• Care Manager - Complex

    Healthfirst (SC)
    …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans...workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs are… more
    Healthfirst (01/09/25)
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  • Complex Care Program Delivery…

    CenterWell (Columbia, SC)
    …on problems of diverse scope and complexity ranging from moderate to substantial. ** Complex Care Program Operations Lead** **Job Summary** The Program Delivery ... work, or a related field. + Experience working in a complex value-based health care organization. **Knowledge/Skills/Abilities/Competencies Required** +… more
    CenterWell (01/18/25)
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  • Care Manager - Remote

    Sharecare (Columbia, SC)
    **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,...to ensure successful completion of member goals, while providing Complex Case Management and/or care management support… more
    Sharecare (01/17/25)
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  • REMOTE | Care Manager II Registered…

    AmeriHealth Caritas (Florence, SC)
    …administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Care Manager II is responsible for managing and ... determinants of health for Members with acute, chronic, medically complex and/or behavioral health conditions and other health needs....issues, gaps in care and barriers to care . The Care Manager II… more
    AmeriHealth Caritas (12/05/24)
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  • Registered Nurse Care Manager

    Intermountain Health (Columbia, SC)
    **Job Description:** Full Time, Monday-Friday 08:00-17:00 PST. The nurse care manager works collaboratively with physicians and other members of the health ... care team to improve the health of patients with chronic conditions or complex needs. The position educates patients and caregivers to help them manage their… more
    Intermountain Health (01/24/25)
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  • Care Manager

    Centene Corporation (Columbia, SC)
    …perspective on workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and ... needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to… more
    Centene Corporation (01/19/25)
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  • Manager , Care Management (RN)

    Centene Corporation (Columbia, SC)
    …week.** **RN license (SC) required. BSN strongly preferred.** **Position Purpose:** Manages the care management team and the care management of members to ... develop and assess high quality, cost-effective healthcare outcomes. Manages escalations and care management issues related to members or providers. + Oversees and… more
    Centene Corporation (01/10/25)
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  • Product Marketing Manager , Traditional…

    Cardinal Health (Columbia, SC)
    …loyalty, sales growth and improved profitability. **_Job Summary_** The **Traditional Wound Care Product Manager ** , will have full portfolio ownership of ... the Cardinal Health Brand Traditional Wound Care portfolio. This role with be responsible for partnering...portfolio. **_Responsibilities_** + In conjunction with the Senior Marketing Manager and product stakeholders from a variety of functions,… more
    Cardinal Health (01/04/25)
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  • Sr Coordinator, Individualized Care (Case…

    Cardinal Health (Columbia, SC)
    …on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient ... **_What Clinical Operations and Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support… more
    Cardinal Health (12/25/24)
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  • Complex Case Manager RN - Pediatric…

    Highmark Health (Columbia, SC)
    …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...for additional support. + For assigned case load, create care plans to address members' identified needs, remove barriers… more
    Highmark Health (01/25/25)
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  • Director Strategic Accounts (DSA), Group…

    J&J Family of Companies (Columbia, SC)
    …Accounts (DSA), Group Purchasing Organization (1 of 2) - Johnson & Johnson Health Care Systems Inc. Johnson & Johnson Health Care Systems Inc. Strategic Customer ... is a field-based role with a national scope. Johnson & Johnson Health Care Systems Inc. (JJHCS) provides contracting, supply chain, business services, and strategic… more
    J&J Family of Companies (01/22/25)
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  • RN Care Navigator (Hybrid)

    CenterWell (West Columbia, SC)
    …Provide triage guidance and supportive consultation to other team members, handling escalated complex cases + Develop care plans leveraging 5Ms Geriatric best ... and help us put health first** **The Role** Working within an interdisciplinary care team, the Care Navigator is responsible for proactively engaging patients… more
    CenterWell (11/28/24)
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  • RN Behavioral Health - Transition of Care

    Molina Healthcare (Charleston, SC)
    …health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager ... be licensed for the state of Carolina. Transition of Care RN will work with Medicaid Severe Mental Illness...+ RNs are assigned cases with members who have complex medical conditions and medication regimens. + RNs will… more
    Molina Healthcare (01/24/25)
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  • Contracts Coordinator, Care Chemicals, BASF…

    BASF (Spartanburg, SC)
    …chemistry happens ** As the leading global chemical supplier for the personal care , home care , industrial and institutional cleaning industries, and technical ... applications in the agrochemical industry, BASF Care Chemicals is focused on partnering with customers to...our contractors. You will be reporting to the Asset Manager . **As a Contracts Coordinator, you will..** + Serve… more
    BASF (01/16/25)
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  • Behavioral Health Case Manager RN - South…

    Molina Healthcare (SC)
    **JOB DESCRIPTION** RN 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 telephonically and complete...Face to Face meetings. You will participate in interdisciplinary care team meetings for our members and ensure they… more
    Molina Healthcare (12/18/24)
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  • Manager Performance Improvement - Roper St.…

    Roper St. Francis (Charleston, SC)
    …with leadership, physicians, and the Quality and Patient Safety Department, the Manager , Performance Improvement is responsible for the planning and execution of ... to quality reporting required by government and commercial entities and RSFH. The Manager functions as a project advisor; reporting on the status of projects, and… more
    Roper St. Francis (12/06/24)
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  • Provider Engagement Manager - Oncology

    Evolent (Columbia, SC)
    …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care , ... we seek to connect the pieces of fragmented health care system and ensure people get the same level...for the culture. **What You'll Be Doing:** **Provider Engagement Manager - Oncology** We are looking for the next… more
    Evolent (01/24/25)
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  • (USA) Pharmacy Manager

    Walmart (Tega Cay, SC)
    …The prescriptions are stocked. We need you to bring the passion. The Walmart Rx Manager operates the pharmacy from a place of true caring. Come ready to show your ... of your license, ensuring a high level of patient care , while also creating a strategy for growth. We...Volume Category (SVC) (based on facility sales volume) - Complex Structure (based on external factors that create challenges)… more
    Walmart (01/25/25)
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  • Provider Contracts Manager

    Molina Healthcare (North Charleston, SC)
    …Tighter knit proximity ongoing after contract. * In conjunction with Manager , Provider Contracts, negotiates Complex Provider contracts including but ... with all relevant federal, state and local regulations. Negotiates agreements with Complex providers who are strategic to the success of the Plan, including… more
    Molina Healthcare (01/05/25)
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  • Project Engineering Manager

    Black & Veatch (Greenville, SC)
    **Project Engineering Manager - Water/Wastewater - US Hybrid** Date: Jan 12, 2025 Location: US Company: Black & Veatch Family of Companies **Together, we own our ... talents and perspectives to use. **\#LI-SN1** **The Opportunity** As the **Project Engineering Manager for Water & Wastewater** , you will manage execution of the… more
    Black & Veatch (12/23/24)
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