• Telephonic Case Manager

    Sedgwick (Columbia, SC)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
    Sedgwick (05/15/25)
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  • Telephonic RN Case Manager

    US Tech Solutions (Columbia, SC)
    … management experience preferred but not required. + Description: This is a telephonic case management position. Members are outreached for enrollment into the ... determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals,… more
    US Tech Solutions (05/06/25)
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  • Telephonic Care Manager , Behavioral…

    Humana (Columbia, SC)
    …patient education for adult acute care + Managed care experience + Certified Case Manager (CCM) **Additional Requirements / Adherence** + **Workstyle:** Remote ... an internship that supports the goal to put health first? The Telephonic Care Manager Behavioral Health, Registered Nurse, RN, Intern will assess and evaluate… more
    Humana (05/16/25)
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  • Care Manager , Registered Nurse- Remote

    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
    Sharecare (04/26/25)
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  • Care Manager (RN)

    Centene Corporation (Columbia, SC)
    …care plans and education for members and their families. **(Must have Case Management and Strong Behavioral Health Management background).** + Evaluates the needs ... ensure member has timely access to needed care or services + May perform telephonic , digital, home and/or other site outreach to assess member needs and collaborate… more
    Centene Corporation (05/15/25)
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  • Registered Nurse

    US Tech Solutions (Columbia, SC)
    …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high risk...be obtained within 4 years of hire as a Case Manager . Preferred Education: Bachelor's degree- Nursing… more
    US Tech Solutions (05/16/25)
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  • Utilization Review Nurse

    US Tech Solutions (Columbia, SC)
    …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic ...in case management or care coordination and telephonic care experience is preferred. + A typical day… more
    US Tech Solutions (05/17/25)
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  • LPN Behavioral Health - Member Health Assessor

    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
    Molina Healthcare (03/04/25)
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  • Registered Nurse

    US Tech Solutions (Columbia, SC)
    …+ Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, ... We work with the concurrent nurses as well as case management. We also work very closely with our...management programs and/or health and disease management programs. Provides telephonic support for members with chronic conditions, high risk… more
    US Tech Solutions (05/14/25)
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