- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- Highmark Health (Columbia, SC)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Columbia, SC)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- CenterWell (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of our primary ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more… more
- CenterWell (Columbia, SC)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Associate Director , Product Management...or in-practice role (eg, Center Administrator, Front Office, Scheduling, Medical Assistant, Physician, or Physician Extender). + Two or… more
- Highmark Health (Columbia, SC)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- Target (Columbia, SC)
- …and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical , vision, dental, ... skills for a career. The role of a Store Director can provide you with the:** + Knowledge of...utilizing tools and routines that model, train, and coach behavioral expectations to deliver the service standard + Demonstrate… more
- Compass Group, North America (Columbia, SC)
- …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... **Job Summary** We are seeking a **System Food Service Director ** to join our Morrison Healthcare team and provide...at Morrison Healthcare are offered many fantastic benefits.** + Medical + Dental + Vision + Life Insurance/ AD… more
- American Express Global Business Travel (Columbia, SC)
- …offer an inclusive and collaborative culture where your voice is valued. The Director of GTM Analytics is a strategic, high-visibility leader responsible for driving ... across Marketing, Commercial and Decision Analytics to translate segmentation and behavioral insights into actionable targeting strategies across the full bowtie… more
- Compass Group, North America (Columbia, SC)
- …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... service team members. **Job Summary** **Job Summary:** **The Sr. Director of Dining Services** is responsible for overseeing the...at Morrison Healthcare are offered many fantastic benefits.** + Medical + Dental + Vision + Life Insurance/ AD… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …constructs evidence-based recreation therapy interventions for treating patients with complex medical or mental health issues, such as polytrauma, traumatic ... diversional activities for the residents of the CLC and medical foster home program for the Columbia VA Healthcare...the Associate Nurse Executive of GEC and the Associate Director for Patient Care/Nursing Services. Provides the customer with… more
- CenterWell (Columbia, SC)
- …of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, referral coordinators and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. +...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- US Tech Solutions (Columbia, SC)
- …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... appeals requests using Medicare criteria. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical… more
- Humana (Columbia, SC)
- …participates with facility discharge planners, Care Coordinators/Care Managers and the behavioral health personnel in coordinating the member's discharge needs. ... Duties and Responsibilities:** + Review PA requests for home health services, durable medical equipment, outpatient therapies,...specifying rational for approval, or for forwarding to the CMO/ Medical Director for further review. + Create… more
- CenterWell (Columbia, SC)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... training and development * Conduct monthly meetings with Regional Associate Operations Director (AOD), Assistant Medical Directors (AMD), and providers. *… more
- InGenesis (Columbia, SC)
- …up review determinations. * Identify and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of care ... client located in Columbia, SC. In this role you will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria and assess… more