- Humana (Columbia, SC)
- **Become 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 ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Sharecare (Columbia, SC)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Columbia, SC)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… 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 ... and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care ...Perform other duties as assigned. Minimum Qualifications * Current Registered Nurse / RN license… more
- AmeriHealth Caritas (Columbia, SC)
- **Role Overview:** The Care Manager (BSN - RN )...is required. + Must hold a current and unrestricted Registered Nurse ( RN ) license in good ... coordination services in achieving their optimal level of health through self-management. The Care Manager ( RN ) is responsible for engaging the member,… more
- CenterWell (Columbia, SC)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... clinical operations across multiple branch locations.** The **Weekend Regional RN Clinical Manager ** provides weekend oversight and...A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home… more
- Centene Corporation (Columbia, SC)
- …a Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** RN - Registered Nurse - State Licensure and/or Compact State ... competitive benefits including a fresh perspective on workplace flexibility. This is a remote position requiring candidates to reside in South Carolina. Up to 50%… more
- AmeriHealth Caritas (Columbia, SC)
- …record/documentation systems is essential **Licensure** + Must hold a current and unrestricted Registered Nurse ( RN ) license in good standing in South ... **Role Overview;** The Care Manager II is responsible for...with treatment plans and promote self-management.; **Work Arrangement** + Remote within the region + Community Visits - Residency… more
- Sharecare (Columbia, SC)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Humana (Columbia, SC)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
- Highmark Health (Columbia, SC)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Humana (Columbia, SC)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review...Condition Categories (HCC) and refers cases for annual follow-up care by disease management, case management, and primary … more
- Sedgwick (Columbia, SC)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and are looking ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- CenterWell (Columbia, SC)
- **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care ... Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care...+ Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- CenterWell (Columbia, SC)
- …**Use your skills to make an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license ( RN ) with no disciplinary action and ... caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking… more
- CenterWell (Columbia, SC)
- …Will conduct in-person, classroom, one on one and virtual learning sessions for care team members. **Use your skills to make an impact** **Required Qualifications** ... experiences. **Preferred Qualifications** + Bachelor's Degree + Clinical Degree ( RN , LPN, MA etc.) + Athena EMR experience +...+ Athena EMR experience + Understanding of Value Based Care model **Additional Information** Travel: While this is a… more
- Molina Healthcare (Columbia, SC)
- …members' decisions related to achieving and maintaining optimal health status. + May request RN input for member care planning. + Typically works with members ... this position we are seeking a (LPN) Licensed Practical Nurse who lives in SOUTH CAROLINA and must be...SOUTH CAROLINA. LPN Member Health Assessor will work in remote and field setting supporting our Medicaid SMI (Severe… more
- CenterWell (Columbia, SC)
- …operations research techniques to model and optimize staffing needs by skill type (eg, RN , PT, HHA), pay type (eg, hourly, salaried), and time type (eg, full-time, ... interruptions to protect member PHI/HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more