- Somatus (Columbia, SC)
- …service Preferred Qualifications: + BSN or higher level of education + Certified Case Manager (CCM) + Diabetic Educator experience + Field-based experience going ... into homes + Telephonic case management experience + Experience working within a managed care environment Other Duties Please note this job description is not… more
- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... desired clinical outcomes and to enhance quality of medical care. The ** Telephonic Nurse Case Manager ** will collect and document data to facilitate… more
- CVS Health (Columbia, SC)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Humana (Columbia, SC)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering… more
- Sharecare (Columbia, SC)
- …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... Manager partners with members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- CVS Health (Columbia, SC)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress,… more
- US Tech Solutions (Columbia, SC)
- …+ A typical day would like in this role: Employee will be providing telephonic case management and utilization management for our members. The expectation is ... per month. + Strong communication skills required to provide telephonic case management to patients and to...Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of… more
- Sharecare (Columbia, SC)
- …and objectives of the Disease Management program by providing high quality telephonic and omni - channel support in an appropriate, efficient and cost-effective ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more
- Molina Healthcare (Columbia, SC)
- …Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), ... of South Carolina. Member Health Assessor will be partnering with Behavioral Health Case Managers and meeting with Medicaid members to complete/sign care plans and… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, ... in care management programs and/or health and disease management programs. Provides telephonic support for members with chronic conditions, high risk pregnancy or… more
