- Sedgwick (Columbia, SC)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **We are growing all across the US and are looking for ... experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Otsuka America Pharmaceutical Inc. (Columbia, SC)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Public Consulting Group (Columbia, SC)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… 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
- Cardinal Health (Columbia, SC)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Cardinal Health (Columbia, SC)
- …Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously ... integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the… more
- Gentiva (Columbia, SC)
- …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director or ... and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind 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, ... available resources to promote quality, cost effective outcomes. + Provides active case management, assesses service needs, develops and coordinates action plans in… 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, ... health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review/ case management/clinical/or combination; 2 of 4 years must be… more
- PruittHealth (Columbia, SC)
- **REGISTERED NURSE CASE MANAGER (RN) -** **HOSPICE SERVICES** **Special consideration for applicants who currently live in or commutable to Richland 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 patients and nurses. If you're looking to… 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
- 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
- InGenesis (Columbia, SC)
- …determinations. * Identify and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... etc.). * Participate in data collection/input into system for clinical information flow and proper claims adjudication * Perform other duties as assigned. Minimum Qualifications * Current Registered Nurse / RN license in the State of South Carolina. *… more
- The Robison Group (Columbia, SC)
- …GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management, etc. Department Surveillance Employment Type Part time ... The majority of cases worked in this position require stationary and mobile surveillance. PRINCIPAL RESPONSIBILITIES FOR SURVEILLANCE: + Thoroughly complete assigned cases. + Testify to the collected facts obtained in any hearing or court of law as needed. +… more
- Sumitomo Pharma (Columbia, SC)
- …highly motivated, and experienced individual for the position of **Associate Manager , Compliance, Training & Strategic Alliance (CTSA), PVRM** . The Associate ... Manager , Compliance, Training & Strategic Alliance (CTSA), PVRM is...compliance issues and significant quality issues originating with the case processing vendor and License Partner. + Participate in… more
- Cognizant (Columbia, SC)
- …environments including Windows, Linux, Smallworld Magik, Java, Oracle, Smallworld Core, Design Manager , Smallworld Case Tool, Electric Office, GDO/GTO, XML, FME ... as necessary. **Mandatory Skills:** - Bachelor's or Master's degree in Engineering (Electronics / Electrical / Computer Science or Information Technology) - Minimum 10 years of experience in GE Smallworld product suites, Smallworld App Deveopment, VMDS -… more
- Datavant (Columbia, SC)
- …vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the Business Analytics team and ... of its analysts. We are looking for a hands-on manager who has experience and interest in providing guidance...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Sharecare (Columbia, SC)
- …2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based 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… more
- Black & Veatch (Columbia, SC)
- **BESS Conceptual Design Manager ** Date: Jun 25, 2025 Location: US Company: Black & Veatch Family of Companies **Together, we own our company, our future, and our ... to use. \#LI-KG1 **The Opportunity** The BESS Conceptual Design Manager functions as a technical specialist or in a...Exceptions may be approved by division management on a case by case basis. **Work Environment/Physical Demands**… more
- Lumen (Columbia, SC)
- …**The Role** We are seeking a highly organized and detail-oriented Technical Marketing Manager to join our core Marketing team at Lumen. This role involves executing ... and maintain technical marketing materials such as datasheets, white papers, case studies, and technical presentations. Deliver product demonstrations and technical… more