- Highmark Health (Columbia, SC)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Columbia, SC)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Columbia, SC)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- Public Consulting Group (Columbia, SC)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… 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
- US Tech Solutions (Columbia, SC)
- …+ Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). ... + Hours/Schedule - Monday-Friday 8:30am - 5pm. Remote position after 1 week onsite training. +...health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support… more
- Highmark Health (Columbia, SC)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Centene Corporation (Columbia, SC)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- CenterWell (North Charleston, SC)
- …on-site at our Charleston, SC branch location.** The **QA** ** RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… 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
- US Tech Solutions (Columbia, SC)
- …8:30 am to 5:00 pm REMOTE AFTER FIRST WEEK ONSITE. + Experience: Registered Nurse with > 5 years nursing experience. Background in med/surg, previous case ... and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care ...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- Sedgwick (Columbia, SC)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this ... time.** **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **** _As… more
- AmeriHealth Caritas (Columbia, SC)
- …administrative services. Discover more about us at; www.amerihealthcaritas.com .; **Responsibilities:** The Care Manager ( RN ) assists members appropriate for ... achieving their optimal level of health through self-management. The Care Manager ( RN ) is responsible...BSN required and must hold a current and unrestricted Registered Nurse ( RN ) license in… more
- AmeriHealth Caritas (Charleston, SC)
- …**_Education Overview:_** ; + BSN required and must hold a current and unrestricted Registered Nurse ( RN ) license in good standing in South Carolina ... administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Care Manager II is responsible for managing and… more
- AmeriHealth Caritas (Charleston, SC)
- …in Nursing or other health related field required.; + Current and unrestricted Registered Nurse license in South Carolina strongly preferred + MSW and;current ... Under the supervision of the Director Clinical Market Population Health, the Manager of Integrated Care Management is responsible for the daily… 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 telephonically and complete...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- 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 in the ... state of South Carolina. Case Manager will be required to communicate telephonically and complete...Face to Face meetings. You will participate in interdisciplinary care team meetings for our members and ensure they… more
- Healthfirst (SC)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... **This position is 100% Remote **Duties and Responsibilities:** + Advocates, informs, and...to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans… more
- Healthfirst (SC)
- …identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & ... **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for...+ Functions as a clinical resource for the multi-disciplinary care team in order to maximize HF member … more
- Sedgwick (Columbia, SC)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more