- Molina Healthcare (Columbia, SC)
- …concerns. + Collaborates with RN case managers/supervisors as needed or required + Case managers in Behavioral Health and Social Science fields may ... an integrated delivery of care across the continuum, including behavioral health and long term care, for...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health… 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 ... least two years of community based Behavioral Health experience + Experience with long term case...in a collaborative, team-oriented system. + CCMC (Commission for Case Manager Certification) + Knowledge and experience… more
- AmeriHealth Caritas (Columbia, SC)
- ** Behavioral Health Care Manager SC**...a supervised field experience in case management, health or behavioral health as part ... reviewing and assessing members' need for behavioral health Care management. The Care Manager will...of the degree requirements. + Current Certification in Case Management (CCM) or eligible to take exam within… more
- Highmark Health (Columbia, SC)
- …management and/or disease/condition management experience, provider operations and / or health insurance experience **Preferred** + **Pediatric Complex Case ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified panel… 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, ... Registered Nurse with > 5 years nursing experience. Background in med/surg, previous case management experience preferred but not required. This is a telephonic … 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, ... + A typical day would like in this role: Employee will be providing telephonic case management for our members. + Past job instability. Registered nurses MUST have 4… more
- Evolent Health (Columbia, SC)
- …Bachelor's degree in nursing OR 3-5 years of nursing experience, preferably in case management, discharge planning, home health , ambulatory care,chronic care ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...**What You Will Be Doing:** + This RN Care Manager The RN CM will be providingremote and in… more
- Highmark Health (Columbia, SC)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** As Marketing Technology Manager , you will be the technological cornerstone of our marketing & ... marketing technology platforms such as Salesforce Marketing Cloud, Adobe Experience Manager (AEM), Adobe Customer Journey Analytics (CJA), and Workfront. + Develop… more
- Highmark Health (Columbia, SC)
- …the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers ... 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
- 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
- ManpowerGroup (Columbia, SC)
- …support review determinations and make necessary referrals to the Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, ... degree in nursing. + 7 years of healthcare program management experience. + Case Manager Certification or clinical certification in a specialty area. +… 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, ... independently, prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience is… more
- ManpowerGroup (Columbia, SC)
- …+ Identify and refer cases to appropriate internal departments (eg, Medical Director, Case Manager , Quality of Care Referrals). + Participate in data collection ... **Job Summary** The Clinical Review Specialist assesses and evaluates medical or behavioral eligibility for health benefits, ensuring services meet clinical and… more
- ManpowerGroup (Columbia, SC)
- …+ Identify and make referrals to appropriate staff (eg, Medical Director, Case Manager , Preventive Services, etc.). + Participate in data collection/input ... criteria to service requests. The individual will also provide health management program interventions, utilizing clinical proficiency, claims knowledge, and… more