• Complex Case Manager - RN

    Highmark Health (Columbia, SC)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** RN Gastroenterology (GI) experience preferred. This job has primary ownership and oversight over a ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...operations and / or health insurance experience **Preferred** + RN Gastroenterology (GI) experience + Experience working with the… more
    Highmark Health (11/02/24)
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  • Case Manager RN

    CVS Health (Columbia, SC)
    …Planning and/or Home Healthcare Coordination experience **Preferred Experience** + Certified Case Manager + Excellent analytical and problem-solving skills. + ... and expand DSNP into new markets across the country. **Fundamental Components** + Nurse Care Manager is responsible for assessing, planning, implementing, and… more
    CVS Health (11/01/24)
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  • Licensed Social Worker - Behavioral Health…

    Molina Healthcare (Columbia, SC)
    **JOB DESCRIPTION** Licensed Social Worker 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...assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required… more
    Molina Healthcare (09/19/24)
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  • Manager Complex Case Management…

    Highmark Health (Columbia, SC)
    …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management ... to handle multiple priorities in a fast paced environment **Required Licensure** Registered Nurse **Preferred** Certification in Case Management **LANGUAGE… more
    Highmark Health (10/24/24)
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  • Registered Nurse Case

    US Tech Solutions (Columbia, SC)
    …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... be within 2 hours of the Percival rd location Remote after training and must live withing 2 hours...like in this role: Employee will be providing telephonic case management for our members. + Past job instability.… more
    US Tech Solutions (10/18/24)
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  • Telephonic Case Manager

    Sedgwick (Columbia, SC)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
    Sedgwick (10/18/24)
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  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (Columbia, SC)
    …this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse ( RN ). + 5 years of post-degree clinical experience. ... every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description Summary** Under supervision,...- Preferred: Bachelors - Nursing **Certifications** Certifications - Required: RN - Registered Nurse , State… more
    Prime Therapeutics (09/15/24)
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  • Manager , Utilization Licensed Behavioral…

    Humana (Columbia, SC)
    …as Social Work, Counseling, or Psychology from an accredited university + Licensed Registered Nurse or a licensed Master's Level Behavioral Health Clinician in ... case management and/or rehabilitative counseling experience required. Certified or certified-eligible case manager required. + 1 or more years of clinical… more
    Humana (10/29/24)
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