- Humana (Columbia, SC)
- …of our caring community and help us put health first** The Behavioral Health Care Manager , Telephonic 2, in a telephonic environment, assesses and ... determination of the appropriate courses of action. The Behavioral Health Care Manager , Telephonic 2 employs a variety of strategies, approaches, and… more
- Humana (Columbia, SC)
- …for utilization management and clinical decision-making as outlined in the Autism Care Demonstration (ACD) defined in the TRICARE Operations Manual Chapter 18, ... UM tools to assist in guiding clinical decisions, reviewing for appropriate care and setting, following guidelines and policies, and approve services or forward… more
- Molina Healthcare (Columbia, SC)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... to address the member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs...standards * Promotes integration of services for members including behavioral health care and long term services… more
- Highmark Health (Columbia, SC)
- …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job provides telephonic integrated behavioral and physical health case and condition management ... with mental health, substance use, and co-morbid chronic medical conditions. Behavioral health conditions include serious mental illness, untreated mental health,… more
- Highmark Health (Columbia, SC)
- …as the single point of contact for members to coordinate all of the member's care needs across the various service delivery systems and community supports. This is a ... to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state...and protocols. + Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health… more
- Sharecare, Inc. (Columbia, SC)
- …The RN has the responsibility for supporting the goals and objectives of the care enhancement program by providing high quality telephonic support in an ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). ... **Job Description:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise,… more