- LifePoint Health (Rutherfordton, NC)
- …**Job:** **Please select a valid job field* **Organization:** ** **Title:** * Clinical Case Manager * **Location:** *NC-Rutherfordton* **Requisition ID:** ... hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process,...as indicated.13. Discusses payer criteria and issues on a case -by- case basis with clinical staff… more
- Molina Healthcare (Greenville, 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...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Walgreens (Duncan, SC)
- …of medications and drug interaction awareness. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcome ... (eg patient consultation, medication management, drug therapy reviews, and perform clinical , or wellness services such as immunizations, diagnostic testing, and… more
- Bon Secours Mercy Health (Greenville, SC)
- …patient/family, and the payor. + Ensures interactions with third party payors case manager and contraction managers occur timely, accurately, and professional. ... health care patient accounting, admitting, utilization review, quality assurance or case management (required) 5 years' experience in clinical health care… more
- Gentiva (Spartanburg, SC)
- …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director or ... and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and… more
- Molina Healthcare (Spartanburg, SC)
- … 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
- CenterWell (Greer, SC)
- …represents the scope of provider relationships across the following areas: + Quality/ clinical management and population health + HEDIS and Stars performance + ... without restriction in applicable state + 5+ years of clinical nursing experience + Proven work experience as a...years of managed care experience + 3+ years of case management experience + Bilingual; English and Spanish preferred,… more
- BAYADA Home Health Care (Greenville, SC)
- …wound care, treatments, and procedures + Monitor clients' conditions; reporting changes to Clinical or Client Services Manager + Follow up with, execute, and ... document doctors' orders + Perform client assessments as necessary + Case management and coordination + Accurately document observations, interventions, and… more
- …programs for patients unable to meet their financial obligations. + Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to ... assistance program applications and determine eligibility and coverage. + Notify manager , physician and servicing department of possible delay of service for… more