- Lincoln Financial Group (Columbia, SC)
- … Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills **Application Deadline** ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- Highmark Health (Columbia, SC)
- …:** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a specified panel of ... handle multiple priorities in a fast paced environment **Required Licensure** Registered Nurse **Preferred** Certification in Case Management **LANGUAGE… more
- US Tech Solutions (Columbia, SC)
- …+ A typical day would like in this role: Employee will be providing telephonic case management for our members. + Past job instability. Registered nurses MUST ... of RECENT clinical experience. + Strong communication skills required to provide telephonic case management to patients and to coordinate with team, providers,… more
- Molina Healthcare (Columbia, SC)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the...of the following: Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN)… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- Summary The Registered Nurse assumes responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction ... decisions. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- CVS Health (Columbia, SC)
- …a defined schedule, adhering to the defined metrics, as required by the business. Nurse Case Manager is responsible for telephonically and/or face to face ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the… more
- CVS Health (Columbia, SC)
- … Care Manager is responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of ... in meeting goals and objectives, presents cases at interdisciplinary case conferences. + Utilizes case management processes in compliance with regulatory and… more
- Gentiva (Columbia, SC)
- …company quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: ... care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join… more
- Prime Therapeutics (Columbia, SC)
- …and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description Summary** Under supervision, is responsible for performing ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...appeals program. + Participates in meetings and consults with management on regular basis to discuss member interaction and… more
- Sedgwick (Columbia, SC)
- …While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful ... accredited college or university or equivalent work experience preferred. Certification in case management , rehabilitation nursing or a related specialty is… more
- US Tech Solutions (Columbia, SC)
- …work independently, prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience ... health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review/ case management /clinical/or combination; 2 of 4 years must… more
- Highmark Health (Columbia, SC)
- …needs with the depth of engagement ranging from coaching interventions to intensive case management interventions. The overall goal is to help members navigate ... treating provider or providers in more complex clinical situations requiring case management intervention. + Identify on-line, telephonic and community-based… more
- Humana (Columbia, SC)
- …in direct patient care required. + 2 or more years of case management and/or rehabilitative counseling experience required. Certified or certified-eligible ... caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to support the… more
- Sedgwick (Columbia, SC)
- …to provide resolution of said type of highly complex claims; to coordinate case management within company standards, industry best practices and specific client ... + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents… more
- Medtronic (Columbia, SC)
- …by ensuring access to all necessary equipment and products required for the case , device selection, programming, implantation and testing of all device systems + ... formal in-service education programs, seminars and/or outside symposia + Assists Management and Sales Training department in education/training of new employees in… more