- 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 environment, ... for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Master level, Social Worker** who… more
- Highmark Health (Columbia, SC)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... 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. Effectively function in… more
- Highmark Health (Columbia, SC)
- …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… 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
- 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 ... 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
- Molina Healthcare (Columbia, SC)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... delivery of care across the continuum, including behavioral health and long term care...settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- Highmark Health (Columbia, SC)
- …in marketing research with insurance is a plus. **Preferred** + Prior experience in Health Insurance or a Health Care Environment + Proven expertise in ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If you...is defined as having worked as either a project manager or lead research analyst for a minimum 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
- National Youth Advocate Program (Columbia, SC)
- …+ Possess a sincere desire and ability to advocate for children facing behavioral health , educational, legal, development, and socio-economic challenges. + Works ... Repayment Assistance, CEU's and ongoing trainings/education **Position Title:** Case Manager **Reporting Relationship:** Lead Case Manager **Position Summary**… more
- ManpowerGroup (Columbia, SC)
- … I" to join one of our Fortune 500 clients. **Note:-** + Must Have Behavioral Health Experience + Previous Utilization Management (UM) or Case Management (CM) ... 10% Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit… more
- Prime Therapeutics (Columbia, SC)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... drives every decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary**...ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved,… more
- Prime Therapeutics (Columbia, SC)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded… more
- Compass Group, North America (Columbia, SC)
- …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... members. Job Summary We are seeking a Patient Services Manager to lead our Patient Services Team in an...to lead our Patient Services Team in an Acute Care setting in City, State. Key Responsibilities: + Establishes… 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:** + 2 years… 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 ... and wellness presentations, and consultation to the brigade/regiments command regarding behavioral health issues with a unique understanding of the particular… more
- CenterWell (Orangeburg, SC)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... function. + Confer with the patient's physician and other health care team members and participate in...Manager , patient and family members. + Participate in care coordination and discharge planning activities and act as… more
- RWJBarnabas Health (Sumter, SC)
- …to patients at risk or under poor control with incorporation of integrated behavioral health model when appropriate. + Providing staffing level recommendations ... discrepancies; reviews bills for accuracy; submits bills to Practice Manager or Assistant Office Manager . + Other...Death Insurance + Voluntary Benefits (eg, Pet Insurance) + Health Care /Dependent Care Flexible Spending… 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)
- **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members of the health care team to improve the ... The position educates patients and caregivers to help them manage their health care needs. The incumbent facilitates communication, coordinates services,… more