- 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
- CVS Health (Columbia, SC)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… 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
- Public Consulting Group (Columbia, SC)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… 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
- 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)
- …health needs. For all physical health needs the case worker will consult with a registered nurse care manager .; **The Behavioral Health Case Worker ... **This role is field based remote and will require travel in the Columbia...now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping… more
- CenterWell (Columbia, SC)
- …with clinical-operational divisional dyads (Division CMO/Division Ops Leader) on care integration team foundational programs and future strategic opportunities for ... managing populations and coordinating care to reduce acute and post-acute care ...required,_ _advanced clinical professional license strongly preferred such as RN , MSW/LCSW, NP, PA, MD/DO_ + Excellent verbal and… more
- Molina Healthcare (Columbia, SC)
- …members' decisions related to achieving and maintaining optimal health status. + May request RN input for member care planning. + Typically works with members ... this position we are seeking a (LPN) Licensed Practical Nurse who lives in SOUTH CAROLINA and must be...SOUTH CAROLINA. LPN Member Health Assessor will work in remote and field setting supporting our Medicaid SMI (Severe… more