- Careerbuilder-US (Columbia, SC)
- Job Title: Managed Care Coordinator Job Location: Columbia, SC Zip Code: 29219, 29203, 29229, 29201 Top 3/5 Skills: . RN / Registered Nurse License . Chronic ... condition care . Case Management Job Responsibilities Reviews and evaluates...Case Management Job Responsibilities Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
- Highmark Health (Columbia, SC)
- …with mental health , substance use, and co-morbid chronic medical conditions. Behavioral health conditions include serious mental illness, untreated mental ... The overall goal is to help members navigate the health care system and develop condition self-management...a primary contact for members with Opioid Use Disorder (OUD)/ Behavioral Health with co-morbid medical conditions including… more
- Highmark Health (Columbia, SC)
- …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… more
- Highmark Health (Columbia, SC)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs. + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate ... of ASD, as defined by the ACD. The **Telephonic Care Manager (Autism Care Navigator)**...(LMSW-ACP), Clinical Psychologist** with; + Clinical experience in: pediatrics, behavioral health , and/or ASD; a healthcare environment;… more
- Highmark Health (Columbia, SC)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …opportunities are endless. Not only is it the largest, most technologically advanced integrated health care system in the Nation, but we also provide many other ... a collaborative process that assesses, advocates, plans, implements, coordinates, monitors and evaluates health care options and services so that they meet the… more
- Humana (Columbia, SC)
- …for adult acute care + Managed care experience + Behavioral Health Experience + Certified Case Manager (CCM) + Live in the state of SC **Additional ... **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 , in a telephonic environment, assesses and… more
- Highmark Health (Columbia, SC)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... a specified panel of oncology members that range in health status/severity and clinical needs. The incumbent assesses ...with a complex Oncology treatment plan and coordination of care . They will possess the knowledge and skills to… more
- Highmark Health (Columbia, SC)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... a number of other activities to help improve the health outcomes of members; care plans include...1 year in advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy… more
- Highmark Health (Columbia, SC)
- …in marketing research with insurance is a plus. **Preferred** + Prior experience in Health Insurance or a Health Care Environment + Proven expertise in ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If you...is defined as having worked as either a project manager or lead research analyst for a minimum of… more
- Highmark Health (Columbia, SC)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** As a Digital Product Manager for My Highmark, a site for members to view claims, explore ... coverage, and find care , you'll play a pivotal role in representing the...**LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Product Manager Certification **SKILLS** + Excellent written, interpersonal, communication, and… more
- Highmark Health (Columbia, SC)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Highmark Health (Columbia, SC)
- …effectively + Collaborative and team-oriented approach + Masters Degree + Health care experience **ESSENTIAL RESPONSIBILITIES** + Perform management ... professionals. **Ideal Candidate Profile:** + Deep understanding of value-based care and fee for service reimbursement models + Strong...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …medication. Demonstrates understanding of age-and population-specific characteristics that affect the health care needs of the Veteran. Promptly recognizes ... Nurse (RN) and reports to the surgical clinic nurse manager . The LPN is responsible for observing, recording and...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the… more
- CenterWell (Columbia, SC)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Manager , Sales Support oversees...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- National Youth Advocate Program (Columbia, SC)
- …+ Possess a sincere desire and ability to advocate for children facing behavioral health , educational, legal, development, and socio-economic challenges. + Works ... Loan Repayment Assistance, CEU's and ongoing trainings/education Position Title: Case Manager Reporting Relationship: Lead Case Manager Position Summary The… more
- Sevita (Columbia, SC)
- …-** **_Apply Today!_** Sevita is a leading provider of home and community-based specialized health care . We believe that everyone deserves to live a full, more ... supervisors, while you grow your career. **Family Preservation Case Manager ** **(servicing** **Columbia, Lexington, Sumter, York, and Union counties)**… more
- Marriott (Columbia, SC)
- …of 7 holidays annually. All locations offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending ... of Hotel Websites, we are seeking a Senior Product Manager for Hotel Websites will play a key role...* Develop communications for internal executives, the field, customer care , and guests for product rollouts. **Managing Work &… more
- Prime Therapeutics (Columbia, SC)
- …and large scale business transformation and/or re-engineering project management in Behavioral Health public sector market is highly desirable. **Requirements ... every decision we make. **Job Posting Title** Product Innovation Manager **Job Description Summary** Designs, develops and manages assigned...Commercial business unit, 3+ years in product development in health care is required. + For positions… more