- Molina Healthcare (Darlington, SC)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports to ... **JOB DESCRIPTION** Behavioral Health Case Manager ...**JOB DESCRIPTION** Behavioral Health Case Manager will work in...delivery of care across the continuum, including behavioral health and long term care… more
- Molina Healthcare (Darlington, SC)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... **JOB DESCRIPTION** Case Manager will work in remote and field setting...delivery of care across the continuum, including behavioral health and long term care… more
- AmeriHealth Caritas (Columbia, SC)
- …health needs the case worker will consult with a registered nurse care manager .; **The Behavioral Health Case Worker will:** + Support Members during ... starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're...health conditions. Under the direction of the Population Health Manager and Supervisor the Behavioral… more
- CVS Health (Columbia, SC)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct...of contracts, with large and complex, national, and market-based, behavioral health groups and facility providers. You… more
- Molina Healthcare (Columbia, SC)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health...Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… more
- Advanced Correctional Healthcare (Columbia, SC)
- …the stabilization of at-risk detainees. + Coordinate with county behavioral health services for continuity of care and discharge planning/case management via ... Site Mental Health Manager Job Details Job Location...Percentage Up to 25% Job Shift Any Job Category Behavioral Health Description SUMMARY: Our associates deliver… more
- Highmark Health (Columbia, SC)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- AmeriHealth Caritas (Columbia, SC)
- … management and care coordination services in achieving their optimal level of health through self-management. The Care Manager (RN) is responsible for ... care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more… more
- Centene Corporation (Columbia, SC)
- …education for members and their families. **(Must have Case Management and Strong Behavioral Health Management background).** + Evaluates the needs of the ... member, barriers to accessing the appropriate care , social determinants of health needs, focusing on what the member identifies as priority and recommends and/or… more
- Highmark Health (Columbia, SC)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers,… 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 ... a number of other activities to help improve the health outcomes of members; care plans include...1 year in advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy… more
- Highmark Health (Columbia, SC)
- …or provider) and familiarity with key domains like CMS interoperability, Quality management, care & utilization management, and digital health + 3 years' ... support enGen's growing business, we're hiring a Sales Alliance Manager that will be responsible for supporting technology and...from lead to closure) + 3 years' experience in Health Plan Technology + 3 years' experience with solid… more
- Highmark Health (Columbia, SC)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
- US Tech Solutions (Columbia, SC)
- …Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit ... + Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. **Experience:** + 2 years… more
- CenterWell (Columbia, SC)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- US Tech Solutions (Columbia, SC)
- …Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. Participates in direct ... intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify,… more
- CenterWell (Columbia, SC)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... also contributing to a larger mission of enhancing patient care and health outcomes. It's not just...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Columbia, SC)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... career development and contribute to driving disruption in the health care industry. The PCO provides primary...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Sharecare (Columbia, SC)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
- Advanced Correctional Healthcare (Camden, SC)
- …a higher standard of business services to support medical care and behavioral health care . We maintain professionalism, integrity, and commitment as ... the essential functions. + Timely and accurately assess, plan, and deliver nursing care to patients + Contact practitioner to obtain orders + Administer prescribed… more