- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- CVS Health (Columbia, SC)
- …network management and clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with ... This person will oversee and be responsible for all behavioral health activities in the health..., physical health , and social determinants of health . The medical director will… more
- CVS Health (Columbia, SC)
- …care resources. **This is a remote based (work from home) role.** In this role has Medical Director ( Behavioral Health ) you will: * Provide comprehensive ... behavioral health care management to facilitate delivery of appropriate quality...management team, including the management of high-risk cases and medical necessity decisions * Participate in the development, implementation,… more
- Highmark Health (Columbia, SC)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Highmark Health (Columbia, SC)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- CenterWell (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of ... codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Columbia, SC)
- …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding… more
- Highmark Health (Columbia, SC)
- …conceptualize and design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Columbia, SC)
- …Appropriate certification to write prescriptions under the authority of a Collaborating Physician/ Medical Director + Experience working within EMR + Senior care ... part of our caring community and help us put health first** The Associate Director , Advanced Practice...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Columbia, SC)
- …that 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 National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- Marriott (Columbia, SC)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... **JOB SUMMARY** Marriott has an exciting opportunity for a Director on the Corporate Systems team within the Finance...a course of action. + Professional Demeanor - Exhibits behavioral styles that convey confidence and command respect from… more
- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on ... of manual processes using AI and RPA (Robotics Process Automation) ** Behavioral Competencies:** * Exceptional leadership skills, marked by poise, positive influence,… more
- Marriott (Columbia, SC)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... internal and external user expectations and operations. The Senior Director collaborates with cross-functional teams both within Marriott's Global Technology… more
- Magellan Health Services (Shaw AFB, SC)
- … and wellness presentations, and consultation to the brigade/regiments command regarding behavioral health issues with a unique understanding of the particular ... - Required Clinical Work Experience - Preferred Education - Required Master's - Behavioral Health , Master's - Social Work Education - Preferred License and… more
- Evolent Health (Columbia, SC)
- …as required. + Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted ... also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our... reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs,… more
- RWJBarnabas Health (Sumter, SC)
- …EndocrinologyReq #:0000162043 Category:Pediatric Nursing Status:Full-Time Shift:Day Facility:Barnabas Health Medical Group Department:Pediatric Practice-SBPA ... Offset Location: Barnabas Health Medical Group, 375 Mount Pleasant Ave, Suite 105, WEST...Essential Functions: Coordination 20% + Develop standards along with Medical Director , Pediatric Endocrinology (MDPE) for inpatient… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …and group psychotherapies and other interventions such as behavioral health and community interventions. Psychologists consult with medical center staff ... advice and consultation in areas related to professional psychology and behavioral health .3. Knowledge of clinical research literature. Assignment. This… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …professional advice and consultation in areas related to professional psychology and behavioral health . 3. Knowledge of clinical research literature. Preferred ... history of a concussion (mTBI) who have complex mental health needs. Psychological services include assessment of mental ...programs were sanctioned by the VHA Central Office Program Director for Psychology and the VHA Office of Academic… more
- ManpowerGroup (Columbia, SC)
- …I** "to join one of our Fortune 500 clients. **Note:-** + Must Have Behavioral Health Experience + Previous Utilization Management (UM) or Case Management (CM) ... up review determinations. + Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of… more
- US Tech Solutions (Columbia, SC)
- …to determine if the procedure can be approved or denied. Some may need sent to the medical director . They will also need to be flexible to help others in their ... back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of… more