- Molina Healthcare (Cayce, SC)
- **Job Description** Licensed Social Worker Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in ... the state of South Carolina. Case Manager will be required to communicate...assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required… more
- Highmark Health (Columbia, SC)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- BAYADA Home Health Care (Columbia, SC)
- …in-services for field staff. **Qualifications for a Clinical Nurse Manager :** + Registered Nurse ( RN ) with 2or more years of experience as an RN . ... BAYADA Home Health Care is seeking a **Clinical Nurse Manager ( RN required)** for our Columbia,SC Adult and Pediatric office. This office provides… more
- Gentiva (Columbia, SC)
- …performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and ... for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here,...and love. **Generous SIGN ON BONUS!** **As a Hospice RN / RN Case Manager… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, ... etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to… more
- CenterWell (Columbia, SC)
- …community and help us put health first** As a **Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up skilled ... for home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...Home Health experience a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse ...be obtained within 4 years of hire as a Case Manager . Preferred Education: Bachelor's degree- Nursing… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse ...be obtained within 4 years of hire as a Case Manager . Preferred Education: Bachelor's degree- Nursing… more
- PruittHealth (Columbia, SC)
- ** REGISTERED NURSE RN CASE MANAGER -** **HOSPICE SERVICES** **Special consideration for applicants who currently live in or commutable to Richland ... **LICENSURE, CERTIFICATION, AND EDUCATIONAL REQUIREMENTS** + Current, active, and unrestricted Registered Nurse ( RN ) licensure in the state of practice… more
- ManpowerGroup (Columbia, SC)
- …recognized Case Management Certification must be obtained within 4 years of hire as a Case Manager If this is a role that interests you and you'd like to ... criteria to manage medical or behavioral health eligibility, provide case management, and ensure compliance with regulations and benefits...the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) **About US Tech… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... 10hr schedules available at this time. + From the Manager : -Experience: Hospital experience, UM experience + Description: office...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … 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. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Highmark Health (Columbia, SC)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Sharecare (Columbia, SC)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
- Takeda Pharmaceuticals (Columbia, SC)
- …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
- Sharecare (Columbia, SC)
- **Job Description:** **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing the ... supervision, as well as supporting colleague development. The VBCM Operations Manager ensures that the quality, clinical and operational performance objectives of… more
- ManpowerGroup (Columbia, SC)
- …months** **Rate range: $25 to $30** **Position Overview** The Utilization Review Nurse performs medical or behavioral eligibility reviews to determine benefits and ... By leveraging clinical expertise, administrative policies, and established criteria, the nurse evaluates service requests, supports members in managing their health… more
- CVS Health (Columbia, SC)
- …into available internal/external programs - Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting ... Care and Medicare experience **Preferred Qualifications** Healthcare licensure and/or certifications ( RN , LPN, MSW, LCSW, CDE etc) highly preferred -5 years practice… more