- 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...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… 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 ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Columbia, SC)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...**Specialty Pharmacy or Oncology.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Healthfirst (SC)
- …options, and discharge planning across a variety of treatment settings for high risk, complex populations + Certified Case Manager + Interqual, Milliman, ... as assigned **Minimum Qualifications:** + Associates degree + New York State Registered Nurse + Work experience demonstrating verbal and written communication… more
- Sharecare (Columbia, SC)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- CenterWell (North Charleston, SC)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... on-site at our Charleston, SC branch location.** The **QA** ** RN Clinical Manager ** coordinates and oversees all...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… 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 ... on workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to… more
- Molina Healthcare (Dillon, 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...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Sedgwick (Columbia, SC)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! If you have at least** **1.5 years...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- AmeriHealth Caritas (Charleston, SC)
- …**Licensure:** + Valid Driver's License and car insurance. + Current and unrestricted Registered Nurse license in South Carolina strongly preferred + MSW ... Under the supervision of the Director Clinical Market Population Health, the Manager of Integrated Care Management is responsible for the daily operations of… more
- AmeriHealth Caritas (Charleston, SC)
- …record/documentation systems is essential **Licensure** + Must hold a current and unrestricted Registered Nurse ( RN ) license in good standing in South ... **Role Overview;** The Care Manager II is responsible for managing and coordinating...determinants of health for Members with acute, chronic, medically complex and/or behavioral health conditions and other health needs.… more
- Molina Healthcare (Aiken, SC)
- …Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), ... this position we are seeking a (LPN) Licensed Practical Nurse who lives in SOUTH CAROLINA and must be...Member Health Assessor will be partnering with Behavioral Health Case Managers and meeting with Medicaid members to complete/sign… more