raleigh, NC
- Full-time
- Medicine
- BC/BE
- Clinic
- Paid holidays
- Disability insurance
10d
RN - Clinical Team Leader - Home Health
Enhabit Home Health & Hospice —Asheboro, NC
- Full-time
- Nursing
- RN License
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Registered Nurse
GT Independence —Greensboro, NC
- Nursing
- RN License
- Mid-level
- Paid time off
Quick Apply
11d
Physician Clinic Medical Director
Concentra —Charlotte, NC
- Full-time
- Medicine
- BC/BE
- Clinic
- Paid holidays
- Disability insurance
9d
Physician Director of Medical Operations
Concentra —Charlotte, NC
- Full-time
- Medicine
- 5 years
- Computer literacy
- Commuter assistance
- Paid holidays
3d
Physician Clinic Medical Director
Concentra —Fayetteville, NC
- Full-time
- Medicine
- Clinic
- Senior level
- Paid holidays
- Disability insurance
Physician Medical Director Part Time Onsite
Concentra —Raleigh, NC
- Part-time
- Clinic
- Budgeting
- In-person

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Corporate Ethics & Compliance Investigator

Centene -
North Carolina

Apply Now

Job Details

Full-time
$107,700 - $199,300 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Investigations regulatory compliance
State healthcare regulations

Full Job Description

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.

Position Purpose: Responsible for leading and managing the most complex, sensitive, and high-impact internal investigations across the organization. Serves as a strategic advisor and subject matter expert on investigative best practices, regulatory compliance, and risk mitigation. Requires exceptional judgment, discretion, and the ability to influence senior leadership decisions while ensuring adherence to federal and state regulations, internal policies, and ethical standards.

Consults with management, in-house counsel, and/or the Director of Corporate Compliance as needed to resolve difficult, highly sensitive or complex compliance issues.
Independently evaluates and assesses allegations to determine whether domestic laws, regulatory policies, or internal policies, procedures, and standards have been violated.
Plans, scopes, and conducts complex, confidential internal investigations from inception to conclusion. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Conducts, manages, and documents interviews with witnesses, as required for investigatory purposes.
Reviews investigation reports prepared by junior investigators.
Identifies risks, interprets investigation results, and recommends and communicates remedial actions to mitigate future potential risks.
Performs follow up to ensure remedial / disciplinary measures are implemented appropriately and timely.
Plans, develops, leads, and manages multiple projects, including prioritizing and managing through execution.
Maintains meticulous case files and chronologies in accordance with best practices.
Thoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented.
Prepares clear and concise draft investigation plans and reports.
Provides support and guidance to junior investigation staff as applicable.
Attends, actively participates in, and/or leads meetings with various business area managers.
Communicates directly with Federal or State regulators.
Supports the development and maintenance of Corporate Compliance policies and procedures and workflows.
Participates in and leads special projects (e.g., auditing, training, and HIPAA compliance).
Provides support of and guidance to other associates.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience: Bachelor's Degree Criminal Justice/Criminology, Law, Healthcare Administration/Health Policy, or related field, equivalent experience required. Juris Doctorate highly preferred. 7+ years progressive experience in conducting and managing complex investigations or auditing and risk analysis required. 7+ years experience reading, analyzing and interpreting State and Federal laws, rules and regulations required. Prosecutorial experience preferred. Previous experience as an investigator within a large corporation or Federal Agency preferred.

Licenses/Certifications:
Certified Fraud Investigator preferred

Pay Range: $107,700.00 - $199,300.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

director of case management jobs in north carolina

Corporate Ethics & Compliance Investigator

Director of Case Management

Licensed Professional Counselor (LPC)

Military Program Manager

Corporate Director of Women & Children's Services, Full Time Days

Licensed Professional Counselor (LPC)

Medical Director Veterinarian (DVM) | AAHA-Accredited Practice | Southeast Community Animal Hospital

Substance Abuse Counselor

Clinical Liaison, Acute Rehabilitation (RN, PT, OT, SLP)

Social Worker and Clinical Services Manager

Diabetes Educator-Full Time- Cape Fear Valley Pediatric Endocrinology

Homecare Registered Nurse (RN)

Physician Medical Director Onsite

Physician Clinic Medical Director

RN - Clinical Team Leader - Home Health

Registered Nurse

Physician Clinic Medical Director

Physician Director of Medical Operations

Physician Clinic Medical Director

Physician Medical Director Part Time Onsite

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