- AmeriHealth Caritas (Columbia, SC)
- ** Behavioral Health Care Manager SC** Location: Columbia, SC Primary Job Function: Behavioral Health ID**: 37968 Your career starts now. We're ... members' need for behavioral health Care management. The Care Manager ...requests within contractual time frames. The Care Manager will process behavioral health … more
- Evolent Health (Columbia, SC)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- Molina Healthcare (Cayce, SC)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports to ... delivery of care across the continuum, including behavioral health and long term care...Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… more
- Evolent Health (Columbia, SC)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... population. **What You Will Be Doing:** + This RN Care Manager The RN CM will be...and social needs of the patient, identify gaps in care and barriers to attaining improved health .… more
- Evolent Health (Columbia, SC)
- …a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings ... this population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be...and social needs of the patient, identify gaps in care and barriers to attaining improved health .… more
- Highmark Health (Columbia, SC)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- CVS Health (Columbia, SC)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....settlement negotiations of contracts with large and complex, market-based, behavioral health groups and facilities providers. You… 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 ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- CVS Health (Columbia, SC)
- …the telephone and typing into the computer **Required Qualifications** - 2 years Behavioral Health care experience. - Previous Customer Service experience. ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....Summary** + - Provides comprehensive support and service to behavioral health clinical teams in support 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)
- …project manager role and/or in a project leadership role **Preferred** + Health Care Insurance industry business and operational knowledge + Experience with ... job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Highmark Health (Columbia, SC)
- …capabilities. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities, ... executive leadership of the Enterprise (both Highmark and Highmark Health ), including CFO, EVP, Chief Actuary, and Vice President,...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… 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 ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- US Tech Solutions (Columbia, SC)
- …+ Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit ... 5% Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. **Experience:** + 4 years… more
- US Tech Solutions (Columbia, SC)
- …Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit ... Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. **Experience:** + 4 years… more
- CVS Health (Columbia, SC)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** he … more
- ManpowerGroup (Columbia, SC)
- …review determinations and make necessary referrals to the Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc. 4. ... in direct patient education regarding healthcare delivery, utilization, network benefits, and care management programs. 16. Promote enrollment in health and… more
- ManpowerGroup (Columbia, SC)
- …support care management plans, and guide members toward better health outcomes. **Key Responsibilities:** **Medical/ Behavioral Review (50%):** + Perform ... **Job Summary** The Clinical Review Specialist assesses and evaluates medical or behavioral eligibility for health benefits, ensuring services meet clinical and… 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, ... day. Join us today, and experience a career well lived. **QI Field Services Manager ** Are you looking for meaningful work that uses your background in social… more