- AmeriHealth Caritas (Columbia, SC)
- ** Behavioral Health Care Manager SC** Location: Columbia, SC Primary Job Function: Behavioral Health ID**: 37968 Your career starts now. We're ... members' need for behavioral health Care management. The Care Manager ...requests within contractual time frames. The Care Manager will process behavioral 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 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
- Molina Healthcare (Columbia, 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
- Evolent Health (Columbia, SC)
- …a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings ... this population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be...and social needs of the patient, identify gaps in care and barriers to attaining improved health .… more
- Evolent Health (Columbia, SC)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... this population. **What You Will Be Doing:** This RN Care Manager The RN CM will be...care . Along with other members of the Population Health team, conduct comprehensive assessments that include the medical,… more
- Evolent Health (Columbia, SC)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... this population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be...and social needs of the patient, identify gaps in care and barriers to attaining improved health .… more
- Intermountain Health (Columbia, SC)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… 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
- CVS Health (Columbia, 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....settlement negotiations of contracts with large and complex, market-based, behavioral health groups and facilities providers. You… 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 ... oversight over a specified panel of **Pediatric** members that range in health status/severity and clinical needs. The incumbent assesses health management… 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
- Highmark Health (Columbia, SC)
- …capabilities. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities, ... 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
- National Youth Advocate Program (Columbia, SC)
- …+ Possess a sincere desire and ability to advocate for children facing behavioral health , educational, legal, development, and socio-economic challenges. + Works ... Repayment Assistance, CEU's and ongoing trainings/education **Position Title:** Case Manager **Reporting Relationship:** Lead Case Manager **Position Summary**… more
- US Tech Solutions (Columbia, SC)
- …+ Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit ... 5% Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. **Experience:** + 4 years… 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 ... part of our caring community and help us put health first** The PEX Program Manager is...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- ManpowerGroup (Columbia, SC)
- …support care management plans, and guide members toward better health outcomes. **Key Responsibilities:** **Medical/ Behavioral Review (50%):** + Perform ... **Job Summary** The Clinical Review Specialist assesses and evaluates medical or behavioral eligibility for health benefits, ensuring services meet clinical and… 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
- Compass Group, North America (Columbia, SC)
- …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... members. Job Summary We are seeking a Patient Services Manager to lead our Patient Services Team in an...to lead our Patient Services Team in an Acute Care setting in City, State. Key Responsibilities: + Establishes… 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
- ManpowerGroup (Columbia, SC)
- …delivery systems, network utilization, and benefit plans. + Promote enrollment in care management programs or health and disease management programs. + ... + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site...criteria to service requests. The individual will also provide health management program interventions, utilizing clinical proficiency, claims knowledge,… more