- Centene Corporation (Columbia, SC)
- …Nursing or a Bachelor's degree and 5+ years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... week.** ** RN license (SC) required. BSN strongly preferred.** **Position Purpose:** Manages the care management team and the care management of… more
- Fresenius Medical Center (Columbia, SC)
- **About this role:** As a Clinical Manager with Fresenius Medical Care , you will ensure that quality patient care is delivered while maintaining clinical ... of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing...leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area… more
- Intermountain Health (Columbia, SC)
- **Job Description:** Full Time, Monday-Friday 08:00-17:00 PST. The nurse care manager works collaboratively with physicians and other members of the health ... round at hospitals as needed. **Minimum Qualifications** + Current RN license in state of practice. + Two years...Two years of hospital floor clinical nursing experience and/or Nurse Care Management experience. +… more
- Gentiva (Columbia, SC)
- …quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: ... Care . **We Offer** **As a Full Time Hospice RN / RN Case Manager ,...Wellness Program and Resources including: + A dedicated Accolade Care Coordinator for personalized care management… more
- CenterWell (Columbia, SC)
- …part of our caring community and help us put health first** As a **Home Health Registered Nurse ** , you will: + Provide admission, case management , and ... nursing visits for home health patients. + Administer on-going care and case management for each patient,...Home Health experience a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
- US Tech Solutions (Columbia, SC)
- …Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management ... Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.).… more
- Sharecare (Columbia, SC)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of ... overseeing the objectives and goals of the Value Based Care Management Program. The responsibilities of this...with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred.… more
- Molina Healthcare (Columbia, SC)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in South Carolina and must be licensed for the state of Carolina. ... Transition of Care RN will work with Medicaid Severe...management , use of personal health record, follow up care , signs and symptoms of worsening condition, nutrition, functional… more
- Highmark Health (Columbia, SC)
- …inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with ... established industry and corporate standards and are within the care manager 's professional discipline. + Function in...state, federal laws and regulatory compliance. + Implement all care management reviews according to accepted and… more
- CenterWell (Columbia, SC)
- …infection control and attendance **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN license) + Minimum of 4 years of ... connections. **Major Duties and Responsibilities** + Conduct Transitions of Care Management for a subset of the...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Highmark Health (Columbia, SC)
- …range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in ... members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in... including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers,… more
- Sharecare (Columbia, SC)
- …The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary … more
- CVS Health (Columbia, SC)
- …and external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders… more
- Centene Corporation (Columbia, SC)
- …on workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health ... care or services + Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and… more
- Humana (Columbia, SC)
- …**Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health plan ... health first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...solutions. + Demonstrated excellent skills in project and time management with proven ability to be flexible, adapt to… more
- US Tech Solutions (Columbia, SC)
- …as member advocate through continued communication and education. + Promotes enrollment in care management programs and/or health and disease management ... in SC and have an active and unrestricted SC RN license. + Must have certified case management...and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care … more
- Sedgwick (Columbia, SC)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured… more
- Sevita (Columbia, SC)
- …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 ... services to impact a larger population? As the Manager of QI Field Services, you will provide leadership...to develop and implement strategies toward improvement + Risk Management + Oversee the implementation of the incident reporting… more
- US Tech Solutions (Columbia, SC)
- …Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management ... and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care ...the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- ManpowerGroup (Columbia, SC)
- **Job Description: Care Management Specialist (Remote)** **Pay Rate: 30/Hr on W2** **Duration: 3+ Month on W2** **Location: Remote (1 week of onsite training ... Columbia SC for the first week)** **Position Overview** The Care Management Specialist is responsible for assessing,...the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse … more