- AmeriHealth Caritas (Columbia, SC)
- …outpatient treatment requests within contractual time frames. The Care Manager will process behavioral health appeals. + Provide behavioral health ... ** Behavioral Health Care Manager ...** Behavioral Health Care Manager SC** Location: Columbia,...acting as a liaison between the behavioral health department and providers / members to provide… more
- 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 ... + In close collaboration with the patient, primary care provider and care team you will continually assesses the...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- Molina Healthcare (Lake Murray Of Richland, SC)
- …managers/supervisors as needed or required + Case managers in Behavioral Health and Social Science fields may provide consultation, resources and ... an integrated delivery of care across the continuum, including behavioral health and long term care, for...Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… more
- CVS Health (Columbia, SC)
- …yourself and others) skills. **Required Qualifications** . Must be well versed with the behavioral health provider market in the East and/or Mid-South and ... resolution and settlement negotiations of contracts with large and complex, market-based, behavioral health groups and facilities providers. You will manage… more
- Highmark Health (Columbia, SC)
- … Health Pharmacy Strategy. Manage team efforts to improve provider performance under value based reimbursement contracts, STARs performance, HEDIS performance, ... **JOB SUMMARY** This job manages a team of Population Health Pharmacists and support the team in the implementation...strategy under the direction of department Director for improving provider scores on metrics related to pharmacy under the… more
- Evolent Health (Columbia, SC)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...**What You Will Be Doing:** + This RN Care Manager The RN CM will be providingremote and in… more
- Evolent Health (Columbia, SC)
- **Your Future Evolves Here** Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit ... growth, and a great place to work? Definitely. Evolent Health International (Pune, India) has been certified as "Great...population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be providing 100% remote… more
- Highmark Health (Columbia, SC)
- …any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience ... 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 (Columbia, SC)
- …and programs as necessary; may have budgetary responsibility and authority. + Provide oversight of all aspects of project management to ensure continuous improvement ... methodologies; coordinate resources, time, contingency plans and risk management. + Provide leadership to the department: lead and champion organizational change;… more
- Highmark Health (Columbia, SC)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Lead the optimization and transformation of our marketing operations processes. This role will be ... new marketing technologies, tools, and AI-powered marketing platforms. + Ability to provide training to team members on new tools and processes **EDUCATION**… more
- CenterWell (Columbia, SC)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused… more
- Highmark Health (Columbia, SC)
- …+ **Lead and manage a team of interoperability and risk adjustment SMEs:** Provide guidance, mentorship, and support to team members, fostering a collaborative and ... 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 (Columbia, SC)
- …responsive service and understanding customer needs. Effectively present information and provide decision support to team members and executive management, ensuring ... to achieve the vision and mission of the organization. Provide clear and consistent feedback. Actively listen to staff's...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Columbia, SC)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job is responsible for the planning and implementation of the investment strategy for the ... risk evaluation, and reporting on portfolio performance. + * Provide investment expertise in interactions with various finance functions....job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Sevita (Columbia, SC)
- …that uses your background in social services to impact a larger population? As the Manager of QI Field Services, you will provide leadership and support Quality ... team of committed, caring professionals.** **_Apply Today!_** Sevita is a leading provider of home and community-based specialized health care. We believe… more
- US Tech Solutions (Columbia, SC)
- …training and must live withing 2 hours of Percival rd office + Will provide equipment. Employee will have to have high-speed internet service that can be plugged ... directly into the computer. Employee must provide their own desk, chair, and a room with...each other. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
- CVS Health (Columbia, SC)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment 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 heart at its center - our purpose… more
- CVS Health (Lexington, SC)
- …active participants in their own healthcare and well-being through services such as health screenings, behavioral health and wellness, chronic condition ... every other weekend Position Summary: As the largest retail health care provider in the nation, and...a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a… more
- Target (Lexington, SC)
- …your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life ... a career. The role of a Store Director can provide you with the:** + Knowledge of guest service...utilizing tools and routines that model, train, and coach behavioral expectations to deliver the service standard + Demonstrate… more
- CVS Health (Columbia, SC)
- …and affordable. **Position Summary** + - Provides comprehensive support and service to behavioral health clinical teams in support of member engagement and to ... the telephone and typing into the computer **Required Qualifications** - 2 years Behavioral Health care experience. - Previous Customer Service experience. -… more