- Evolent Health (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
- AmeriHealth Caritas (Columbia, SC)
- ** Behavioral Health Care Manager SC**...Care management documentation system. The Care Manager will collaborate with the Clinical Care ... and assessing members' need for behavioral health Care management. The Care Manager ...calls and send outreach letters to Members + Assist Clinical Care Managers and Medical Care… more
- Molina Healthcare (Chester, 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
- Evolent Health (Columbia, SC)
- …better health outcomes for this population. **What You Will Be Doing:** + This RN Care Manager The RN CM will be providingremote and in personinteraction with ... 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
- Evolent Health (Columbia, SC)
- …providing better health outcomes for this population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be providing 100% remote interaction with ... health of the nation by changing the way health care is delivered. Our pursuit of this mission is...Health team, conduct comprehensive assessments that include the medical, behavioral , pharmaceutical and social needs of the patient, identify… more
- Intermountain Health (Columbia, SC)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
- US Tech Solutions (Columbia, SC)
- …and support each other. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying ... nurses MUST have 4 years or more of RECENT clinical experience. + Strong communication skills required to provide...and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of 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
- ManpowerGroup (Columbia, SC)
- …Summary** The Clinical Review Specialist assesses and evaluates medical or behavioral eligibility for health benefits, ensuring services meet clinical and ... requests, manage health interventions, and ensure members receive quality, cost-effective care . The Clinical Review Specialist will review medical necessity,… 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 ... and help us put health first** The PEX Program Manager is a key leader responsible for shaping and...shaping and optimizing the patient experience at CenterWell Primary Care Organization (PCO). This role will drive patient experience… 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 ... put health first** CenterWell leverages advanced technology to enhance primary care services for seniors. By integrating digital solutions, they provide… more
- Takeda Pharmaceuticals (Columbia, SC)
- …to take charge of your future at Takeda. Join us as a Regional Business Manager in our Orlando territory. Here, everyone matters and you will be a vital contributor ... to our inspiring, bold mission. As a Regional Business Manager working on the Gastroenterology Rare Disease Sales Team, you will be empowered to drive product demand… more
- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** Monday-Friday, ... reviewing and evaluating medical or behavioural eligibility for benefits and clinical criteria by applying clinical expertise, administrative policies, and… 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
- Magellan Health Services (Columbia, SC)
- …- Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt License and Certifications - Preferred Salary ... of providing the full breadth of Child and Youth Behavioral (CYB) counseling services to children of all ages...by the Office of Secretary of Defense (OSD) program manager . The CYB will flex schedule to respond to… more
- CenterWell (Columbia, SC)
- …with callers to answer questions, describe services, and sell prospective patients on the clinical care model. The Care Delivery Call Quality Professional ... 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)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... help us put health first** The Medical Assistant 2 performs clinical duties such as discussing symptoms, obtaining vital signs, medication/vaccine administration,… 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 ... company + Experience with Value Based Contracting + Managing and implementing care contracts with large physician groups, ancillary providers and hospital systems. +… 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