- Highmark Health (Columbia, SC)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
- Molina Healthcare (Cayce, SC)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... **Job Description** Licensed Social Worker Case Manager will work in remote and field setting...standards * Promotes integration of services for members including behavioral health care and long term services… more
- CenterWell (Columbia, SC)
- …and procedures to support program implementation. + Establish collaborative relationships with clinical teams and care integration leadership to align on program ... develop and implement metrics to measure the effectiveness of care transitions. + Understanding of clinical operations...health care organization. + Knowledge of health care regulations and policies related to behavioral … more
- Centene Corporation (Columbia, SC)
- …on workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs + May perform...outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care … more
- Sharing Hope SC (West Columbia, SC)
- …case reviews and research opportunities .27. Performs other duties as requested by Manager of Clinical Services, Director of Clinical Services, President ... Clinical Donation Coordinator - Columbia Job Details Level...to SHSC and hospital protocol. 13. Identifies organ-specific and behavioral risk factors in accordance with SHSC and regulatory… more
- Highmark Health (Columbia, SC)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specific state licensure(s) may be required depending on where clinical care is being provided. **Preferred** +...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Columbia, SC)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- US Tech Solutions (Columbia, SC)
- **Job Description:** . Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, ... Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.).… more
- National Youth Advocate Program (Columbia, SC)
- …provision of "Know Your Rights" presentations and legal screenings to children in care ; + Work with program administration, clinical , medical and educational ... 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
- CenterWell (Columbia, SC)
- …education around maintenance of chronic health conditions, as well as available options for behavioral care and social support + Serve as liaison between the ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
- Fresenius Medical Center (West Columbia, SC)
- …patients in achieving their psychosocial goals and supports the delivery of excellent behavioral health care to patients by providing direction, guidance and ... all new master social workers within the assigned area with the assistance of Clinical Educators, Regional MSW Manager , facility master social work and other… more
- ManpowerGroup (Columbia, SC)
- …healthcare services to ensure members receive appropriate, high-quality, and cost-effective care . This role applies clinical expertise, administrative policies, ... **Job Description: Care Management Specialist (Remote)** **Pay Rate: 30/Hr on...and established criteria to manage medical or behavioral health eligibility, provide case management, and ensure compliance… more
- CenterWell (West Columbia, SC)
- … care team consists of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
- US Tech Solutions (Columbia, SC)
- …skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical skills Behavioral Health or infusion therapy experience + ... using Medicare criteria. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
- US Tech Solutions (Columbia, SC)
- …and business needs **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying ... Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.).… more
- US Tech Solutions (Columbia, SC)
- …needs of our members. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying ... Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.).… more
- US Tech Solutions (Columbia, SC)
- …Will Have The Option To Work Remote. + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical ... Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.).… more
- CenterWell (Columbia, SC)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... community and help us put health first** The LPN/LVN provides professional nursing care to patients within an assigned unit, clinic or region. The LPN/LVN assesses… more
- CenterWell (West Columbia, SC)
- …support personnel who provide outpatient care to patients in a clinical setting. The Manager , Clinic/Center Administration works within specific guidelines ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
- Fresenius Medical Center (Columbia, SC)
- …Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life ... and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient...on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney … more