- AmeriHealth Caritas (Columbia, SC)
- ** Behavioral Health Care Manager (Foster Care )** Location: Columbia, SC Primary Job Function: Behavioral Health ID**: 34308 Your career ... members' need for behavioral health Care management. The Care Manager ...requests within contractual time frames. The Care Manager will process behavioral health … more
- Humana (Columbia, SC)
- …and receives guidance where needed. Follows established guidelines / procedures, utilizes behavioral health knowledge and skills to support the coordination, ... Behavior Analyst + 3 or more years of applied behavioral analysis (ABA) with ASD (Autism Spectrum Disorder) experience...millions of people we serve to achieve their best health - delivering the care and service… more
- Highmark Health (Columbia, SC)
- …with mental health , substance use, and co-morbid chronic medical conditions. Behavioral health conditions include serious mental illness, untreated mental ... The overall goal is to help members navigate the health care system and develop condition self-management...a primary contact for members with Opioid Use Disorder (OUD)/ Behavioral Health with co-morbid medical conditions including… more
- Highmark Health (Columbia, SC)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs. + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… 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
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …opportunities are endless. Not only is it the largest, most technologically advanced integrated health care system in the Nation, but we also provide many other ... a collaborative process that assesses, advocates, plans, implements, coordinates, monitors and evaluates health care options and services so that they meet the… 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 ... a specified panel of oncology members that range in health status/severity and clinical needs. The incumbent assesses ...with a complex Oncology treatment plan and coordination of care . They will possess the knowledge and skills to… more
- Highmark Health (Columbia, SC)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** As a Digital Product Manager for My Highmark, a site for members to view claims, explore ... coverage, and find care , you'll play a pivotal role in representing the...**LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Product Manager Certification **SKILLS** + Excellent written, interpersonal, communication, and… 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
- Highmark Health (Columbia, SC)
- …management and performance **Preferred** + 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
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …medication. Demonstrates understanding of age-and population-specific characteristics that affect the health care needs of the Veteran. Promptly recognizes ... Nurse (RN) and reports to the surgical clinic nurse manager . The LPN is responsible for observing, recording and...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the… more
- CenterWell (Columbia, SC)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Manager , Sales Support oversees...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Marriott (Columbia, SC)
- …of 7 holidays annually. All locations offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending ... team on the world-class Marriott Bonvoy apps. As Mobile Production Support Manager , you will be responsible for the monitoring, communication, tracking and… more
- CenterWell (Columbia, SC)
- …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 on… more
- Magellan Health Services (Shaw AFB, SC)
- …DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt License and Certifications - Preferred ... child development centers, and consultation to installation command regarding behavioral health issues affecting children and youth....working people interested in making a difference in the health care industry and in the communities… more
- Marriott (Columbia, SC)
- …of 7 holidays annually. All locations offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending ... problems, and chooses a course of action. + **Professional Demeanor** - Exhibits behavioral styles that convey confidence and command respect from others; makes a… more
- Magellan Health Services (Hopkins, SC)
- …DL - Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt License and Certifications - Preferred ... wellness presentations, and consultation to the brigade/regiments command regarding behavioral health issues with a unique understanding...working people interested in making a difference in the health care industry and in the communities… more
- Highmark Health (Columbia, SC)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Intermountain Health (Columbia, SC)
- …based at our virtual hospital (Valley Center Tower) in Murray, Utah. The Social Work Care Manager works collaboratively with physicians and other members of the ... health care team to improve the ...health care team to improve the health of...benefit analysis and coordinates authorizations for appropriate level of care . May diagnosis various mental, emotional and behavioral… more
- Highmark Health (Columbia, SC)
- …data code sets, and benefits into systems parameters to ensure accurate managed care operations (ie enrollment & billing, claims processing, etc.). This job supports ... support of standardized and accurate configuration and maintenance. Remains informed of all health plan contracts and amendments as well as code sets, fee schedule… more