- Highmark Health (Columbia, SC)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Evolent (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 the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… more
- Molina Healthcare (Cayce, SC)
- …under productivity and outcome standards * Promotes integration of services for members including behavioral health care and long term services and supports ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , for members with high need… more
- Molina Healthcare (Kershaw, SC)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports to ... delivery of care across the continuum, including behavioral health and long term care...Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… more
- Centene Corporation (Columbia, SC)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- Highmark Health (Columbia, SC)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Columbia, SC)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Molina Healthcare (Lake Murray Of Richland, SC)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... **JOB DESCRIPTION** Case Manager RN will support our Medicare Population in...delivery of care across the continuum, including behavioral health and long term care… more
- Highmark Health (Columbia, SC)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- CenterWell (Columbia, SC)
- …around maintenance of chronic health conditions, as well as available options for behavioral care and social support + Serve as liaison between the patient ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- National Youth Advocate Program (Columbia, SC)
- …a sincere desire and ability to advocate for children facing behavioral health , immigration, educational, legal, development, and socio-economic challenges. ... Us? Exciting Benefits and Opportunities at NYAP The Case Manager is responsible for the completion and submission of...members, friends of family to vet sponsor's ability to care for the minor(s); + Act as UC case… more
- J&J Family of Companies (Columbia, SC)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
- Sevita (Columbia, SC)
- …**_Apply Today!_** Sevita is a leading provider of home and community-based specialized health care . We believe that everyone deserves to live a full, ... day. Join us today, and experience a career well lived. **QI Field Services Manager ** Are you looking for meaningful work that uses your background in social… more
- CenterWell (West Columbia, SC)
- …Our care team consists of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- US Tech Solutions (Columbia, SC)
- …10% Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit ... Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. **Experience:** + Required… more
- Target (Lexington, SC)
- …about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents ... comprehensive health benefits and programs, which may include medical, vision,...and more, to help you and your family take care of your whole selves. Other benefits for eligible… more
- Sharecare (Columbia, SC)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
- CenterWell (Columbia, SC)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... minimum of three years experience post Master's level training, health care actuarial experience, health ...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CVS Health (Irmo, SC)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....their own healthcare and well-being through services such as health screenings, behavioral health and… more