- Lincoln Financial Group (Columbia, SC)
- … Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills **Application Deadline** ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- CenterWell (Columbia, SC)
- …As a **Home Health Registered Nurse ** , you will: + Provide admission, case management , and follow-up skilled nursing visits for home health patients. + ... Administer on-going care and case management for each patient, provide necessary...Health experience a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification + Strong organizational… more
- Public Consulting Group (Columbia, SC)
- …+ Ability to work independently and on a team. + Proven working experience in case management , including as a nurse , medical, mental health care manager ... relations and cooperate with medical team throughout the entire case management process + Interacts with patients...+ Current license, certification or registration as a Registered Nurse or Social Worker + Office Setting **The above… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …Medical Center and Community Outpatient Clinics (CBOCs).\ Applies clinical skills of case management which emphasizes a collaborative process that assesses, ... an as-needed basis until positions filled Duties: The RN Mental Health Case Manager demonstrates clinical expertise, leadership, and creative approaches to … more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …program office after complete review of the EDRP application. Responsibilities The Assistant Nurse Manager in collaboration with the Nurse Manager functions as a ... accountability for the operation of the department. This will include the management , supervision and evaluation of care delivered by nursing and other allied… more
- Sedgwick (Columbia, SC)
- …While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful ... accredited college or university or equivalent work experience preferred. Certification in case management , rehabilitation nursing or a related specialty is… more
- Prime Therapeutics (Columbia, SC)
- …and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description Summary** Under supervision, is responsible for performing ... for drug services. + Will actively maintain a required case load and the activities to reach overall goals...appeals program. + Participates in meetings and consults with management on regular basis to discuss member interaction and… more
- Sharecare, Inc. (Columbia, SC)
- …and delivery of Sharecare's Advocacy program by providing high quality telephonic/digital Case Management and/or condition management in a virtual ... clinical analytics and clinical team to identify at risk members and provide Complex Case Management and strategies for health self- management through the… more
- US Tech Solutions (Columbia, SC)
- …work independently, prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience ... health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review/ case management /clinical/or combination; 2 of 4 years must… more
- Humana (Columbia, SC)
- …before applying to other Humana opportunities. **Preferred Qualifications** + Experience with case management , discharge planning and patient education for adult ... help us put health first** The Care Manager, Telephonic Nurse Assistant 3, performs in a telephonic environment providing...Milliman or InterQual + Managed care experience + Certified Case Manager (CCM) **Work at Home Guidance** To ensure… more
- Intermountain Health (Columbia, SC)
- …outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. **Job Essentials:** + ... Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse (RN) or Compact license **Preferred Qualifications:** + Bachelor's degree… more
- US Tech Solutions (Columbia, SC)
- …established clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency and claims knowledge/analysis ... Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.).… more
- Humana (Columbia, SC)
- …+ Possess an interest in working in the managed care industry + Experience with case management , discharge planning and patient education for adult acute care + ... supports the goal to put health first? The Care Management Registered Nurse , RN, Intern will utilize...Certified Case Manager (CCM) + Experience with intellectual function and… more
- Highmark Health (Columbia, SC)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of quality issues. ... refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. Employ collaborative interventions which focus,… more
- Sedgwick (Columbia, SC)
- …resolution of highly complex nature and/or severe injury claims; to coordinate case management within company standards, industry best practices and specific ... + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents… more
- ManpowerGroup (Columbia, SC)
- …Fortune 500 clients. **Note:-** + Must Have Behavioral Health Experience + Previous Utilization Management (UM) or Case Management (CM) experience + Training ... established clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency and claims knowledge/analysis… more
- Lincoln Financial Group (Columbia, SC)
- …process from the initial request to the return to work. + Collaborating with fellow case managers, nurse case managers, and consulting physicians to make ... with the ability to multi-task _Nice to have experience (preferred):_ + Absence management experience **What's it like to work here?** At Lincoln Financial Group, we… more
- CVS Health (Columbia, SC)
- …positive working relationships with the CVS Accountable Care beneficiaries, providers, nurse case managers, agency representatives, supervisors and office staff, ... in a team and manage multiple priorities, utilizes effective time management skills, and exercise sound judgement. + Exceptional organizational and interpersonal… more