We interpreted Elgin, SC as Elgin, SC. Other options include: Elgin (Lancaster County), SC
- InGenesis (Columbia, SC)
- Managed Care II / Social Worker Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City : Columbia ... Range : Job Description: InGenesis is currently seeking a Social Worker Case Manager to review and evaluate medical or behavioral eligibility regarding benefits. In… more
- Sharecare (Columbia, SC)
- …September 8th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst...or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,… more
- Sharecare (Columbia, SC)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to ... the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...Care guidelines to close any existing gaps in care . + Contacts participant by telephonic dialer… more
- CVS Health (Columbia, SC)
- …As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the ... health conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care...needs, and closing gaps in preventative and health maintenance care . **Key Responsibilities** + ** Telephonic Engagement:** Dedicate… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). ... plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in… more
- Centene Corporation (Columbia, SC)
- …with appropriate providers or specialists to ensure member has timely access to needed care or services + May perform telephonic , digital, home and/or other site ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). ... to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high risk pregnancy or… more
