- CVS Health (Columbia, SC)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Columbia, SC)
- …however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and ... coordinating all case management activities with members to evaluate the medical...Reviews prior claims to address potential impact on current case management plan. - Assessments include the member's level… more
- CVS Health (Columbia, SC)
- …And 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) ... and engagement skills. **Required Qualifications** + Candidate must have active and unrestricted Registered Nurse (RN) licensure in the state of South Carolina… more
- Sharecare (Columbia, SC)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care Management program in… more
- BAYADA Home Health Care (Columbia, SC)
- BAYADA Home Health is looking for a compassionate and dedicated Registered Nurse for a travel RN position. This Divisional Registered Nurse will support ... remain at home and receive the medical care required. ** Registered Nurse (RN) Benefits:** + Enjoy being...clients' conditions; reporting changes to Clinical or Client Services Manager + Follow up with, execute, and properly document… more
- CenterWell (Columbia, SC)
- …get back to the life they love. As a **Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up skilled nursing ... for home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...Home Health experience a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
- BAYADA Home Health Care (Columbia, SC)
- **BAYADA Home Health is looking for a compassionate and dedicated Registered Nurse (RN) to join our team for a prn to part time opportunity with our Columbia ... 1:1 care, and great work/life balance. Join us today!_** ** Registered Nurse (RN) Benefits:** + Enjoy being...clients' conditions; reporting changes to Clinical or Client Services Manager + Follow up with, execute, and properly document… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review ... Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of...Perform other duties as assigned. Minimum Qualifications * Current Registered Nurse / RN license in the… 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, ... etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to… more
- PruittHealth (Columbia, SC)
- ** REGISTERED NURSE CASE MANAGER (RN) - HOSPICE SERVICES - Weekend On Call (Friday 5:00 PM - Monday 8:30 AM)** **Join the PruittHealth Hospice family, ... **LICENSURE, CERTIFICATION, AND EDUCATIONAL REQUIREMENTS** + Current, active, and unrestricted Registered Nurse (RN) licensure in the state of practice… more
- CenterWell (Columbia, SC)
- …Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse (RN) license or Compact State RN license with ... across multiple branch locations.** The **Weekend Regional RN Clinical Manager ** provides weekend oversight and clinical operations support for...A minimum of 2 years of experience as a Registered Nurse (RN). + Home health experience… more
- Molina Healthcare (Columbia, SC)
- JOB DESCRIPTION For this position we are seeking a (RN) Registered Nurse who lives in South Carolina and must be licensed for the state of Carolina. Care ... or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active...navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM). To all current Molina… more
- Sharecare (Columbia, SC)
- …of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree ... experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical team is… more
- Humana (Columbia, SC)
- …intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse (RN) license with no disciplinary action. + **Hold an ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- AmeriHealth Caritas (Columbia, SC)
- …driver's license with car insurance is required. + Must hold a current and unrestricted Registered Nurse (RN) license in good standing in South Carolina or a ... **Role Overview:** The Care Manager (BSN - RN) assists members appropriate for...community as needed. + At least 3 years of case management experience is preferred. ; **Licensure** + A… more
- AmeriHealth Caritas (Lugoff, SC)
- …record/documentation systems is essential **Licensure** + Must hold a current and unrestricted Registered Nurse (RN) license in good standing in South Carolina ... **Role Overview;** The Care Manager II is responsible for managing and coordinating...community as needed + At least 3 years of case management experience is preferred + Proficiency in MS… more