- Evolent (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 the ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Highmark Health (Columbia, SC)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
- Molina Healthcare (Timmonsville, SC)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... **JOB DESCRIPTION** Licensed Social Worker Case Manager will work in remote and field setting...management. + Promotes integration of services for members including behavioral health care and long term services… more
- Sharecare (Columbia, SC)
- …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
- Centene Corporation (Columbia, SC)
- …on workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs + May perform...outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care … more
- Highmark Health (Columbia, SC)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- US Tech Solutions (Columbia, SC)
- **Job Description:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, ... Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.).… more
- National Youth Advocate Program (Columbia, SC)
- …provision of "Know Your Rights" presentations and legal screenings to children in care ; + Work with program administration, clinical , medical and educational ... 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
- CenterWell (Columbia, SC)
- …education around maintenance of chronic health conditions, as well as available options for behavioral care and social support + Serve as liaison between the ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
- CenterWell (Columbia, SC)
- …collaboratively with clinical and operational leaders across a complex health care organization. + Knowledge of health care regulations and policies related ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
- US Tech Solutions (Columbia, SC)
- …and business needs **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying ... Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.).… more
- US Tech Solutions (Columbia, SC)
- …needs of our members. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying ... Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.).… more
- CenterWell (Columbia, SC)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... community and help us put health first** The LPN/LVN provides professional nursing care to patients within an assigned unit, clinic or region. The LPN/LVN assesses… more
- Evolent (Columbia, SC)
- …which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- CVS Health (Columbia, SC)
- …at the top of your clinical license with the support of our clinical care team * Unparalleled Career growth opportunities and development * Patient charting ... Practitioner Business Unit MinuteClinic Title of Immediate Supervisor Senior Practice Manager Department Clinical Services * Perform duties including speaking… more
- Evolent (Columbia, SC)
- …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 of care and compassion we would want for our loved...The Coordinator, Intake Utilization Management reports directly to the Manager , Intake Utilization Management. In support of our daily… more
- Highmark Health (Columbia, SC)
- …+ Participates in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The… more
- CenterWell (Columbia, SC)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... improvement and membership growth. This role is within Centerwell's Primary Care Organization and requires an understanding of value-based agreements and primary… more
- Prime Therapeutics (Columbia, SC)
- …engineering, physics, accounting, finance, economics, computer sciences or business/social and behavioral science or related area of study, or the equivalent ... and ability to adjust focus **Reporting Structure** + Reports to Principal, Manager , Director, or Sr Director in the Health Outcomes, Pharmacy Audit, Pricing,… more