- 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
- CenterWell (Columbia, SC)
- …As a **Home Health Registered Nurse ** , you will: + Provide admission, case management , and follow-up skilled nursing visits for home health patients. + ... Administer on-going care and case management for each patient, provide necessary...Health experience a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification + Strong organizational… more
- Public Consulting Group (Columbia, SC)
- …+ Ability to work independently and on a team. + Proven working experience in case management , including as a nurse , medical, mental health care manager ... relations and cooperate with medical team throughout the entire case management process + Interacts with patients...+ Current license, certification or registration as a Registered Nurse or Social Worker + Office Setting **The above… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …Medical Center and Community Outpatient Clinics (CBOCs).\ Applies clinical skills of case management which emphasizes a collaborative process that assesses, ... an as-needed basis until positions filled Duties: The RN Mental Health Case Manager demonstrates clinical expertise, leadership, and creative approaches to … more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …program office after complete review of the EDRP application. Responsibilities The Assistant Nurse Manager in collaboration with the Nurse Manager functions as a ... accountability for the operation of the department. This will include the management , supervision and evaluation of care delivered by nursing and other allied… 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
- 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
- Sharecare, Inc. (Columbia, SC)
- …and delivery of Sharecare's Advocacy program by providing high quality telephonic/digital Case Management and/or condition management in a virtual ... clinical analytics and clinical team to identify at risk members and provide Complex Case Management and strategies for health self- management through the… 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
- BAYADA Home Health Care (Chester, SC)
- …properly document doctors' orders + Perform client assessments as necessary + Case management and coordination + Accurately document observations, interventions, ... Health** is looking for a compassionate and dedicated **Registered Nurse (RN)** to join our home health team! This...and evaluations pertaining to client care management and services provided, utilizing a state-of-the-art touch pad… more
- BAYADA Home Health Care (Lancaster, SC)
- …properly document doctors' orders + Perform client assessments as necessary + Case management and coordination + Accurately document observations, interventions, ... **BAYADA has a part time** **Registered Nurse ** **opportunity open now doing visits, admissions, and...and evaluations pertaining to client care management and services provided, utilizing a state-of-the-art touch pad… more
- Humana (Columbia, SC)
- …before applying to other Humana opportunities. **Preferred Qualifications** + Experience with case management , discharge planning and patient education for adult ... help us put health first** The Care Manager, Telephonic Nurse Assistant 3, performs in a telephonic environment providing...Milliman or InterQual + Managed care experience + Certified Case Manager (CCM) **Work at Home Guidance** To ensure… more
- Intermountain Health (Columbia, SC)
- …outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. **Job Essentials:** + ... Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse (RN) or Compact license **Preferred Qualifications:** + Bachelor's degree… more
- US Tech Solutions (Columbia, SC)
- …established clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency and claims knowledge/analysis ... Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.).… more
- Humana (Columbia, SC)
- …+ Possess an interest in working in the managed care industry + Experience with case management , discharge planning and patient education for adult acute care + ... supports the goal to put health first? The Care Management Registered Nurse , RN, Intern will utilize...Certified Case Manager (CCM) + Experience with intellectual function and… more
- Highmark Health (Columbia, SC)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of quality issues. ... refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. Employ collaborative interventions which focus,… more
- Sedgwick (Columbia, SC)
- …resolution of highly complex nature and/or severe injury claims; to coordinate case management within company standards, industry best practices and specific ... + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents… more
- CenterWell (Rock Hill, SC)
- …and continuity of care. The role also assists with day-to-day office and staff management + Manages schedules for all patients. Edits schedule for agents calling in ... including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains… more
- ManpowerGroup (Columbia, SC)
- …Fortune 500 clients. **Note:-** + Must Have Behavioral Health Experience + Previous Utilization Management (UM) or Case Management (CM) experience + Training ... established clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency and claims knowledge/analysis… more
- Lincoln Financial Group (Columbia, SC)
- …process from the initial request to the return to work. + Collaborating with fellow case managers, nurse case managers, and consulting physicians to make ... with the ability to multi-task _Nice to have experience (preferred):_ + Absence management experience **What's it like to work here?** At Lincoln Financial Group, we… more