- Guardian Life (Columbia, SC)
- **Position Summary** The Group Life Claims Case Manager will spend 6-8 weeks in eligibility training followed by at least 3 months of reviewing live eligibility ... claims while being mentored. The Group Life Claims Case Manager then begins to build an active claim caseload while being mentored on benefit determinations.… more
- Molina Healthcare (Cayce, SC)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** Certified Case Manager (CCM), **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:**… more
- Highmark Health (Columbia, SC)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. + Collaborate with the member's health care and service… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- Summary The RN Case Manager integrates and augments health care quality by providing health education, clinical appropriate preventative and therapeutic care, ... among patients, personal support persons and staff. Responsibilities Duties: The RN Case Manager facilitates care coordination and navigation through a complex… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …on an as-needed basis until positions filled Duties: The RN Mental Health Case Manager demonstrates clinical expertise, leadership, and creative approaches to ... meet the needs of the individual patient. The RN Mental Health Case Manager will follow discharged Veterans from inpatient psychiatric unit (VAMC or Community),… more
- Sedgwick (Columbia, SC)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Highmark Health (Columbia, SC)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cayuse Holdings (Columbia, SC)
- …a Referral (https://careers-cayuseholdings.icims.com/jobs/1187/urban-%26-community-forestry- case - manager ... **Overview** The Urban Forestry Case Managers will play a crucial role in...or related field + 3-5 years of project or case management experience, preferably with municipal or community experience… more
- Cardinal Health (Columbia, SC)
- **_What Individualized Care contributes to Cardinal Health_** Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with ... non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product… more
- Guardian Life (Columbia, SC)
- **Position Summary** The STD/Absence Claims Case Manager I (CM) is responsible for administering and medically managing Short Term and Absence claims with ... specific diagnoses or leave types that tend to resolve quickly. The CM will work with employers, employees, and health care providers to administer Short Term disability in conjunction with other paid or unpaid leaves covered by Guardian. These leaves can be… more
- Highmark Health (Columbia, SC)
- …Worker (LSW) + Licensed Marriage and Family Therapist (LMFT) **Preferred** + Certified Case Manager + CAC - Certified Addiction Counselor **SKILLS** + Advanced ... SUMMARY** This job provides telephonic integrated behavioral and physical health case and condition management services to members with mental health, substance… more
- CenterWell (Columbia, SC)
- …for normality, fax a copy of lab to doctor, make a copy for the Case Manager , and route to Medical Records Department. Initiate Employee / Patient Infection ... including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains… more
- PruittHealth (Columbia, SC)
- **REGISTERED NURSE RN CASE MANAGER -** **HOSPICE SERVICES -** **Monday - Friday, 8:30a-5p** **Special consideration for applicants who currently live in or ... commutable to Rock Hill or York County, South Carolina** **Join the PruittHealth Hospice family, where the health and safety of our workforce is our top priority!** We're not only committed to your career, we're committed to the health and safety of all our… more
- Fresenius Medical Center (Columbia, SC)
- …members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and ... identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: + Counsels patient and/or caregiver and formulates appropriate action. + Recommends treatment changes to the… more
- Cardinal Health (Columbia, SC)
- …helps manufacturers rethink how far their products can go. **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Sedgwick (Columbia, SC)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be able to work the PST ... PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by managing and training… more
- J&J Family of Companies (Columbia, SC)
- Site Contract Manager - 2406193095W **Description** **Johnson & Johnson is recruiting for a Site Contract Manager to join our team located in Titusville, NJ.** ... be performed as assigned. **Principal Relationships:** This position reports to Manager , Site Contracting **Internal:** * Internal Business Partners (CCS, TA, MAF,… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …office after complete review of the EDRP application. Responsibilities The Assistant Nurse Manager in collaboration with the Nurse Manager functions as a ... allied health care personnel. Major Duties The Assistant Nurse Manager is responsible for direct patient care assignments, organizing,...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- J&J Family of Companies (Columbia, SC)
- Manager , Distribution Process Owner - 2406188840W **Description** Johnson & Johnson is currently recruiting for a manager , Distribution Process Owner for an 24 ... NJ. Remote work options within the United States may be considered on a case -by- case basis if approved by the company. At Johnson & Johnson, we believe health… more
- J&J Family of Companies (Columbia, SC)
- Manager , BPO Order To Cash - 2406188910W **Description**...TN. _Remote work options may be considered on a case -by- case basis and if approved by the ... Johnson & Johnson is currently recruiting for a Manager , BPO Order to Cash for a 24 month...The Company may however extend this time-period, in which case the posting will remain available on https://www.careers.jnj.com to… more