- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… more
- Molina Healthcare (Cayce, SC)
- …under productivity and outcome standards * Promotes integration of services for members including behavioral health care and long term services and supports ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , for members with high need… more
- Molina Healthcare (Kershaw, 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 (Columbia, SC)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... focusing on seven primary areas (ToC Pillars): medication management, use of personal health record, follow up care , signs and symptoms of worsening condition,… more
- Highmark Health (Columbia, SC)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- Centene Corporation (Columbia, SC)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- 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 (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 (Columbia, SC)
- …in a project manager role **Preferred** + Leadership experience + Health Care Insurance industry business and operational knowledge + Experience managing ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- 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
- 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
- CenterWell (Columbia, SC)
- …around maintenance of chronic health conditions, as well as available options for behavioral care and social support + Serve as liaison between the patient ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- National Youth Advocate Program (Columbia, SC)
- …a sincere desire and ability to advocate for children facing behavioral health , immigration, educational, legal, development, and socio-economic challenges. ... Us? Exciting Benefits and Opportunities at NYAP The Case Manager is responsible for the completion and submission of...members, friends of family to vet sponsor's ability to care for the minor(s); + Act as UC case… more
- Humana (Columbia, SC)
- …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more
- Sevita (Columbia, SC)
- …**_Apply Today!_** Sevita is a leading provider of home and community-based specialized health care . We believe that everyone deserves to live a full, ... day. Join us today, and experience a career well lived. **QI Field Services Manager ** Are you looking for meaningful work that uses your background in social… more
- Fresenius Medical Center (West Columbia, SC)
- …patients in achieving their psychosocial goals and supports the delivery of excellent behavioral health care to patients by providing direction, guidance ... area with the assistance of Clinical Educators, Regional MSW Manager , facility master social work and other disciplines. Provides...physicians. + The work environment is characteristic of a health care facility with air temperature control… more
- Takeda Pharmaceuticals (Columbia, SC)
- …to take charge of your future at Takeda. Join us as a Regional Business Manager in our Wisconsin region. 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
- CenterWell (West Columbia, SC)
- …Our care team consists of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- US Tech Solutions (Columbia, SC)
- …10% 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:** . Required… more
- ManpowerGroup (Columbia, SC)
- …*10% 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.** **Skills:** **Required Skills… more