- Molina Healthcare (York, SC)
- **JOB DESCRIPTION** Behavioral Health Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population ... case managers/supervisors as needed or required + Case managers in Behavioral Health ...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health… more
- Molina Healthcare (Lancaster, SC)
- **JOB DESCRIPTION** Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the state of South ... Carolina. Case Manager will be required to communicate...an integrated delivery of care across the continuum, including behavioral health and long term care, for… more
- AmeriHealth Caritas (Columbia, SC)
- … case worker will consult with a registered nurse care manager . **The Behavioral Health Case Worker will:** + Support Members during behavioral ... with behavioral health conditions. Under the direction of the Population Health Manager and Supervisor the Behavioral Health Caseworker ensures… more
- CVS Health (Columbia, SC)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... . Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers...states - 1+ years' current or previous experience in Behavioral Health - 1+ years' experience documenting… more
- Molina Healthcare (North Charleston, SC)
- …the state of South Carolina. Member Health Assessor will be partnering with Behavioral Health Case Managers and meeting with Medicaid members to ... following: Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… more
- Highmark Health (Columbia, SC)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- HCA Healthcare (Myrtle Beach, SC)
- …purpose and integrity. We care like family! Jump-start your career as a ** Manager Case Management** today with Grand Strand Medical Center. **Benefits** Grand ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...vary by location._** Come join our team as a ** Manager Case Management** . We care for… more
- US Tech Solutions (Columbia, SC)
- …telephonically and via digital platforms to meet their healthcare goals. Backgrounds in only behavioral health or maternity would be better suited for one of our ... determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals,… more
- HCA Healthcare (Charleston, SC)
- **Description** **Introduction** Do you have the career opportunities as a **Registered Nurse (RN) Case Manager ** you want with your current employer? We have an ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...colleagues. Do you want to work as a **RN Case Manager ** where your passion for creating… more
- HCA Healthcare (Myrtle Beach, SC)
- …**Introduction** Do you have the PRN career opportunities as a **Registered Nurse (RN) Case Manager ** you want with your current employer? We have an exciting ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine...want to work PRN as a **Registered Nurse (RN) Case Manager ** where your passion for creating… more
- Advanced Correctional Healthcare (Columbia, SC)
- Site Mental Health Manager Job Details Job Location Richland County Alvin S. Glenn Detention Center - SC - Columbia, SC Position Type Full Time Education Level ... Percentage Up to 25% Job Shift Any Job Category Behavioral Health Description SUMMARY: Our associates deliver...health services for continuity of care and discharge planning/ case management via sharing of pertinent patient information. +… more
- AmeriHealth Caritas (Charleston, SC)
- …+ 3+ years professional clinical practice experience in medical and behavioral health . + 1+ years of case management experience in a clinical managed ... managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover… more
- Highmark Health (Columbia, SC)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
- Highmark Health (Columbia, SC)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… more
- AmeriHealth Caritas (Charleston, SC)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... determinants of health for Members with acute, chronic, medically complex and/or behavioral health conditions and other health needs. Serves as the… more
- Highmark Health (Columbia, SC)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
- CenterWell (Charleston, SC)
- …Team Manager is responsible for managing a team of nurses, community health workers, and behavioral health resources who engage high risk/high ... individualized care and services they need to reach optimal health . The Manager is also responsible for...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- AmeriHealth Caritas (Columbia, SC)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... care coordination services in achieving their optimal level of health through self-management. The Care Manager (RN)... health and supportive needs. + Coordinates physical, behavioral health and social services; + Provides… more
- Otsuka America Pharmaceutical Inc. (Columbia, SC)
- …matter in the prediction, prevention, and management of conditions related to women's health , the mental and behavioral spaces, and overall well-being. This is ... Otsuka Precision Health is a health experience company...billion in 2023. **About This Role** An OPH Product Manager brings a unique blend of product management and… more
- Maxim Healthcare Services (Aiken, SC)
- Maxim Healthcare Services is hiring for an Sales and Community Development Manager to focus on growth and development of in-home nursing and caregiving services for ... programs, local insurance payers, physician groups, government entities, and case management groups. Why Join Maxim: + Competitive pay...Join Maxim: + Competitive pay & weekly paychecks + Health , dental, vision, and life insurance + 401(k) savings… more