• Licensed Social Worker - Behavioral

    Molina Healthcare (Columbia, SC)
    …concerns. + Collaborates with RN case managers/supervisors as needed or required + Case managers in Behavioral Health and Social Science fields may ... an integrated delivery of care across the continuum, including behavioral health and long term care, for...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health more
    Molina Healthcare (09/19/24)
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  • Clinical Care Manager , Behavioral

    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 ... least two years of community based Behavioral Health experience + Experience with long term case...in a collaborative, team-oriented system. + CCMC (Commission for Case Manager Certification) + Knowledge and experience… more
    Evolent Health (11/05/24)
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  • Behavioral Health Care…

    AmeriHealth Caritas (Columbia, SC)
    ** Behavioral Health Care Manager SC**...a supervised field experience in case management, health or behavioral health as part ... reviewing and assessing members' need for behavioral health Care management. The Care Manager will...of the degree requirements. + Current Certification in Case Management (CCM) or eligible to take exam within… more
    AmeriHealth Caritas (11/05/24)
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  • Complex Case Manager RN Pediatric…

    Highmark Health (Columbia, SC)
    …management and/or disease/condition management experience, provider operations and / or health insurance experience **Preferred** + **Pediatric Complex Case ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified panel… more
    Highmark Health (10/25/24)
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  • Remote Telephonic Case Manager RN

    Molina Healthcare (Cayce, SC)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… more
    Molina Healthcare (11/06/24)
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  • Bilingual Case Manager - JOR

    National Youth Advocate Program (Columbia, SC)
    …Allowance, Student Loan Repayment Assistance, CEU's and ongoing trainings/education **Position Title:** Case Manager **Reporting Relationship:** Lead Case ... Manager **Position Summary** The Case Manager for NYAP's La Jornada (The Journey) Program focusing...sincere desire and ability to advocate for children facing behavioral health , educational, legal, development, and socio-economic… more
    National Youth Advocate Program (08/20/24)
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  • Registered Nurse Case Manager

    US Tech Solutions (Columbia, SC)
    …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... + A typical day would like in this role: Employee will be providing telephonic case management for our members. + Past job instability. Registered nurses MUST have 4… more
    US Tech Solutions (10/18/24)
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  • Clinical Care Manager ( RN )

    Evolent Health (Columbia, SC)
    …Bachelor's degree in nursing OR 3-5 years of nursing experience, preferably in case management, discharge planning, home health , ambulatory care,chronic care ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...**What You Will Be Doing:** + This RN Care Manager The RN CM will be providingremote and in… more
    Evolent Health (11/08/24)
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  • Social Work Care Manager

    Intermountain Health (Columbia, SC)
    …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case ... psychosocial functioning for the purpose of diagnosing mental, emotional, behavioral , addictive and developmental disorders and disabilities, implementing appropriate… more
    Intermountain Health (10/25/24)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Columbia, SC)
    …the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers ... 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
    Highmark Health (10/08/24)
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  • Utilization Review Nurse

    US Tech Solutions (Columbia, SC)
    …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... independently, prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience is… more
    US Tech Solutions (10/31/24)
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  • Coordinator, Managed Care I

    ManpowerGroup (Columbia, SC)
    …+ Identify and refer cases to appropriate internal departments (eg, Medical Director, Case Manager , Quality of Care Referrals). + Participate in data collection ... **Job Summary** The Clinical Review Specialist assesses and evaluates medical or behavioral eligibility for health benefits, ensuring services meet clinical and… more
    ManpowerGroup (10/30/24)
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  • Managed Care Coordinator UM II

    ManpowerGroup (Columbia, SC)
    …+ Identify and make referrals to appropriate staff (eg, Medical Director, Case Manager , Preventive Services, etc.). + Participate in data collection/input ... criteria to service requests. The individual will also provide health management program interventions, utilizing clinical proficiency, claims knowledge, and… more
    ManpowerGroup (10/30/24)
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