Our client, a leader in healthcare services, is seeking an Episodic Care Manager to join their team. As an Episodic Care Manager, you will be part of the clinical evaluation and review department supporting various member services. The ideal candidate will have strong analytical skills, excellent communication abilities, and a collaborative mindset which will align successfully in the organization. **Job Title:** Episodic Care Manager **Location:** Durham, NC **Pay Range:** Competitive, based on experience **What's the Job?** + Receive assigned cases for varied member services (i.e. inpatient, outpatient, DME). + Review and evaluate cases for medical necessity against medical policy, benefits, and/or care guidelines and regulations. + Complete work in accordance with timeliness, production, clinical quality/accuracy, and compliance standards. + Provide notifications to members and/or providers, according to regulatory requirements. + Communicate and collaborate effectively with internal and external clinical/non-clinical staff (including MDs) to coordinate work. **What's Needed?** + LCSW license required. + For Behavioral Health specific roles, other applicable licensure may be considered with a minimum of 3 years of clinical experience. + Must have and maintain a valid and applicable clinical license (NC or compact multi-state licensure) to perform described job duties. + Ability to interpret and analyze clinical information. + Demonstrated ability to summarize clinical reviews against established criteria and guidelines. **What's in it for me?** + Opportunity to work in a dynamic and supportive environment. + Engage in meaningful work that impacts the health and well-being of members. + Professional development and growth opportunities. + Collaborative team culture that values diverse perspectives. + Access to comprehensive healthcare plans and support. **Upon completion of waiting period consultants are eligible for:** + Medical and Prescription Drug Plans + Dental Plan + Vision Plan + Health Savings Account + Health Flexible Spending Account + Dependent Care Flexible Spending Account + Supplemental Life Insurance + Short Term and Long Term Disability Insurance + Business Travel Insurance + 401(k), Plus Match + Weekly Pay If this is a role that interests you and you'd like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you! **About ManpowerGroup, Parent Company of: Manpower, Experis, Talent Solutions, and Jefferson Wells** _ManpowerGroup® (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands –_ **_Manpower, Experis, Talent Solutions, and Jefferson Wells_** _–_ creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2023 ManpowerGroup was named one of the World's Most Ethical Companies for the 14th year - all confirming our position as the brand of choice for in-demand talent. ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.