• Behavioral Health Care

    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
    AmeriHealth Caritas (11/05/24)
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  • Clinical Care Manager

    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
    Evolent Health (11/05/24)
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  • Nurse Manager Behavioral

    HCA Healthcare (Walterboro, SC)
    …environment where diversity and inclusion thrive? Submit your application for our **Nurse Manager Behavioral Health ** opening with Colleton Medical Center ... may vary by location._** We are seeking a **Nurse Manager Behavioral Health ** for our...or Business is preferred . 3+ years of acute care behavioral health experience required,… more
    HCA Healthcare (10/17/24)
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  • Licensed Social Worker - Behavioral

    Molina Healthcare (Aiken, 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
    Molina Healthcare (09/19/24)
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  • Clinical Care Manager ( RN )

    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 ... population. **What You Will 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 (11/08/24)
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  • Clinical Care Manager - RN…

    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 (11/05/24)
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  • Product Manager - Care Management

    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
    Highmark Health (11/02/24)
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  • Senior Manager , Behavior Provider Network…

    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
    CVS Health (10/20/24)
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  • Complex Case Manager - Oncology

    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 ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
    Highmark Health (11/08/24)
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  • Analyst, Care Planner BH

    CVS Health (Columbia, SC)
    …the telephone and typing into the computer **Required Qualifications** - 2 years Behavioral Health care experience. - Previous Customer Service experience. ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....Summary** + - Provides comprehensive support and service to behavioral health clinical teams in support of… more
    CVS Health (11/15/24)
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  • Digital Product Manager

    Highmark Health (Columbia, SC)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** As a Digital Product Manager for My Highmark, a site for members to view claims, explore ... coverage, and find care , you'll play a pivotal role in representing the...**LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Product Manager Certification **SKILLS** + Excellent written, interpersonal, communication, and… more
    Highmark Health (11/15/24)
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  • Senior Category Manager

    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 (09/12/24)
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  • Manager Strategic Risk Adjustment Programs

    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
    Highmark Health (10/08/24)
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  • Senior Product Manager - Telephony Systems

    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 ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (11/08/24)
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  • Registered Nurse Case Manager

    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
    US Tech Solutions (10/18/24)
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  • RN Case Manager PRN

    HCA Healthcare (Walterboro, SC)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical ... PRN career opportunities as a **Registered Nurse (RN) Case Manager ** you want with your current employer? We have..., offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
    HCA Healthcare (09/14/24)
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  • Patient Access Manager

    HCA Healthcare (Summerville, SC)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...location._** Come join our team as a Patient Access Manager . We care for our community! Just… more
    HCA Healthcare (10/01/24)
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  • Registered Nurse Case Manager

    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 ... Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. **Experience:** + 4 years… more
    US Tech Solutions (11/14/24)
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  • Health Coach

    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 culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** he … more
    CVS Health (11/13/24)
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  • Managed Care Coordinator UM II

    ManpowerGroup (Columbia, SC)
    …review determinations and make necessary referrals to the Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc. 4. ... in direct patient education regarding healthcare delivery, utilization, network benefits, and care management programs. 16. Promote enrollment in health and… more
    ManpowerGroup (11/13/24)
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