- Public Consulting Group (Columbia, SC)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... Registered Nurse with > 5 years nursing experience. Background in med/surg, previous case management experience preferred but not required. + Description: This is a… more
- Guardian Life (Columbia, SC)
- …and acts as the critical communication link, in conjunction with the assigned Disability Case Manager where applicable, for all parties in FML client absence ... the best at what they do. The FML Leave manager is responsible for proactively managing Leave of Absence...with key partners including Clients, Claimants, Nurse and Disability Case Managers, Risk Management. . Administer claims within a… more
- Cardinal Health (Columbia, SC)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Guardian Life (Columbia, SC)
- …with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals ... insights and learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to our Leader, Appeals Team, who… more
- EFI Global (Columbia, SC)
- …time employees at this time.** **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in the country to facilitate ... compensation experience, please apply!** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured workers and medical… more
- Cardinal Health (Columbia, SC)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- Cardinal Health (Columbia, SC)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- 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 a care plan, encouraging behavior… more
- Cardinal Health (Columbia, SC)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Public Consulting Group (Columbia, SC)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Evolent (Columbia, SC)
- …Pacific Coast time during standard business hours **- Required** + CCMC (Commission for Case Manager Certification) - a plus - Preferred + Knowledge and ... experience teaching self-management. - Preferred + Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion; fluency in a foreign language is a plus.- Preferred + Strong work ethic built on a… more
- Intermountain Health (Columbia, SC)
- …Nurse (RN). Preferred Qualifications + Bachelor's degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined at position level. ... + 2 years' nursing experience outpatient care. + 1 year Care Management experience. **Physical Requirements:** Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess patient needs. - and… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... must be obtained within 4 years of hire as a Case Manager . Preferred Education: Bachelor's degree- Nursing Preferred Work Experience: 7 years-healthcare… more
- Molina Healthcare (Columbia, SC)
- …Licensed 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 (Columbia, SC)
- …for normality, fax a copy of lab to doctor, make a copy for the Case Manager , and route to Medical Records Department. Initiate Employee / Patient Infection ... including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains… more
- Gentiva (Columbia, SC)
- …love. **PRN RN needed (flexible days and hours).** **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director or ... Patient Care Manager Senior and will maintain primary control and professional...supportive care to the patient's family with a reasonable case load while providing a trusting and compassionate relationship… more
- Fresenius Medical Center (Bishopville, SC)
- …members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and ... identifies candidates to refer to physician for nutritional supplements, as per disease management agreements. + Reviews nutrition related lab results: + Counsels patient and/or caregiver and formulates appropriate action. + Recommends treatment changes to the… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, ... etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to… 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.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. + Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to… more