- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- … Health System (empowerment - pathway, equipping- well-being/self care, and treatment- whole health clinical care). Maintain inventory of CIH approaches ... Summary As Clinical Director for the Whole Health Program, you will manage...Columbia. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Pay: Competitive salary, annual performance bonus,… more
- Evolent Health (Columbia, SC)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity… more
- Evolent Health (Columbia, SC)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Physician Clinical Reviewer you will be a key member of the utilization ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity… more
- CenterWell (Rock Hill, SC)
- …and other licensed clinicians and home health aides to ensure optimal clinical outcomes. Works with physician and/or referral source to obtain all pertinent ... part of our caring community and help us put health first** The ** Clinical Assessment Advisor** directly...fourth largest pharmacy benefit manager, CenterWell is focused on whole -person health by addressing the physical, emotional… more
- CenterWell (Columbia, SC)
- …+ CMS PDGEM billing experience, preferred. + Strong background in home health clinical operations and quality assurance, highly preferred. **Additional ... of care plans and interpreting patient needs, while adhering to Company, physician , and/or health facility procedures/policies. + Manages the assignment of… more
- Sharecare, Inc. (Columbia, SC)
- …This position requires a responsive, committed individual who recognizes the impact of the health care delivery system on the clinical and financial outcomes of ... **Job Description:** Sharecare is the leading digital health company that helps people - no matter...4:30pm CST (non-negotiable) **Essential Job Functions:** + Achievement of Clinical Objectives: + Deliver dietary services within the RD… more
- Humana (Columbia, SC)
- …- 5 years of experience in UM related to managed care contracts with physician , hospital and/or other UM Clinical programs + Proficiency in analyzing, ... **Become a part of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician… more
- CenterWell (Columbia, SC)
- …and case management for each patient, provide necessary follow-up as directed by the Clinical Manager. + Confer with physician in developing the initial plan of ... of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision. Revise plan in consultation with… more
- CenterWell (Columbia, SC)
- …team. Adjust treatment as needed to achieve maximum results. + Confer with physician and clinical team members to obtain additional patient information and ... signature and implemented + Report patient's progress to the patient's physician , Clinical Manager, staff, patient and family. Submit evaluation, treatment… more
- CenterWell (Gaffney, SC)
- …assessment of patient and family needs and responses to teaching + Assists the physician and other health team members in understanding the significant social ... services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole -person health by addressing the physical, emotional and social wellness of… more
- CenterWell (Union, SC)
- …+ Current CPR certification. + Two years experience as an LPN/LVN in a clinical setting, preferably in a home health or hospice setting. **Scheduled Weekly ... services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole -person health by addressing the physical, emotional and social wellness of… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …patient, ensuring comfort and privacy. Monitors patient during the procedure. Promote whole health initiatives to include but not limited to: Tele-MOVE, ... Protocols within scope of practice. Medication administration to include immunizations. Clinical reminders with appropriate consults and alerts as indicated. Check… more
- Humana (Columbia, SC)
- …or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice ... part of our caring community and help us put health first** The Medical Director relies on medical background...is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Columbia, SC)
- …or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice ... part of our caring community and help us put health first** The Medical Director actively uses their medical...is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical … more
- J&J Family of Companies (Columbia, SC)
- …against on the basis of disability. For more information on how we support the whole health of our employees throughout their wellness, career and life journey, ... and experts, and provide input about relevant scientific and clinical data, for these external customers, and also internal...DPAS degree + Will consider advanced medical degree - Physician Assistant (PA) or Nurse Practitioner (NP) with at… more
- Humana (Columbia, SC)
- …a social determinant of health (SDOH) flag in the EMR + Assesses behavioral health integration readiness of ACO physician practices + Leads the design of a ... part of our caring community and help us put health first** The Delaware Valley ACO (DVACO) is an...Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and Clinical Quality, and the opportunity to become acquainted with… more
- Humana (Columbia, SC)
- …the members health status, as well as inclusion in the appropriate clinical programs. The Health Quality and Stars team centralizes quality improvement and ... part of our caring community and help us put health first** Humana is a $77 billion (Fortune 41)...of the associate community. Through offerings anchored in a whole -person view of human well-being, Humana embraces a focus… more
- Humana (Columbia, SC)
- …+ Designing and implementing programs to maintain positive relationships between the health plan, physician , providers and practice managers. + In conjunction ... **Become a part of our caring community and help us put health first** The Market Development Advisor provides support to assigned health plan and/or specialty… more
- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, ... of procedure codes based on services rendered + Review medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and… more