- Molina Healthcare (Timmonsville, SC)
- **JOB DESCRIPTION** RN Behavioral Health Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) ... Population in the state of South Carolina. Case Manager will be required to communicate...an integrated delivery of care across the continuum, including behavioral health and long term care, for… more
- 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
- 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
- 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
- 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
- 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
- Highmark Health (Columbia, SC)
- …Description :** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a specified panel of ... the Organization's members that range in health status/severity and clinical needs. Accountable for daily operation...regulatory agency requirements and applicable standards of practice for case management. + Other duties as assigned or requested.… more
- 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
- 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...population. **What You Will Be Doing:** This RN Care Manager The RN CM will be providing remote and… more
- 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
- 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
- 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
- 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 (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