- 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 ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- AmeriHealth Caritas (Columbia, SC)
- ** Behavioral Health Care Manager SC**...Care management documentation system. The Care Manager will collaborate with the Clinical Care ... and assessing members' need for behavioral health Care management. The Care Manager ...calls and send outreach letters to Members + Assist Clinical Care Managers and Medical Care… more
- Molina Healthcare (Timmonsville, 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...management. + Promotes integration of services for members including behavioral health care and long term services… more
- Molina Healthcare (Timmonsville, SC)
- **JOB DESCRIPTION** RN Behavioral Health 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 telephonically and complete...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health… more
- Evolent Health (Columbia, SC)
- …better health outcomes for this population. **What You Will Be Doing:** + This RN Care Manager The RN CM will be providingremote and in personinteraction with ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Evolent Health (Columbia, SC)
- …providing better health outcomes for this population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be providing 100% remote interaction with ... health of the nation by changing the way health care is delivered. Our pursuit of this mission is...Health team, conduct comprehensive assessments that include the medical, behavioral , pharmaceutical and social needs of the patient, identify… more
- AmeriHealth Caritas (Florence, SC)
- **REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Florence, SC Primary Job Function: Medical Management ID**: 34390 ... **Job Brief** This position is a telephonic Care Manager that is required to reside... products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more… more
- US Tech Solutions (Columbia, SC)
- …and support each other. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying ... nurses MUST have 4 years or more of RECENT clinical experience. + Strong communication skills required to provide...and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care … more
- US Tech Solutions (Columbia, SC)
- …right fit for the team. **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
- 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
- ManpowerGroup (Columbia, SC)
- …Summary** The Clinical Review Specialist assesses and evaluates medical or behavioral eligibility for health benefits, ensuring services meet clinical and ... requests, manage health interventions, and ensure members receive quality, cost-effective care . The Clinical Review Specialist will review medical necessity,… more
- ManpowerGroup (Columbia, SC)
- …**Position Overview:** The role involves reviewing and evaluating medical or behavioral eligibility regarding benefits and clinical criteria, applying ... and make necessary referrals to the Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care ...7 years of healthcare program management experience. + Case Manager Certification or clinical certification in a… 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 ... put health first** CenterWell leverages advanced technology to enhance primary care services for seniors. By integrating digital solutions, they provide… more
- Takeda Pharmaceuticals (Columbia, SC)
- …to take charge of your future at Takeda. Join us as a Regional Business Manager in our Orlando territory. Here, everyone matters and you will be a vital contributor ... to our inspiring, bold mission. As a Regional Business Manager working on the Gastroenterology Rare Disease Sales Team, you will be empowered to drive product demand… more
- CVS Health (Columbia, SC)
- …delivery of appropriate quality care and improve program/operational efficiency involving clinical issues.-Creates cases for Care Manager call outs, ... Summary** + - Provides comprehensive support and service to behavioral health clinical teams in support of...typing into the computer **Required Qualifications** - 2 years Behavioral Health care experience. - Previous Customer… more
- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** Monday-Friday, ... reviewing and evaluating medical or behavioural eligibility for benefits and clinical criteria by applying clinical expertise, administrative policies, and… 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
- CenterWell (Cheraw, SC)
- …of patients. + Report patient status and progress to the physician, rehabilitation staff, Clinical Manager , patient and family members. + Participate in care ... + Confer with the patient's physician and other health care team members and participate in development/revision of the...the retraining programs in a manner consistent with the behavioral goals of each patient and within the guidelines… more
- Evolent Health (Columbia, SC)
- …people with most complex and costly health conditions. 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 and compassion we would want for our loved...The Coordinator, Intake Utilization Management reports directly to the Manager , Intake Utilization Management. In support of our daily… 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 ... help us put health first** The Medical Assistant 2 performs clinical duties such as discussing symptoms, obtaining vital signs, medication/vaccine administration,… more